Opinion/Feedback

Many mobile teams were created over the past decade in various medical specialties including physical medicine and rehabilitation (MPR). The Pôle Saint-Helier has created a mobile team of rehabilitation–reintegration (EM2R) in December 2012 with support from the Regional Health Agency of Brittany. It operates on the health territory No. 5 of Brittany near people experiencing neurological disability. Its main mission is to implement the necessary devices to facilitate the home return of people hospitalized after a neurological event or maintaining to home people with neurological disorders. The number of supported annual is about 200, either for 2015: 20 requests per month. People with brain lesions account for two third of the population, mean age 60 years, with a high degree of dependence. A minimum of two professionals involved by patient and a variable number and term of interventions depending on pathologies. Occupational therapy represents the majority of requests for intervention.

We will discussed based of three years of functioning about:

– the innovative nature of this activity: supported to people with brain tumor lesions that usually have little access to the MPR, collaborations with mobile teams of support and palliative care and hospital to home, formation and education of caregivers;

– the increase of supported people with neurodegenerative illness such as ALS that needs an access to care fast;

– the notion of alternative to the MPR care offer in link especially with the recommendations of SOFMER and HAS on the organization of care pathway of strokes .