The fondation Santé des Étudiants de France (FSEF) manages thirteen health centers dedicated to the care of adolescents and young adults. Thanks to a partnership with the French Ministry of Education, each clinic has an educational annex of a public secondary school, enabling patients to benefit from a Care/Education project.
Method :
The internal medicine department for adolescents at the FSEF Paris 16 clinic provides inpatient and outpatient care for adolescents with chronic pain, who have dropped out of school and have been referred by a Pain Structure. As part of a Pain Care/Study project, our department focuses on assessing and treating their pain and helping them to return to school. This system combines non-medical methods, consultations with a pain doctor, consultations with a pain doctor, consultations with a psychiatrist, psychological care and adapted schooling. The main indicators are chronic pain, with ou without organic pathology, associated with dropping out of school.
Discussion :
The main elements of this program include distancing from the family, although working with them, the rules to observe and the reassuring image of the service, contact with peers in pain, gentle movement of the body despite, and with, the pain, psychological work and pressure-free schooling.
Conclusion :
These hospitalizations for care and education break a vicious cycle that is often found « pain, drop out of school, loss of social life », enabling the teenager and his or her family to take a step back and distance themselves from the pain. More than 375 teenagers have already benefited from these « pain » hospitalizations.
Authors : Tonelli A. MD (1, 2, 3) ; Bruneau C (1) ; Avez-Couturier J MD (4).
Poster By Camille Tonelli
- Clinique FSEF Paris 16, Paris, France.
- Centre de la douleur et de la migraine de l’enfant Hôpital Trousseau, Paris, France.
- Groupe Français de Recherche Clinique en Médecine et Santé de l’Adolescent, Paris, France.
- Structure Douleur Pédiatrique Hôpital Salingro, CHU Lille, France.
