the HCPU provides intensive care with 2 consulting visits per day by the psychiatric staff (including family interviews), for 5 patients at a time, with a maximum duration of 40 days.

Socio demographic data:

58% of the patients were female (n=195).

Mean age was 40,2 years with a range 18-80.

76,5% of the patients had family support at home.

The mean duration of home care was 24,2 days.

According to ICD 10 criteriae, 46% (n=150) of the patients were assessed a diagnostic of psychotic disorder, 42% (n=141) were assessed a diagnostic of mood disorder, 8,3% (n=31) were assessed a diagnostic of personnality disorder and 3,9% (n=13) a diagnosis of neurotic disorder.

At discharge, psychotropic drugs were prescribed to 93,5% (n=315) of the patients.

In 71,7% of the cases, 1or 2 molecules were prescribed ; in 26,3% of the cases, 3 or 4 molecules were prescribed.

At one year following discharge, 314 patients were regularly consulting either their psychiatrist or general practitioner and exhibited a satisfactory clinical status.

22 patients (6,5%) only had been rehospitalized within one year after discharge.

The clinical lecture of the patient in the natural environnment is an ecological one summoning a tranversal approach, with no exclusion criteria regarding the diagnosis.