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The team is a fundamental and structuring dimension of care, founded on the principles of complementarity, interdependence, and shared objectives and responsibilities towards the patient. As a result of the pandemic and the rationalization of public hospitals, teams are faced with changes in the role of supervisors and the arrival of new figures such as advanced practice nurses. While these changes can bring new dynamism and questioning of practices, they can also be destabilizing. The institution must preserve the role of the team and its members., (Copyright © 2024 Elsevier Masson SAS. All rights reserved.)

In the post-Covid context, which is unstable and changing, what is the role of the team when it is reduced to operating with a growing number of temporary staff? The medical desertification that is gradually taking hold in certain regions is a cause for concern, as is the growing disaffection of nurses throughout France. It is essential to draw up a map that incorporates survival oases, in order to meet the essential need to provide care anyway, while at the same time perpetuating the process of improving care. Advanced practice nursing faces many challenges., (Copyright © 2024 Elsevier Masson SAS. All rights reserved.)

Music can be used as a therapeutic tool with people suffering from complex addictions and traumas. By playing together, the patient and care team create a transitional space conducive to emotional attunement and trust. This shared experience facilitates connection and engagement in the therapeutic relationship, which conveys a sense of security. Music is a powerful tool in the treatment of addiction and trauma. It helps to repair damaged bonds and develop empathy, cooperation and creativity within the care team., (Copyright © 2024 Elsevier Masson SAS. All rights reserved.)

Many elderly people live well and at home, but some require somatic and psychiatric care. Mobile psychiatric teams for the elderly are called upon to intervene with people aged 65-70 and over who are experiencing psychological distress. Among senior citizens, addictive disorders are very common, and are associated with psychiatric and geriatric co-morbidities. Alcohol, tobacco and benzodiazepine use disorders require holistic, individualized care, based on identification, prevention and referral, as well as training and coordination of professionals and caregivers., (Copyright © 2024 Elsevier Masson SAS. All rights reserved.)

Addiction is a dynamic field. Its ongoing changes reflect a persistent but evolving public health problem. Its evolution is reflected in subsequent classifications of mental illness. Numerous theories, inspired by psychoanalysis and neurobiology, address the development of the addictive process an many factors explain differences in susceptibility between individuals. In the last decade, behavioural addictions have been the subject of intense debate, leading to the inclusion of gambling disorder in the latest classification. The treatment of addictions is multifactorial and should take into account the specificities of each individual., (Copyright © 2024 Elsevier Masson SAS. All rights reserved.)

Addictions are invading our daily lives. Eating and body image have become major preoccupations. Anorexia nervosa and bulimia nervosa are eating disorders with a high risk of chronicity and death. Curing them and preventing their recurrence requires a solid therapeutic alliance that aims to work around individual symptoms. The low self-esteem associated with these disorders may contribute to their maintenance, despite their negative impact on quality of life. One of the challenges of treating these disorders is to help patients find the motivation to seek treatment., (Copyright © 2024 Elsevier Masson SAS. All rights reserved.)

In anorexia nervosa, physical and psychological vulnerability confines the sufferer to the confines of his or her pathology. The physical body is the first victim of undernutrition, but also the first resource for restoring the psychic and emotional body. Reduced food intake has repercussions on cognition and affect, all of which affect relational capacities. Accompanying, understanding and caring for people means reaching out to them and their bodies, to re-establish the link between what has been broken, and to establish a relationship of trust with them., (Copyright © 2023 Elsevier Masson SAS. All rights reserved.)

Advanced practice nursing is intended for children, adolescents, adults and the elderly. In the field of mental health, this population-based approach allows advanced practice nurses to apply all of their skills for individualized and adapted care. Whether these professionals work in child and adolescent psychiatry or in psychiatry for the elderly, their practices have many similarities., (Copyright © 2023 Elsevier Masson SAS. All rights reserved.)

Since September 2021, at the Paris Psychiatry and Neurosciences University Hospital Group, an advanced practice nurse has been providing post-emergency consultations for people who were initially seen in the emergency department, for whom an indication for outpatient care was given and who had problems accessing care. Collaboration with the nursing team is an important element not to be neglected in the implementation of this new profession., (Copyright © 2023 Elsevier Masson SAS. All rights reserved.)

An innovative structure, the referral centre for eating disorders of the Paris Psychiatry and Neurosciences Hospital Group provides initial access to care for anorexia and bulimia through a holistic and multidisciplinary assessment of the patient. The health professionals aim to accompany the patient towards the management of his disorders but also in the recognition of the latter. This is a crucial issue in compliance and acceptance of care., (Copyright © 2021 Elsevier Masson SAS. All rights reserved.)

It is not usual to use care without consent in the management of eating disorders when the patient refuses the care indicated. Yet, these are psychiatric disorders responsible for a high mortality rate and a high risk of chronicity. Their management is complex, multidisciplinary and the refusal of care in the most severe cases raises ethical questions. It is important for the clinician to know the impact of these disorders, notably on the patient's cognitive and judgment capacities, in order to evaluate the necessity of implementing a restraint measure., (Copyright © 2021 Elsevier Masson SAS. All rights reserved.)