Pertinence et faisabilité d’un repérage précoce des troubles psychotiques en institut thérapeutique, éducatif et pédagogique (ITEP) : une enquête nationale

Abstract

BackgroundA national survey was conducted among physicians working in Therapeutic, Educational and Pedagogical Institutes (Instituts Thérapeutiques, Éducatifs et Pédagogiques, ITEP) in order to make an inventory of the knowledge of the concept of “subjects at high risk of psychotic transition” and question the relevance of early detection within these institutions. MethodAn electronic questionnaire, specifically created for the survey, was sent by e-mail to all physicians working in ITEP. It consists of 41 questions, divided into 6 sections, of which 28 must have an answer. ResultsPhysicians are in favor of early detection of psychotic disorders in ITEP (82.6%), but few believe it should be systematic (11.6%). The proposed model and its detection tools are still not very well known (15.9% of physicians). The obstacles to its implementation are theoretical and related to the lack of medical time, as 45.6% of practitioners work one day or less per week in ITEP. The implementation of such a model depends, according to the practitioners interviewed, on a solid partnership with the health sector. ConclusionThe vulnerability of ITEP population makes it necessary to think about the prevention and the detection of mental pathologies. Information and training for medical, paramedical and educational teams is relevant, and the use of an early identification tool can make it easier to target at-risk adolescents requiring more care, adapted treatment and relay follow-up.