Mental health and physiotherapy: a societal issue and a concrete commitment by CEERRF

Mental health is increasingly recognized as a major public health issue. In France, the gradual deterioration of mental health indicators, worsened by the health crisis, has led public authorities and institutions to fundamentally rethink the organization of psychological care. Young adults, particularly vulnerable to anxiety and depressive disorders, are at the heart of these concerns. In this context, health education and higher education institutions play a central role, both in preparing future professionals and in supporting their own students and staff.

Santé mentale et masso-kinésithérapie - un enjeu de société et un engagement concret du CEERRF 01

Mental health: a priority field in transformation

Difficulties in accessing mental health care – long waiting times, saturation of specialized services, and territorial inequalities – have led to a diversification of actors involved in mental health. The development of Mental Health First Aid (MHFA) illustrates this evolution. Inspired by physical first aid, this program aims to train citizens and professionals to detect early signs of psychological distress, adopt an appropriate relational stance, and guide individuals to competent resources.

At the same time, recommendations from the French Senate and the recent reform of the nursing profession reinforce the role of certain professionals in the mental health care pathway, particularly through advanced practice. These developments reflect a clear intention to break down silos in care and promote a more interprofessional approach, in which professions historically less associated with mental health now find a recognized place.

The specific contribution of physiotherapists to mental health

Although mental health may seem at first glance unrelated to physiotherapy, clinical reality shows the opposite. Physiotherapists intervene in situations where physical and psychological dimensions are closely linked: chronic pain, neurological or respiratory conditions, loss of autonomy, disability, life accidents, or long and complex rehabilitation processes.

The close relationship, frequent sessions, and extended follow-up place physiotherapists in a privileged position to detect signs of psychological distress: unusual fatigue, disengagement, anxiety, persistent sadness, pessimistic discourse, or behavioral changes. Without making diagnoses or replacing specialized professionals, they can play a key role in detection, listening, support, and referral, thus contributing to more holistic and humane care.

This dimension is also crucial for the effectiveness of rehabilitation. Psychological state strongly influences patient adherence, motivation, and investment in the recovery process. Better understanding these factors improves the therapeutic relationship, adapts care, and optimizes functional outcomes.

Santé mentale et masso-kinésithérapie - un enjeu de société et un engagement concret du CEERRF 01
Santé mentale et masso-kinésithérapie - un enjeu de société et un engagement concret du CEERRF 01

Training Future Physiotherapists in a Holistic Patient Approach

Given these observations, integrating mental health into physiotherapy training appears necessary. It requires strengthening teaching on caregiver-patient relationships, active listening, recognizing signs of psychological vulnerability, and coordinating care pathways.

Role-playing, simulations, and reflection spaces help students develop relational skills in a safe environment. Knowledge of local resources – medical-psychological centers, psychologists, psychiatrists, associations, and mental health first aid programs – is also essential for facilitating referrals and preventing professional isolation in complex situations.

This approach must be accompanied by clear ethical guidelines: the physiotherapist’s role is detection and prevention, not specialized psychological treatment. Debriefing and support spaces are also essential to prevent emotional exhaustion among students and professionals.

CEERRF: a strong institutional commitment to mental health

CEERRF’s commitment aligns with this national and professional momentum, placing the mental health of its students and staff at the center of its priorities. Aware of the specific challenges of higher education and health training, the institution has recently strengthened its system by creating a Mental Health and Gender-Based & Sexual Violence (GBSV) Unit.

Led by a multidisciplinary team composed of Sébastien Herry, Arnaud Cerioli, and Rachel Delabroy, this unit provides a unique, confidential, and accessible contact point for anyone experiencing psychological difficulties or facing violence. It reflects CEERRF’s determination to ensure a safe, supportive, and respectful study and work environment.

Santé mentale et masso-kinésithérapie - un enjeu de société et un engagement concret du CEERRF
Santé mentale et masso-kinésithérapie - un enjeu de société et un engagement concret du CEERRF

Proximity support and concrete actions

In addition to this unit, several bodies provide individualized support for students:

  • A section dedicated to pedagogical management of individual situations,
  • A student life section, offering dialogue and monitoring of well-being,
  • A disciplinary section ensuring compliance with institutional standards.

The internal regulations have also been strengthened with explicit provisions regarding discriminatory behaviors and false accusations, affirming a zero-tolerance policy. Special attention is paid to warning signs of vulnerability, such as interruptions in studies, to offer tailored support and prevent academic dropouts.

Conclusion

Mental health is now an essential component of holistic patient care and the functioning of health education institutions. Physiotherapists, through their body-centered and relational practice, occupy a strategic position in detecting and preventing psychological distress.

Through its actions and dedicated structures, CEERRF establishes itself as a committed and responsible actor, attentive both to training competent future professionals and to the well-being of its community. Far from changing the professional identity of physiotherapists, this evolution enriches their relational skills and strengthens a holistic, humane, and coordinated approach to care, aligned with society’s current needs.

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