The research system is a Mobile Perinatal Psychiatry Team (EMPPer), for children aged 0 to 3 and their parents. it facilitates access to psychiatric care by going to families who need it and who are in difficulty to ensure this process.
This device, already deployed in a dozen French cities for several years, convinced the teams of its interest, without demonstrating its effectiveness by evaluation conducted according to research standards. The deployment of a Mobile Perinatal Psychiatry Team in a region not yet equipped (Meurthe-et-Moselle Sud) would therefore offer the opportunity to assess its effectiveness,
The main objective of the research is to evaluate the effect of the EMPPer on the prevalence of abnormalities in the psychomotor development of children at the age of 2 years, in comparison with similar territories that do not benefit from it, and in comparison with the period preceding the establishment of the EMPPer in the targeted territory.
Children benefiting from EMPPer intervention
Children affiliated or entitled to a social security system
Children for whom the holder of parental authority has received informed information about the study and has co-signed, with the investigator, a consent to participate in the study
Children whose parents are visiting the region ( vacations, family visits ...)
Children for whom the 2 holders of parental authority do not speak french
Children for whom both parents do not know how to read
Parallel
Mobile Intervention Team in Perinatal Psychiatry (EMPPer)
Other interventionThe Mobile Intervention Team in Perinatal Psychiatry consists in going towards the most excluded patients, changing the organization of care compared to the current practice and facilitating access to care for the most vulnerable populations
Number of participants with anomaly of the child's psychomotor development at age 2 years
It defined by the fact of having at least one box ticked "no" in the psychomotor development section of the medical part of the third health certificate , carried out after a systematic examination at the age of 24 months of the child
Number of Children with Language Delay at age 4
It evaluated during a health examination systematically carried out at the age of 4 years for the child attending school
Therapeutic alliance score
Therapeutic alliance score (parents of the child) on the Working Alliance Inventory questionnaire (Bottemine, 2017; Horvath 1989)
User satisfaction score
using the questionnaire offered to parents of children in care by the Nancy Psychotherapy Center as part of its quality approach
the cost of care for children with a psychomotor development problem
it makes it possible to carry out a medico-economic analysis, and to estimate the difference in costs between the two strategies of care (with and without EMPPer)
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Centre Psychothérapique de Nancy
Lead sponsor
Central Hospital, Nancy, France
Collaborator
