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PROJECT
The “SESAME” project
With specialized mental health facilities at capacity, most people experiencing psychological distress turn first to general practitioners, who often lack the dedicated resources to manage complex psychiatric needs.
Launched in the Yvelines region, the Sésame project – led by Quartet Santé – demonstrates the power of a collaborative care model in primary practice. The initiative integrates a dedicated care coordinator nurse directly into general practices, supported remotely by a psychiatrist. This framework provides primary care doctors with specialized guidance and tele-psychiatric consultation, while seamlessly connecting patients to psychologists, community organizations, or social service providers. The care pathway encompasses screening, assessment, active treatment, relapse prevention, and program completion.
The Erié Foundation backed the initial pilot phase in 2022 before renewing its commitment to support a wider regional rollout. To date, more than 40% of participants reach remission upon completing the program, and medical leave among patients has dropped by one-third, facilitating a successful return to work.