Assessment and diagnosis of dissociative disorders
A site for evaluating dissociative disorders:
irpt.ch/fr/infos-utiles--documents.html
If you scroll down, a "questionnaire" section provides access to documents to answer in order to assess dissociative disorders.
There are various questionnaires. Don't be surprised if you have some weird questions, they are meant to separate and assess normal (dissociative identity disorder DID) and abnormal (schizophrenia-like) dissociative experiences.
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It is necessary to distinguish the screenings which give an initial impression (like the tools mentioned on the IRPT site)
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and the formal diagnostic process which involves in-depth information gathering with a psychologist based on DSM and ICD diagnostic criteria :
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a semi-structured interview,
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cross-checking between several questionnaires,
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an exploration of the answers given that does not stop at the score obtained. ..
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Some examples of questionnaires:
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100% coverage is possible by the health insurance fund in France !!
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Sources:
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https://www.legifrance.gouv.fr/loda/id/JORFTEXT000000556901/2020-10-03/
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http://www.mediam.ext.cnamts.fr/ameli/cons/CIRCC/CC0112/011228-C.PDF
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https://www.legifrance.gouv.fr/codes/id/LEGIARTI000017842076/2007-12-22/
"Very few are the professionals and the institutions which know it, but since the law n ° 98-468 of June 17, 1998 (Article 31), the care following to rapes and sexual assaults committed on minors are supported in 100% by social security.
This concerns all the consequences, physical or psychological. ( Article L322-3-15 of the Social Security Code ). However, the procedure is identical to that required for long-term illnesses, doctors know it by heart.
Who can benefit from 100% healthcare coverage?
Anyone, minor or major, having been the victim of sexual violence in childhood (before 18 years old), incestuous or not, defined by the penal code: rape and sexual assault . It is not necessary to have lodged a complaint or to have a judgment to benefit from it.
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What is supported?
All care reimbursed by social security following the abuse suffered. It can be psychological but also physical care. It is up to the attending physician to diagnose conditions related to the trauma. The consequences are numerous , doctors are not always trained to make the link between the violence suffered and the ailments, so do not hesitate to tell him everything.
100% coverage takes effect on the date the rape or sexual assault was committed.
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How to get this support?
The attending physician drafts the request for 100% coverage, for “care of minors victims of sexual abuse” is made using the form “special examination protocol S 3501”, entering the specific code T74.2. The consulting physician contacts the attending physician in order to jointly develop the therapeutic plan and medical monitoring ( CNAMTS Circular of 12/28/2001 ).
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Why is it important to be reimbursed?
A request for support recognizing the abuse suffered by the victim contributes to his recovery, facilitates the implementation of appropriate care, strengthens the patient's confidence in his attending physician, thus facilitating a therapeutic alliance.
In addition, the French healthcare system does not make the link between the cause and the consequences. Being reimbursed following sexual abuse suffered in childhood allows us to recognize the seriousness of this crime in our society but also to highlight its impact on health. Many victims can for example be treated for depression but their depression is linked to incest and no one talks about that. For doctors to take the reflex to systematically question their patients about their trauma in order to detect the consequences of this experience on health, we must speak and still speak of this suffering in words rather than in pain.
Thus, society will realize that incest is costing it dearly humanly but also financially and hopefully, measures will be put in place. "
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