The CODES 45 was requested by the Association for Disabled Adults and Youth of Loiret (APAJH 45) to intervene on food to the public ESAT (Establishment and Service Aid Work). At the root of this request: the increasing weight of workers during their monitoring work and the imbalance of their meals at home.

Several meetings with the team of APAJH helped write a project that has received funding in 2006, state and the Health Insurance (National Fund of prevention, education and " health information-FNPEIS). A methodology for intervention was presented and negotiated at the monthly meeting of a committee Steering monitors, educators, psychologists and members of management)

The shares began mid-January 2007 on the site of the APAJH of Olivet. Celia CHARLOT, dietitian and responsible CODES project, led education sessions for health with
11 employees of the site. The workshops were held on time to work on time "support" to increase the autonomy of persons with disabilities.

The aim of the project was to develop the know-how and skills for a balanced diet; to share knowledge and practices of each food; ownership of all messages and tips can bring out new skills to better organize for the supply, storage, clothing menus, to enhance the pleasure to ...

The intervention followed the steps chronologically racing up the one-day food:

Workshop 1: shopping
Goals: To emerge procurement practices of each. Enhance the skills of everyone in their purchasing practices.

Workshop 2: Browse the supermarket
Objective: Develop a list of courses and identify in a large area.

Workshop 3: Choose seasonal products
Goal: Learn to make choices compared to the stresses and promote fresh produce in season

Workshop 4: Ranger shopping
Objective: To know the main rules of food hygiene at the return of racing

Workshop 5: Composing a grocery minimum
goal: to work the composition of groceries minimum

Workshop 6.7 and 8: Discover families food
Objective: Identify food groups, their content and nutritional recommendations

Workshop 9: Balancing his day food
Objective: To comment a proposal for a meal. Composer its day food.

Workshop 10: Identify hidden sugars
Objective: Find the hidden sugar in beverages

Workshop 11: Share and be happy
Objective: Prepare an aperitif dinatoire lower energy density

The actions, using techniques suitable entertaiment, fun and participatory (refrigerator giant playing cards, supermarket model, revenue calendar, ...) were completed in the June 13 friendly in 2007 by organizing and sharing of An appetizer buffet composed so as to provide ideas, an alternative to the consumption of snacks and alcohol, often present as an aperitif, but very high energy density.
On the menu: sandwiches, skewers, dips and cocktails without alcohol. What combine quality and ease to encourage participants to recreate these preparations at home.

More info: Celia CHARLOT - 02 38 54 50 96

Article APAJH - The Republic of the Center on June 16 2007: Download (327)

According to an epidemiological survey conducted at the initiative of the Directorate of Judicial Protection of Youth by INSERM in October 1998, issues of food PJJ the youth are many and include nutritional unbalanced behavior (monotonous meals, no breakfast, excessive food and restrictive pipes). They have to do with the difficulties of integration and autonomy (problem of food budget management, lack of cooking skills, etc.). And even food insecurity for some.

Because meals are destructive little varied and that some young people do not use the 50 € / week for them to purchase food, health educators referees involved in the commission of health PJJ Loiret wanted to develop a action concerning youth.

Target:
They are mainly accommodated in individual hosting service (SHI), ages 16 to 20 years living alone. In a few months they will be major, and for PJJ, it is important to lead them towards autonomy.

5 workshops workshops called "make you happy" have been constructed from our educational intentions, the daily observations, experiences similar to existing educational tools (For eating, Fred organized. Follow the guide. CODESS 95 , January 2005)

The objectives of this program of health education:

Learning to balance its food.
Teach young people to eat with a small budget (procurement, ...)
Educate young people about the recommendations to fight against cardiovascular disease, diabetes, obesity.
Contribute to the strengthening of aptitude to eat, to be pleasure to reinvest their gains and know-how in their daily lives.

History:
These workshops were held from February to May 2007, every 15 days and 18h to 21h, young people were involved and made learning the rules of hygiene in food preparation, management of the budget , Organization of its purchases. They have learned to accommodate the remains and arrange an evening with friends avoiding snacks (crisps, peanuts ...). They experienced the possibility of non-alcoholic cocktails with the feeling of having taste the bitterness of alcohol.

Each meeting has been built in the same way:

Welcome to the taking of a non-sweet snacks to take until lunch time.
A time of discovery and ownership of the various stages of the recipe of the day. The network diabetes dietitian Orleans Loiret (DIABOLO) has during this preparatory phase, an informal exchange with each of the young people of their habits, preferences and enhances their capacity to make and choose.
The time for meals, sharing.
The time of storage and cleaning.
A time of group discussion to explore ideas, talk about the pleasure experienced in preparing, enjoy ...

Partners:
Judicial Protection of Youth Loiret - DIABOLO Association (loan of their local education therapy) and Francine Durox (dietician)
Financial Partners:
Judicial Protection of Youth Loiret - The Health Insurance-DRASS

Evaluation and perspectives:
Every young person is left with the revenue sheets containing the recommendations in the preparation, organization of its purchases, ...
Young people have invested in the period they have missed virtually no meetings in 4 months.
Some have shared their expertise with their peers in their place of accommodation PJJ.
The sessions were extended to the recording to other types of accommodation, welcoming another age. We had to review the goals en route in connection with the dietician and focus more on a balanced diet than on the imminent independence of the young.
The last meeting to invite a relative of the young (family, friends) and to share dinatoire buffet. A good way to recognize competence in the young field of balanced diet.

In 2001, the Office for the Judicial Protection of Youth were invited to contact the committees health education to promote the development of actions for health education. In the Loiret, we quickly seized the opportunity to learn to work together. The team of Loiret CODES way since 2002, alongside the nursing department since the establishment of the Health Committee, composed of most professions of the institution PJJ: psychologists, educators, administrative, social .

Together, we train continuously, sometimes with external partners (including those from the field of addiction, mental health, education for health) to accept the approach of a positive health based on principles and values different from the biomedical health.
Together we are trying to transform perceptions of educators to perceive and grasp the idea that interest in the health of young people was perhaps not so needy and that it did not may be an additional investment compared educational mission that the Judicial Protection of Youth has entrusted to them.

Mission accomplished?
In any event, by reinsurance professionals and their involvement in carrying actions among young people that we believe to change practices. These activities are supported financially by the Health Insurance (FNPEIS) and State (appropriations for public health / PRAPS - credits PJJ) to sensitize young people to prevention, access to care.

Health 14-20 years of the Judicial Protection of Youth (public sector) 7 years later: Download (308)

The Regional Directorate and Departmental of Youth and Sports Center Loiret (DRDJS) organize training sessions on different themes, the directors and animators Centers Holiday and Leisure.

Education for Health: The CODES the Loiret brought together in a "trunk health tools, different media, which can raise five health topics (food, lifestyles," speaking of his body, preventing solar consumption products and risk behaviors). The target audience is the portion of 3-12 years.

5 copies of the trunk are available CODES 45. The centers that want to borrow may contact the CODES 45, which will present their trunk.

Tuesday, 6 March 2007: day of training (theory on health education, presentation of the trunk health, ownership of the trunk tools, project methodology) in the premises of the DRDJS.

Thereafter, on-site training is proposed CODES by the Loiret who will move into the structures to accompany the team in setting up an animation project in health education.

Environmental education: The Association Seed Center will manage educational trunks 2: the "Malle Ricochet" educational program on water that addresses all aspects of water (physical and biological characteristics, use, traffic, pollution ... ) And "Malle Rouletaboule" educational program on waste which offers tools to tackle the waste segregation with children 3 to 14 years (environmental protection, eco-citizenship). It consists of 5 modules, each of which can be used alone. [Description of tools]
On the other hand, DRDJS ready 2 copies of the case "1 degree over" on climate change.

Days of training in the use of two tools "health and environment:

- Tuesday, February 13: Day of training in the use of the tool 1 degree over "in Orleans.
- Tuesday, February 20: Day of presentation of the educational program "Rouletaboule." The training takes place over 4 days. Other dates will be taken on this occasion.
- Thursday, May 10: Day of training in the use of the tools "trunk Ricochet" (Loire house of Jarjeau)

In this Friday 08 December 2006, 80 people, representatives of associations, organizations and institutions attended the meeting of local actors in prevention and health education organized at the Natural History Museum of Orleans.

Why this meeting and why the CODES is that the organizer?

A few months ago the DRASS, the Regional Union des Caisses d'Assurance Maladie and Muturalité Center (MUREC) CODES asked to implement a reflection on the partnership that could develop between the various associations and institutional structures for carry out the education activities for health. Some departments have achieved but problems difficult and painful for the Loiret have made deferred and the need to manage in a different manner taking into account changes that have occurred with the establishment GRSP and PRSP. [Presentations - available for download - the regional grouping of Public Health (GRSP), the Regional Public Health (PRSP), the new call for project GRSP 2007]

The program, which was initially require some clarification:

Figure Regional Health Education (FERS) will not be addressed in the form originally planned because the FERS enters its final year (2002-2007).

Three priorities had been developed in Central Region:

Enable project developers to carry out quality by strengthening the bid documentation, promoting training and facilitating access to counseling methodology.
Strengthen complementarity between all stakeholders in health education in the region by implementing "departmental coordination."
Setting up a center of regional powers whose mission is to provide support to local and departmental

After the presentation of Dr Emmanuel RUSCH President of the Regional Federation of Actors in Health Promotion (FRAP), after the health situation in the Loiret by ORS Center, questions and exchanges are engaged in the Room . (Find the slides projected for download at the end of the article)
In conclusion, we note that:
Some little known associations were not aware of the associations. The meetings on time of day informal allowed both sides to forge some links.
The assembly of those present revealed a desire to achieve a document used to refer to them, including details and missions of each.
A focus group was set up to define "mesh" at the department of the various structures and associations.

We wish to thank Mr Rosoux the Natural History Museum of Orleans have agreed that this meeting can be held within this framework dearly Orleans - where exposures are often admired and valued - as well as Muriel Madam BOIN - CORBEL Assistant Health and Marc CHAMPIGNY Deputy Culture in the City of Orleans.

Denis Freeze - Presentation of GRSP Region CENTER: Download (314)
Dr. Emmanuel RUSCH - Presentation of the FRAP: Download (394)
Health situation of Loiret - Summary Presentation: Download (328)

Under the project implementing Diagram of the regional health education (FERS), it is intended to strengthen complementarity between all stakeholders in health education in the region.

The monitoring group of FERS sought CODES six departments, given their missions, to ensure the organization of a time working in cooperation with departmental institutions (Departmental Directorate of Health and Social Affairs (DDASS), Caisse Primaire d'Assurance Maladie du Loiret) and local partners.

This time work will take place on December 08, 2006 morning. To best prepare for the meeting department, we wanted to send you a questionnaire, which remains optional, but we could better meet your expectations.

Moreover, the establishment of the regional grouping of Public Health (GRSP) amend the terms of the call for the project. In order to prevent displacement, it is proposed that members of GRSP you have to call the project in 2007 on 08 December afternoon.

We hope you meet many of the day. With all our thanks and our most sincere greetings.

Daniele DESCLERC-DULAC,
President of CODES 45

Friday December 8 2006
9am-16h

Natural History Museum of Orleans (6 rue Marcel Proust) near the Gare d'Orleans.
Map.

Program and registration to the day departmental players in health promotion: Download (224)

Diabetes networks Orleans Loiret (DIABOLO) and LOIRESTDIAB were sent to the Department of Education for Health of Loiret (CODES 45) to obtain information on the disposal of clinical waste (DAS). Indeed, patients acceding to the network, face the problem of eliminating waste their care. Noting the large number of existing documents on this theme, the Loiret CODES has proposed that a summary document that provides a state of national literature on the topic of health-care waste.

Purpose of the synthesis:
This synthesis aims to present the problem of waste disposal activity care infectious France, analyzing modest collection systems, and to prove that it is possible and important to establish a system collection efficient, low cost and in line with the regulations.

Keywords:
clinical waste / DASRI / clinical waste at risk of infection / waste disposal / self-treatment / collection of health-care waste / rules / risk / tip.

The collection of experiences:
Telephone interviews were conducted with the instigators of the various projects disposal DASRI selected for this synthesis. These interviews have allowed them to determine the conditions of implementation, difficulties and funding of different collection systems. A big thank you for their contribution.

Indications of reading:
References used in writing this synthesis are listed at the end of document. A number has been assigned to each of them to locate in the text.

Download the synthesis documentary DASRI: Download (382)

For the national days of the INPES 29 and March 30, Christine KERNEUR, nurse advice to the Ministry of Education hosted a session on the development of skills in health education professionals Education Nationale.Il us been introduced IUFM network and the appointment of a referee trainer in health education in each IUFM (minutes of the session 5 national days of Prevention)
In this spirit, the departmental association health education of Loir-et-Cher (ADES 41) was requested by the Graduate Institute of Teacher Training of Blois time to conduct a two-day training in education health. The CODES of Loiret was associated with this time of training future teachers.
We have explored all our representations of health and disease, discovered or rediscovered the models underlying health education in the biomedical model and the biopsychosocial model, and explored and shared a whole day around tools The educational paths of Health: Lea and Leo.

The Departmental Committee for Health Education is hosted by the CHR Orleans since 2002. To say this new service and make more perenne partnership, the Institute of para-medical training (IFPM) of CHR Orleans and our association have established a Convention to intervene in initial training modules in public health.
Thus, twenty hours was devoted to models underlying health education, workshops discovery educational tools and exercises to reflect on the steps of the step in promoting health. About fifty students attended this module.
In addition, four half-days were devoted to student nurses in order to provide theoretical and practical around representations of health and disease, concepts that can be referrer in health education, ... The challenge : Carry out health education under real conditions.

We walked more than 50 hours with the 20 future nurses, we have exchanged over time about the meaning of the conduct and methodology developed their meeting in small groups. We participated in the formative evaluation of their advocacy or information from professionals early childhood relay a childminder, pregnant women attending the PMI, college students, ...

We had such training time as real-time exchange. A great opportunity for the team CODES to share its expertise, know-how but also to experience its values to future health professionals, to be transformed from each other by the views and sensitivities each, to disassemble the biomedical model of references and understand the relevance to intervene other than adopting a posture where the expert health professional would be the single capable of explaining, advising and transmit knowledge.

U nion S portive of the E NSEIGNEMENT P IRST degree of Loiret has just held on Wednesday 24 May Paucourt near Montargis, step departmental Strip bicycle tour in 2006.

More than 800 children were physically active (archery, sarbacanne, bicycle paths, orienteering, ...). Four classes (120 children) have chosen to discover balance in the food workshop led by Stephanie Berducat accompanied by the bonhomme Food CODES the Loiret (younger brother of the man power of DREUX UPE).

They were able to identify by playing the different food groups and forging links between physical activity and diet.

The relationship between food (contributions) and physical activity and sports (expenditure) is established, the collaboration between the USEP 45 and the Loiret CODES came naturally.

Beyond events, and in recent months, we are working on enrichment projects of the USEP in health education.

USEP of Loiret
12 rue Stanislas Julien
45000 ORLEANS

tel.: 02 38 80 23 54

email: usep.loiret @ wanadoo.fr
website: www.usep45.com

The Rep - May 25, 2006 - Press article USEP: Download (278)

The title of the conference is deliberately provocative to talk about aid to smoking cessation. This is Dr. Jean-François Madinier, tabacologue Service (CHR chest of Orleans) who has chosen.

It should be explained on Wednesday 5 April 2006 at 20h 30 at the Museum of Natural Sciences, accompanied by Stephanie Berducat m Adame, Project (CODES of Loiret), which will provide lighting in health education. Mr Jacques Huguenin role will be to moderate the debate and exchanges with other people.

The appointment of health, what is it?
Organized by the city of Orleans and its partners, they approached the first Wednesday of each month a major theme of health. The conferences, free, are conducted by health professionals for the general public.

Text of the conference of 5 April 2006 - Meeting of Health: Download (271)