{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T10:20:01Z","timestamp":1788171601179,"version":"build-2803163510"},"reference-count":16,"publisher":"CAIRN.INFO","issue":"HS1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,25]]},"abstract":"<jats:p>Dans nos pays occidentaux, plus de la moiti\u00e9 des patients souffrant de troubles mentaux sont pris en charge par les professionnels de soins primaires sans suivi psychiatrique sp\u00e9cialis\u00e9. Le m\u00e9decin g\u00e9n\u00e9raliste (MG) occupe donc une place naturelle, en tant qu\u2019acteur de premi\u00e8re ligne, et un r\u00f4le crucial dans la prise en charge de ces probl\u00e8mes. Pour autant, le MG fait actuellement face aux m\u00eames d\u00e9fis que ceux port\u00e9s par le concept de sant\u00e9 mentale publique. La prise en charge biopsychosociale, int\u00e9grant le somatique et le psychique au sein d\u2019un large spectre de d\u00e9terminants de sant\u00e9, l\u2019importance de la promotion de la sant\u00e9 et de la pr\u00e9vention en compl\u00e9ment des soins curatifs, ainsi que l\u2019approche communautaire et la vision populationnelle, sont autant de mots-cl\u00e9s partag\u00e9s par les deux domaines. La forte augmentation des besoins, le d\u00e9ficit d\u2019acc\u00e8s au MG et des mod\u00e8les de soins encore trop souvent m\u00e9dico-centr\u00e9s permettent difficilement aux MG de r\u00e9pondre \u00e0 ces d\u00e9fis, les contraignant souvent \u00e0 r\u00e9pondre en priorit\u00e9 \u00e0 la plainte pr\u00e9dominante. Des solutions doivent \u00eatre propos\u00e9es pour lever certaines barri\u00e8res les emp\u00eachant actuellement de mener correctement ces missions. Ainsi, il est n\u00e9cessaire de mettre en place une politique sp\u00e9cifique visant \u00e0 promouvoir la formation et le soutien pratique continu entre les prestataires. Cela inclut \u00e9galement une politique de transformation organisationnelle, tant au niveau du d\u00e9veloppement d\u2019\u00e9quipes de soins primaires int\u00e9grant des professionnels d\u00e9di\u00e9s \u00e0 la sant\u00e9 mentale qu\u2019au niveau plus large du syst\u00e8me sanitaire, afin de permettre une meilleure collaboration entre premi\u00e8re et seconde ligne de soins.<\/jats:p>","DOI":"10.3917\/spub.hs1.2026.0123","type":"journal-article","created":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T10:06:38Z","timestamp":1788170798000},"page":"123-127","source":"Crossref","is-referenced-by-count":0,"title":["Sant\u00e9 mentale publique et soins primaires, d\u00e9fis et opportunit\u00e9s partag\u00e9s"],"prefix":"10.3917","volume":"vol. 38","author":[{"given":"Christine","family":"Cohidon","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juliane","family":"Messer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Konstantinos","family":"Tzartzas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2273","reference":[{"key":"rb1","unstructured":"1. World Health Organization (WHO). Rapport mondial sur la sant\u00e9 mentale : transformer la sant\u00e9 mentale pour tous. Vue d\u2019ensemble. WHO [en ligne]. 2022 [visit\u00e9 le 14\/04\/2026]. Disponible sur : https:\/\/www.who.int\/fr\/publications\/b\/64597"},{"key":"rb2","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(21)00395-3"},{"key":"rb3","unstructured":"3. Codelfi M. Approche population-centr\u00e9e et partenariale en sant\u00e9 mentale. L\u2019implication et le partenariat avec les usager.e.s et la population dans la conception et le fonctionnement du syst\u00e8me de sant\u00e9 comme leviers de transformation de notre syst\u00e8me de sant\u00e9 mentale [en ligne]. 2022 [visit\u00e9 le 14\/04\/2026]. Rapport. Disponible sur : https:\/\/www.securite-sociale.fr\/files\/live\/sites\/SSFR\/files\/HCAAM\/2022\/HCAAM%20-%20Rapport%20Sant%C3%A9%20mentale%20-%20Web.pdf"},{"key":"rb4","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-017-1381-4"},{"key":"rb5","unstructured":"5. WHO & WONCA. Integrating mental health into primary care : a global perspective. Gen\u00e8ve : WHO Singapore [en ligne]. 2008 [visit\u00e9 le 14\/04\/2026]. Disponible sur : https:\/\/www.who.int\/publications\/i\/item\/9789241563680"},{"key":"rb6","doi-asserted-by":"publisher","DOI":"10.1192\/bji.2017.11"},{"key":"rb7","doi-asserted-by":"publisher","DOI":"10.1007\/s10804-009-9082-y"},{"key":"rb8","doi-asserted-by":"publisher","DOI":"10.1007\/978-0-387-76894-6_2"},{"key":"rb9","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.111.092718"},{"key":"rb10","doi-asserted-by":"publisher","DOI":"10.1126\/science.847460"},{"key":"rb11","doi-asserted-by":"publisher","DOI":"10.3399\/BJGPO.2023.0141"},{"key":"rb12","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2018-024059"},{"key":"rb13","doi-asserted-by":"publisher","DOI":"10.1186\/s12875-019-1053-1"},{"key":"rb14","doi-asserted-by":"publisher","DOI":"10.1177\/00912174221123616"},{"key":"rb15","doi-asserted-by":"crossref","unstructured":"15. Saillant S, Marion-Veyron R, Oberhauser PN, Planas P, Ben Cheikh A, Tzartzas K. 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