[Access to care in the psychiatric sector: model success, funding failure]

Access to care has always been at the heart of the concerns of the actors of psychiatry. History reminds us of this, from the alienist Philippe Pinel and his moral treatment to the creation of the Sector in 1960. The principle of sectorisation is the very organisational intelligence of French psychiatry. By proposing a continuity of care, in and out of hospital, by the same team, and a major focus on the prevention of disorders, the Sector guarantees access to care for all. This success is now being undermined. The reduction of beds accompanied by a financial loss, budget cuts or the demographic decline of practitioners are the main ills of psychiatry, which must face the explosion of needs and demands for care.