The news obliges, much was said about mistreatment in nursing homes during the last plenary meeting of the Regional Conference on Health and Autonomy. The CRSA is this consultative body that brings together elected officials, user representatives, territorial health councils, unions and actors from the medical-social world, that is to say, a hundred members. Produces opinions on the policy followed by the decision-making body, the Regional Health Agency, trying to raise awareness of the issues raised from the local level.
This Tuesday in Dijon, among other items on the agenda, the assembly had chosen to “take advantage of” the scandal raised on a national scale by the publication of the book “Les Fossoyeurs” by Victor Castanet. This long-term investigation revealed a series of shortcomings in establishments that welcome older people, in particular those of the Orpéa group. Mistreatment, savings on food, embezzlement of public subsidies, negligence… The author’s damning conclusions have been confirmed by a report from the Ministry of Solidarity and Health, made public on Monday.
In the presence of Pierre Pribile, director of the Bourgogne-Franche-Comté ARS, the president of the CRSA, Emmanuel Ronot, therefore evoked these facts, although, he recalled, “all establishments and services cannot be put on the same level “. The fact is that “deviations are possible and that sometimes the quality of services and the safety of people are not guaranteed. Beyond the emotion, the search for good treatment and the fight against abuse must be a constant battle.
Protect professionals who alert
To shed light on the debates, Alice Casagrande, president of the National Commission for the fight against mistreatment and the promotion of good treatment, intervened by videoconference. “Public policy in this area is still very reactive: we act after a scandal breaks,” she observed. “And for good reason: Until now, these are concepts that have not been documented, had no data, and even been very poorly defined.” One of the first tasks of the Commission, created in 2018, was to define abuse and develop a “vocabulary shared” by all, people treated and accompanied, families, professionals.
A prerequisite to better detect cases when they occur, or even prevent them. More generally, Alice Casagrande advocated “preventive and transversal research-action, which sweeps public policies at 360°.”
To conclude, a representative of the CGT, a member of the CRSA, considered that “professionals who can report cases of mistreatment in the establishments where they work, may be prevented from doing so for fear of being sanctioned by their management. We should be able to protect them.”
Review of the Regional Health Project
The Regional Health Project (PRS) defines the objectives of the Regional Health Agency every five years. Plan the achievements, depending of course on the funding granted. It can lead, in this or that sector, to a medical center, the start-up of a Samu helicopter, the implementation of a territorial mental health project, the organization of telemedicine, the creation of a mobile medical-social support team. for schooling, etc. The PRS is made up of several components, including the Regional Health Plan (SRS) and the Regional Program for Access to Prevention and Care (PRAPS), both of which are due for review by the end of 2023. This review starts now , and the CRSA members have taken it on. Prevention, autonomy, access to care in fragile areas, mental health, e-health… So many issues rooted in daily life in the four corners of the region, on which the advisors will work for 18 months. Transmitting to the ARS which are the emergencies to prioritize.