[Surgical components in the management of severe obesity]. / Les composantes chirurgicales dans la prise en charge de l'obésité sévère.

Bariatric surgery, combined with nutritional and psychological care and physical activity, is currently the most effective treatment for morbid obesity. The multidisciplinary team at the Caen Normandy obesity center explains the prerequisites of this therapeutic approach, and the monitoring and vigilance to be developed in partnership with the patient.

[Reception and initial assessment when caring for a person with severe obesity]. / Accueil et bilan initial lors de la prise en charge d'une personne en situation d'obésité sévère.

In France, there are 37 specialist obesity treatment centres (CSOs), located in mainland and overseas France. Attached to public or private health establishments, they have two main missions, which they carry out within the framework of national specifications: the multidisciplinary management of severe or complex obesity, and the organisation, coordination and development of the regional obesity care network. This article illustrates the practice of the Caen Normandy CSO.

[Outpatient mental health consultations: reducing delays, optimising organisation]. / Optimiser l'organisation des consultations ambulatoires en santé mentale.

The Hauts-de-France psychiatry unit has oriented its organisation to facilitate access to care. While the aim is to improve the time taken for patients to be seen, it corresponds to a need on the part of users that has been growing over the years. The key is an early clinical assessment of care situations, followed by an appropriate response for the patient in terms of referral and follow-up. Improving access to care is therefore directly linked to human resources and the resulting organisation. Medical on-call duty, nursing and psychological duty and the importance of the secretariat are all tools that need to be optimised.