Construire une relation de soins avec les adolescents. Qu’apporte le nouveau dispositif des Maisons des adolescents ?

The temporary residences for adolescents were set up in many French departments (territorial and administrative divisions) following the Family Conference 2004. They reflect a new concept in the field of child psychiatry and serve a large set of goals. First of all, they must provide better access to care, help adolescents overcome their reluctance to consult, and ensure appropriate timely responses. That mission is common to every “teenage residence”. Some residences however have therapeutic units and carry out a mission that goes beyond welcoming adolescents. They are to provide the most appropriate response to each demand, and either conduct an on-site follow-up or refer the patient to a partner service. Such decisions require to focus on the modalities of transference specific to adolescents, the nature of their disorders and the therapeutic resources available in the service. Deciding to refer an adolescent who has made it to consultation is not easy, nor is it always most appropriate. When they suggest a treatment, it is also their duty to put forward diverse healing modalities-plural and innovative. In this article, we will present our experience and our work at the Paris Maison des adolescents-Maison de Solenn, outlining more specifically the welcoming of the adolescents, the difficult task of redirecting certain demands and the therapeutic responses provided by our service.