La Cité de la santé, une expérience d'empowerment

International audienceThe Cité de la santé (City of Health), an information and resource centre based in Paris's largest science museum, the Cité des sciences et de l'industrie, provides the general public - whether they be users, carers, professionals or simple passersby - with access to a wide variety of interactive information sources allowing individuals to empower themselves to become actors of both their own personal health and the health of their community. Situated at the heart of a cultural mediation space including representatives of user, carer and professional organisations, the Cité de la santé has become a veritable reference point in France for developing and valorising healthcare service user expertise through exhibitions, events and workshops in a wide variety of health areas.Centre de ressources documentaires, lieu d'accueil et de service, la Cité de la santé s'inscrit dans l'offre de médiation de la Cité des sciences et de l'industrie. Cette plateforme partenariale donne à l'usager - qu'il soit malade, proche de malade, professionnel ou simple curieux d'une question de santé - les moyens de s'informer librement pour devenir citoyen éclairé et acteur de sa propre santé. De plus, située au sein d'un établissement culturel et médiatrice entre les personnes, les représentants des malades et les soignants, la Cité de la santé est devenue un cadre de référence pour la construction et la reconnaissance de l'expérience des patients, comme le confirment les expositions et témoignages ou les journées de dialogue qu'elle coproduit

The Time of the Infant, Parent-Infant Desynchronization and Attachment Disorganization, or How Long Does it Take for a Preventive Action to be Effective?

The classical version of early development by psychoanalysis has been largely challenged by developmental psychology, and particularly by attachment theory. Psychopathology appears to be much more linked with a sequence of events involving interpersonal relationship disorders rather than with intra psychic conflicts, as hypothesised by drive theory. Establishing synchrony between parent and infant is probably one of the major tasks of the first year of life. Attachment theory appears to be the modern paradigm to understand how the several types of answers from caregivers to stressing situations in the infant give way to different emotional and cognitive regulatory strategies, with impact on the effectiveness of the stress buffer systems. This paper presents what we can figure out about what is time to the infant, the importance of synchronization within infant and caregiver, the key concept of attachment disorganization, the concept of sustained social withdrawal as a defence mechanism and an alarm signal when synchronisation fails, and finally the key issue of conditions for effectiveness of early parent- infant preventive intervention.Parent- infant synchrony, Attachment Disorganization, Parenting, infant social withdrawal behaviour, early prevention and intervention

Good practice in mental health care for socially marginalised groups in Europe: a qualitative study of expert views in 14 countries

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited

Victimization and posttraumatic stress disorder in homeless women with mental illness are associated with depression, suicide, and quality of life

International audienc

Evaluation of the Housing First program in patients with severe mental disorders in France: study protocol for a randomized controlled trial.

International audienceBACKGROUND: Recent studies in North American contexts have suggested that the Housing First model is a promising strategy for providing effective services to homeless people with mental illness. In the context of the highly generous French national health and social care system, which is easily accessible and does not require out-of-pocket payment, the French Health Ministry insists on rigorous techniques, including randomized protocols, to evaluate the impact of Housing First approaches in France.Method and design: A prospective randomized trial was designed to assess the impact of a Housing First intervention on health outcomes and costs over a period of 24 months on homeless people with severe mental illness, compared to Treatment-As-Usual. The study is being conducted in four cities in France: Lille, Marseille, Paris and Toulouse. The inclusion criteria are as follows: over 18 years of age, absolutely homeless or in precarious housing, and possessing a 'high' level of need: diagnosis of schizophrenia or bipolar disorder and moderate to severe disability according to the Multnomah Community Ability Scale (score <= 62) and at least one of the following three criteria: 1) having been hospitalized for mental illness two or more times in any one year during the preceding five years; 2) co-morbid alcohol or substance use; and 3) having been recently arrested or incarcerated. Participants will be randomized to receiving the Housing First intervention or Treatment-As-Usual. The Housing First intervention provides immediate access to independent housing and community care. The primary outcome criterion is the use of high-cost health services (that is,, number of hospital admissions and number of emergency department visits) during the 24-month follow-up period. Secondary outcome measures include health outcomes, social functioning, housing stability and contact with police services. An evaluation of the cost-effectiveness and cost-utility of Housing First will also be conducted. A total of 300 individuals per group will be included. DISCUSSION: This is the first study to examine the impact of a Housing First intervention compared to Treatment-As-Usual in France. It should provide key information to policymakers concerning the cost-effectiveness and health outcomes of the Housing First model in the French context.Trial registration: The current clinical trial number is NCT01570712

Soil penetration resistance and tree root development

Current UK guidance suggests that a 'rootable' soil profile of at least 1.0 m depth should be sufficient to allow adequate rooting of the majority of tree species in a range of soil types and climatic conditions [Arboricultural Journal (1995) vol. 19, 19-27]. However, there is some uncertainty as to what constitutes a loosened soil profile in terms of penetration resistance. In this study the root development of Italian alder, Japanese larch, Corsican pine and birch was assessed after 5 years of tree growth. These data were compared to penetration resistance measured using both a cone penetrometer and a 'lifting driving tool' (dropping weight penetrometer). Tree root number and percentage were significantly reduced by increasing soil penetration resistance measured with both the cone penetrometer (P < 0.050) and the 'lifting driving tool' (P = 0.011 and 0.008 respectively). The vast majority of roots were recorded in soils with a penetration resistance of less than 3 MPa (90.7%) with a significant amount in the less than 2 MPa class (70.2%). Root development of Italian alder, Japanese larch and birch all showed a similar pattern, but Corsican pine appeared to be capable of rooting into more compact soils. The 'lifting driving tool' can be used as an alternative measure of soil penetration resistance. This equipment is more cost effective, easier to use and capable of measurements at a greater depth than the cone penetrometer. The majority of Japanese larch and birch roots (84.3%) were recorded in soils where it took less than 15 impacts to penetrate one 10 cm soil depth increment. The modelled data also suggest that a penetration resistance of 2 and 2.5 MPa relates to 10 and 15 impacts respectively. © 2008 Forestry Commission, Crown copyright

Service provision and barriers to care for homeless people with mental health problems across 14 European capital cities

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited

The efficacy of three techniques to alleviate soil compaction at a restored sand and gravel quarry

Reinstated soil at restored sites often suffers from severe compaction which can significantly impede root development. Several methods, such as ripping and complete cultivation, are available to alleviate compaction that may occur as a result of soil reinstatement. This paper examines the effectiveness of the industry standard industrial ripper and a prototype modern ripper, the Mega-Lift, in comparison with the recommended best practice method of complete cultivation. An investigation of the penetration resistance of the soil at a restored sand and gravel quarry was carried out using a cone penetrometer and a 'lifting driving tool' (dropping weight penetrometer) 3 years following cultivation. All the cultivation treatments reduced soil compaction to some degree compared with the untreated control. However, the penetration resistance values suggest that rooting would be restricted at relatively shallow depths in the plots cultivated using the industrial and Mega-Lift ripper; penetration resistance exceeded 2 MPa within the first 0.33 m. Complete cultivation maintained penetration resistance values of less than 2 MPa within the depth limit of the penetrometer of 0.42 m. In addition, the results from the 'lifting driving tool' indicate that soils treated using complete cultivation remained significantly looser than those treated with the ripper to a depth of at least 0.80 m. The results demonstrate that complete cultivation remains the most effective method of alleviating soil compaction on restored sites, although it is recognized that its relatively high cost may restrict the uptake of the technique. © 2006 Forest Research. Crown copyright