The Pierre Deniker Foundation contributes to the development of synergies between multidisciplinary research teams. For this, it supports research teams and care teams validated by the scientific council.
The Pierre Deniker Foundation also relies on collaborative networks for innovative projects, including the Institute of Psychiatry which includes 21 teams of excellence located throughout the country, or of the Francophone Association of Cognitive Remediation, a network coordinated from Lyon of 37 teams.
Founded in 2012, the Institute of Psychiatry -- 3557 GDR has for a mission to promote and support international joint projects. This commitment is accomplished through 21 teams including 15 official founding teams spread over the entire country. Five working groups were formed that work on four themes: inhibitory control and executive functions, sensorimotor integration and social interactions, hallucinations / self-perception, diagnosis and innovative therapies. Besides these research programs, the Institute of Psychiatry organizes forums and training sessions aimed at psychiatry professionals or patients and their families.
The Francophone Association of Cognitive Remediation (AFRC) aims to promote cognitive remediation through the development of new assessment tools and care, their validation and training professionals in their use. These tools are made available to users through the cognitive remediation network, as well as the harmonization of best practices.
The Referral Centre for Cognitive Remediation and Psycholsocial Rehabilitation (C3RP)
Recently, the horizons of psychiatry and mental disability have changed. The patient and mental illness are looked at in a new way. The patient is no longer considered in the light of his or her symptoms but rather his abilities, strengths and weaknesses are taken into consideration. This is why the C3RP offers a new type of support urging health care facilities to consider patients in terms of their ability to integrate society, not in terms of their symptoms or their disease.
To integrate a remediation program one condition is required: The patient must give meaning to his cognitive remediation courses, with a concrete target for personal achievement. This project can be professional, or personal. The remediation program is then positioned in the six months before the deadline of what we will call the "rehabilitation path." This includes exam preparation, resumption of studies, completion of a training course or integration into a real-life situation and of activities to enrich daily life. In short resume command of his life.
Cognitive remediation can be effective if the patient is stable. Applied optimally it encourages rescheduling treatments, because for a patient to listen attentively to a session of 60-90 minutes assumes that the patient no longer experiences acute episodes, and that at best sedative treatments or adverse motor effects have been reduced. At the C3RP cognitive remediation programs are customized and tailored to the wishes and interests of the patient so that no path is similar to another. This singularity in programs also reflects a singularity of patient care related to the pathology involved.
In these programs special efforts are made to transfer the experiences of everyday life. Without such a dimension a cognitive remediation program would only be cramming in and stacking up exercises. This transfer takes place during each session with tasks at home, through coordination with the staff of sector teams in charge of home visits. To be closer to daily life evaluation before and after the program is done in real life situations when planning paths around the streets of the hospital or in the neighborhood of the reconstituted hospital. In this research we evaluate progress made in the ability of the patient to plan his daily affairs after the remediation program specifically focused on planning. Moreover, for patients who have been institutionalized long-term, who have little prospect of work opportunities, who tend to be enrolled in long-term care programs, the team helps C3RP virtual reality engineers to develop a method of guidance and navigation in an imaginary city to learn how to plan a daily schedule, shopping, efforts to manage the stress of these different events or to imagine finding a job. In a preliminary analysis, this method has been a complete success for all the patients who tried it.
This type of patient care is leading to the dawn of a new era in psychiatry: one that leads to recovery from mental illnesses hitherto considered as incapacitating and de-stigmatizing mental illness. Our patients become partners, working for the mastery of their lives and witnessing and helping others when they have reintegrated society.
These new practices encourage us to constantly push back the boundaries of what was not possible until now: self-realization and progress even when faced with mental deficiencies, harmonization of all practices and coordination of all efforts so that they align correctly, are comprehensive and complete, so that the subject in difficulty rediscovers his dignity and a place in our society.