In order to adapt to the best Parisian proximity, territory and use device, the CHT is committed to understanding the populations served in terms demographic and epidemiological through the development of the mapping tool. The CHT thus equipped with a device of epidemiology in collaboration with Directorate of Social Action and the health of the city of Paris and the Atelier Parisien d'urbanisme.
The study of the Parisian socio-demographic determinants is an essential tool for the care to respond to the needs of the population served.
Work in epidemiology projects focus on three main themes:
- The management of the crisis and the urgency in Psychiatry, and more particularly on the suicidal crisis
- Characterization of hospitalized psychiatric patients
- And the issue of care without consent.
The epidemiology of the CHT group is also working on the implementation of two major studies: one to characterise in terms demographic and clinical patients seen following an attempt of suicide in emergency services; the other concerned the decision criteria to support patients without their consent.
The Public Health White House establishment covers the 9th, 10th, 18th, 19th and 20th arrondissements of Paris, or 741 406 residents that more than one in five has less than 20 years. With the exception of the 9th, these boroughs remain the most popular and cosmopolitan capital. More than one out of 10 is a large family (3 children or more). Despite a low proportion of people living alone (29%), the percentage of divorced people (8%) and lone-parent families (21%) exceeds that observed in Paris. The share of individuals without a diploma is the highest (17%) and this population remains strongly affected by unemployment and job insecurity. In total, 28% of the inhabitants live in HLM, this share over 30% in the 19th and 20th arrondissements.
The mental health Association of the 13th arrondissement (ASM 13) covers 183 260 inhabitants. This district remains popular and has a strong cultural mix. If the students are likely (14%), the share of people living alone (27%) is lower than that observed for other establishments of the CHT, partly due to the overrepresentation of lone-parent families within the Borough (21%). The proportion of individuals without a diploma remains greater than that observed in Paris. Concerning housing conditions, the population covered by the ASM 13 is distinguished by the highest rate of occupation of housing HLM (37%).
The Centre Hospitalier Sainte-Anne covers the 5th, 6th, 14th, 15th and 16th arrondissements of Paris, with a total population of 653 334 inhabitants. These districts welcome nearly a third of the Parisian population aged 65 years and more, as a large share of students (36%). Only 7% of the population is unemployed, while the part of executives and higher intellectual professions is the most high (48%), as well as the share of individuals with a level of Diploma Bac + 2 (an individual two) above.
The Group Public of health Perray-Vaucluse covers the 268 549 inhabitants of the 7th, 8th and 17th arrondissements of Paris. The share of single parent families is lower than that observed for other institutions to CHT (15%). Compared to the Parisian population, this population is also less affected by unemployment (8%) and enjoys greater stability of employment (85% of the employed population Eastern in TDCI). Close an individual two has a Bac + 2 diploma level. This population is finally distinguished by a low share of people tenants of housing HLM (10%), except North of the 17th arrondissement, and a high proportion of individuals (39%) homeowners.
The Saint-Maurice hospitals cover the Parisian population of 1st, 2nd, 3rd, 4th, 11th and 12th arrondissements, or 403 426 residents. Compared to that observed for the population covered by the other institutions, the share of less than 20-year-olds is particularly low (17%). This population is distinguished by an over-representation of families without children (51%) of single individuals (57%) and people living alone (35%). On the other hand, the share of the employed is the most important (71%).
The density of doctors psy and use CHT card
Paris has, in 2014, 2610 psychiatrists. The density of psychiatrists is particularly low (less than 1 psychiatrist per 1,000) in the boroughs of the northern outskirts of the capital and especially in the 18th, 19th and 20th arrondissements, where it is less than 0, 5‰. Conversely, the 4th, 5th, 6th, 9th and 14th arrondissements are more than 2 psychiatrists per 1000 inhabitants.
The CHT institutions welcome near a Parisian on 40 (25.7 ‰). If the use of a facility of the CHT is less than 20 people per 1,000 in the 2nd and 16th arrondissements, it appears particularly high in the 13th (38.3 ‰) and 14th (36.1 ‰) arrondissements of Paris. The proximity of the ASM13 and the centre hospitalier Sainte-Anne could be a reason, as well as the large number of places of homes for people in precarious situations in the 13th arrondissement (3909 in 2011).