The first home visit (VAD) by a nurse from the medical-psychological center (CMP) for a patient who has been out of psychiatric care for a very long time, or who has never benefited from it, is decisive for the follow-up and continuity of care. The attitude and posture of the caregiver are decisive. VAD is an intrusion into a place of life, intimacy and suffering. It upsets a person who has walled himself into a shell, a cocoon, from which the fear of coming out is often massive. Anguish prevents any mobilization towards care. It takes a great deal of skill to create a bond of trust to initiate the idea of care.

Caregivers, like all working people, can encounter difficulties in the course of their professional activities. These difficulties, compounded by the particularities of caregiving practice, can lead to situations of isolation, overwork, exhaustion, disagreement and even ethical dilemmas in complex situations. Thadeo\'s free listening service offers support to caregivers who need it.

Whether acute or chronic, pain leads to a reorganization of the subject\'s psychic functioning, and thus to a different interpretation of his or her own painful experience. To transform the experience, pain must be addressed in all its biopsychosocial components, and through the use of various therapeutic devices, with the hope of overcoming it.

Our experience within a CHRU on a specific consultation time with patients living with HIV allows us here to testify of a practice of the clinical psychologist. What does listening to our patients teach us?

Often ignored, reduced or refuted by caregivers, the patient\'s spiritual dimension should be fully integrated into the support offered to him. In no way reducible to religion, it relates to what is most profound as a singular being, and as such, the intervention of the psychologist can be particularly helpful.

Child care has a special dimension because it is aimed at a being in the making, whose parents are the foundation. Without them, it makes no sense to consider any kind of support. Several mechanisms are implemented when the caregiver is confronted with the hospitalization of a baby, a child or an adolescent.

Prematurity puts children born too early at risk of developmental problems. New care strategies, of which the Newborn Individualized Developmental Care Assessment Program is a part, make it possible to reduce this risk and to accompany the baby in its development by optimising its skills. This specific work, which is based on verified scientific data, can be continued at home by the mother and child protection nurse in a long-term project.

The place of the chaplain in psychiatric units is still frequently challenged. Caregivers\' mistrust of this person of faith is based on the impact religious words and discourse may have on the patient\'sdelirium However, when the chaplainand caregivers cometogether and clarify their approaches, relations improve.The cleric,inhis practicewith patients, lends ahuman ear while taking into accountthe suffering. He is also areceptacle for themetaphysical and religious questions expressed by patients.

Continuity of care remains a key element in supporting a sick child and his or her family and to achieve a quality work. It can be difficult to maintain, but each member of the team contributes to its implementation. Interview with Marie-Laure Monod Malezieux, paediatric health executive.

Parents hit by perinatal bereavement are often confronted with misunderstanding and awkwardness on the part of those around them. However, they need to talk, to be listened to and respected in their grief from the moment the death is announced. Support from Agapa association enables them to talk about their child, to break the isolation in which they find themselves, and thereby move forward along the path of bereavement and reconstruction.