The response to the call for applications for the SECPA experiment, the Structure of a Coordinated Participation Exercise, was evident for the Dunkirk Multi-Professional Health Center in Kruysbellaert, whose teams have always considered health through a “medical-social” approach”. The MSP team presents itself as ” dedicated to integrated patient-centered care “. A program that is fully consistent with the community health approach targeted by the SECPA.
” Family health center “…
… This is how, explains Florane Lemee, coordinator at MSP Kruysbellaert, the patients renamed the Dunkirk health center … A nickname that Jean-Pierre completely lives up to. After a stroke two and a half years ago, this user discovered MSP thanks to his speech therapist. His management at Kruysbellaert was associated with the implementation of activities made possible by the SECPA budget for experiments. Jean-Pierre was therefore able to benefit from support for sessions with a psychomotor therapist and help with all his administrative procedures thanks to the time that Elise, both coordinator and social worker at MSP, was able to devote to him. Seduced by the benevolent dynamics of the structure, Jean-Pierre finally got used to it and now regularly participates in the numerous meetings offered within the MSP, such as adapted physical activity and “health blah blah” or even in “health cafes”, and many workshops set up thanks to SECPA. ” These are moments of sharing, listening. For me, it is not an ordinary health center, it is a family home where everyone has their place and can participate. A visit to the doctor is sometimes necessary, but health goes beyond that and everyone at MSP understands this well. “, he explains.
Florane Lemee adds that all the health professionals behind the creation of MSP have been aware of global and participatory health for a long time. Trained in therapeutic patient education (TPE), they want to participate in the creation of health projects and not ” in place “ users, but with them. For this reason, the topics discussed at the “health conversation”, led by a health mediator, are systematically based on the needs and wishes of the user. Currently, there is a lot of talk about medicinal plants, some of which grow among the fruits and vegetables of the MSP vegetable garden, which is partly maintained by the users. The experts who speak during the “health cafe” direct the discussions to topics that interest the users’ daily life, such as sleep, nutrition, sports, diabetes, etc.
An artistic health project built with users
If the users are not organized into a council or committee in the Kruysbellaert MSP, at least “not yet”, specify Florane and Jean-Pierre, some are nevertheless very involved in the structure, even decidedly proactive in getting things started. This resulted, for example, in their participation in a podcast featuring SMEsfocused on what is participatory health and the project “Living in motion”, created at a meeting of photographer Marie Manecy and teams, especially MSP users, and carried out in partnership with the association Color charts. This is how a photo exhibition was created, the users of which were both photographers and models. They presented the works themselves in the premises of MSP. The project was completed by making straw ia video clip where the phrase “Life that moves” returns like a chorus, sung by each of the “artist-users”. They present, in order, their difficulties, sometimes between fears and pain, but all carried by the hope that together they will find solutions in order to respect life in motion and remain in good health.
” The demand for initiatives that combine art and health is great, and a new project is being prepared, once again completely co-constructed with the users. », testified Elise Debruyne, coordinator at Kruysbellaert MSP. She is satisfied that during this first project, the patients, feeling more and more at ease during the months that required its implementation, were able to express their vision of MSP and their own difficulties. This makes it possible to initiate individual or collective support and to recognize the needs of users with complex life paths. For Elise, it is precisely thanks to SECPA that MSP teams, through projects that can go far beyond care or prevention, finally take the time to listen, observe and implement customized and effective solutions for the health and well-being of users.
Which has changed thanks to the SECPA
As stated in the specifications of the experiment, the grants received by MSP from Kruysbellaert made it possible to set up a certain number of consultations, fully covered, especially with a dietician, a psychomotor therapist or even a psychologist. All these experts also participate in collective workshops, as well as other independent healthcare workers of the MSP, who until now have mostly done this on a voluntary basis, and thanks to SECPA, they can properly value that working time. Newly arrived healthcare workers also appreciate the possibility of combining their professional activities with collective preventive actions. Furthermore, the time that was financed for coordination, mediation and medical reception made it possible to relieve the lives of users and the work of various practitioners in many ways. Elise Debruyne, coordinator, and Naïma El Amrani, health mediator, were able to help patients who had great difficulty with care pathways or administrative procedures, sometimes going so far as to accompany them personally during external consultations at MSP for meetings in Croatian Armed Forces, CPAM or for meetings with various associations.
The fact remains that, like all SECPA-integrated SMEs, Kruysbellaert hopes that these new activities will continue to be funded over time. The allocation calculation for now partly depends on the number of doctors in the structure. But one of them just left. ” We are trying to show that his patients will no longer go to MSP because the doctor left. In this case, this doctor had many particularly fragile patients. More than ever, they need to maintain a connection with MSP, because for some they are used to consulting other health professionals in the structure or participating in our collective workshops », pleads Florane Lemee.