Temporalités décalées en hôpital de jour pédopsychiatrique

Butera, Juliette;Saveant, Claire;Elakel, Senoy;Symann, Sophie
(2025) Revue des Hôpitaux de Jour Psychiatriques et des Thérapies Institutionnelles — Vol. 26, p. 43-49 (2025)

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Authors
  • Butera, Juliette
    Author
  • Saveant, ClaireUCLouvain
    Author
  • Elakel, Senoy
    Author
  • Symann, SophieUCLouvain
    Author
Abstract
(en) [Temporal shifts in a child psychiatric day hospital] This paper explores the temporal challenges of child psychiatric care, particularly in a society that values speed and cost-effectiveness. It illustrates these issues through the case of F., a 9.5-year-old child suffering from obsessive-compulsive disorder, social phobia and screen addiction. His treatment at KaPP, a child psychiatry day hospital in Brussels, is based on a multidisciplinary institutional approach combining psychiatric care, educational and pedagogical support, and family support. F.’s hospitalisation was structured in progressive stages aimed at helping him to become autonomous in key areas : personal hygiene, nutrition, emotional management and social integration. Collaboration between professionals and parents played a central role in developing appropriate strategies. In addition, interactions between F. and other children strengthened his confidence, revealing the importance of group dynamics in therapy. Family follow-up provided support to the parents, particularly in managing their conflicts and F.’s growing autonomy. Harmonisation of timeframes was essential : for the child (non-linear progress), for the parents (time for reflection and acceptance) and for the institution (adaptation of care). The team was able to reconcile these differences, facilitating a gradual transition to outpatient care and a return to school. At the end of his hospital stay, F. showed significant progress, marking a step towards greater psychological and social autonomy.
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Butera, J., Saveant, C., Elakel, S., & Symann, S. (2025). Temporalités décalées en hôpital de jour pédopsychiatrique. Revue des Hôpitaux de Jour Psychiatriques et des Thérapies Institutionnelles, 26, 43-49. https://hdl.handle.net/2078.5/270859 (Original work published 2025)