[Epidemiologic, clinical and institutional analysis of 2 outpatient psychiatric patient management facilities]

A cohort of 100 patients was followed up over 6 months in two extra-hospital closed clinics. One of them offers free entrance care while the other one offers structuring contractual care for psychotic patients; 57% of the patients are psychotic and 27% suffer from neurosis; 8% of the patients have a borderline undetermined diagnosis. The mean age was 43 years. The youngest was 18 and the oldest 75. There were more males (59%) than women (41%). There were no significant difference between socio-medical and self patient reference. The relative stability of the attendance shows the interest of the population toward the clinics. Most of the care for psychotic patients were done in the clinic which offers self entrance care. It happens that the theoretical distinction between the two clinics does not appear on the field. Psychotic patients seem to prefer free entrance care than structuring contractual care which is theoretically destinated to them. The analysis of health personnel competence could help understanding. However, we can ask ourself about care protocols in psychiatry, and especially contractual care for psychotic patients in our environment.