Comment soigner en psychiatrie sans supervision d'équipes ? Cette pratique est essentielle pour offrir à chacun et au groupe un espace pour penser la pratique clinique et prendre du recul sur les mouvements émotionnels, psychiques et groupaux qui peuvent être traversés. L'auteur, s'appuyant sur sa pratique de superviseur, présente de façon didactique ce dispositif. L'historique et les différents modèles de supervision permettent d'en cerner les contours et de la définir en la distinguant de la régulation d'équipe ou de l'analyse des pratiques professionnelles. Les théories qui la soutiennent, la question de la demande, le cadre et les différents temps de l'instance clinique complètent ce tour d'horizon. La posture du superviseur est plus particulièrement soulignée. Elle relève de la place d'exception. Le superviseur peut-il toujours la tenir, ne pas céder ? Le lecteur découvrira les ressorts de cette question en suivant le cheminement de l'auteur en tant que superviseur en formation. Sans voiler ses démêlées avec cette fonction, il insiste : on ne naît pas superviseur, on le devient. Mais il n'oublie pas les autres acteurs de la supervision d'équipes. Telle une pièce de théâtre, elle admet, outre le superviseur, plusieurs personnages : des sujets qui empruntent ce parcours de plus ou moins bon gré ; un groupe qui les rassemble ou les divise autour d'une tâche a priori commune ; une institution qui organise cette forme d'analyse ; un établissement qui tolère, favorise ou combat ce dispositif. Le formateur, le psychologue, le cadre de santé, l'infirmier(ère) en pratique avancée (IPA) ou le psychiatre soucieux de promouvoir la supervision auprès d'une équipe trouveront dans ce livre des repères pour la mettre en œuvre au plus près des besoins des professionnels.

This book presents the basic theoretical and historical concepts and it describes current perspectives and data, focusing on good practices in community psychiatry in Greece and in other parts of Europe. Concepts such as the biopsychosocial model, psychiatric reform, psychosocial rehabilitation and the recovery model, as well as new case management models are approached from a critical, anthropocentric perspective. The current socioeconomic crisis in Europe brings with it new realities in mental health systems. New forms of social suffering are forcing the psychiatric community to re-examine what is considered normal. In order to respond to the complexity of the newly emerging needs, social and community psychiatry has been compelled to broaden the objectives of intervention and research alike, developing new and dynamic relations with complementary scientific fields such as social anthropology, psychoanalysis and microeconomics. The present work is the result of collaboration between professionals from across these different fields.

This book takes the lofty vision of "recovery" and of a "life in the community" for every adult with a mental illness promised by the U.S. President's New Freedom Commission and shows the reader what is entailed in making this vision a practical reality for people with mental illnesses and their families.

Recent years have seen important developments in the computer and game industry, including the emergence of the concept of serious games. It is hypothesized that tools such as games, virtual reality, or applications for smartphones may foster learning, enhance motivation, promote behavioral change, support psychotherapy, favor empowerment, and improve some cognitive functions. Computers and games may create supports for training or help people with cognitive, emotional, or behavioral change. Games take various formats, from board games to informatics to games with interactive rules of play. Similarly, computer tools may vary widely in format, from self-help or assisted computerized training to virtual reality or applications for smartphones. Some tools that may be helpful for mental health were specifically designed for that goal, whereas others were not. Gamification of computer-related products and games with a numeric format tend to reduce the gap between games and computers tools and increase the conceptual synergy in such fields. Games and computer design share an opportunity for creativity and innovation to help create, specifically design, and assess preventive or therapeutic tools. Computers and games share a design conception that allows innovative approaches to overcome barriers of the real world by creating their own rules. Yet, despite the potential interest in such tools to improve treatment of mental disorders and to help prevent them, the field remains understudied and information is under-disseminated in clinical practice. Some studies have shown, however, that there is potential interest and acceptability of tools that support various vehicles, rationales, objectives, and formats. These tools include traditional games (e.g., chess games), popular electronic games, board games, computer-based interventions specifically designed for psychotherapy or cognitive training, virtual reality, apps for smartphones, and so forth. Computers and games may offer a true opportunity to develop, assess, and disseminate new prevention and treatment tools for mental health and well-being. Currently, there is a strong need for state-of-the-art information to answer questions such as the following: Why develop such tools for mental health and well-being? What are the potential additions to traditional treatments? What are the best strategies or formats to improve the possible impact of these tools? Are such tools useful as a first treatment step? What is the potential of a hybrid model of care that combines traditional approaches with games and/or computers as tools? What games and applications have already been designed and studied? What is the evidence from previous studies? How can such tools be successfully designed for mental health and well-being? What is rewarding or attractive for patients in using such treatments? What are the worldwide developments in the field? Are some protocols under development? What are the barriers and challenges related to such developments? How can these tools be assessed, and how can the way that they work, and for whom, be measured? Are the potential benefits of such products specific, or can these additions be attributed to nonspecific factors? What are the users’ views on such tools? What are the possible links between such tools and social networks? Is there a gap between evidence-based results and market development? Are there any quality challenges? What future developments and studies are needed in the field?