Psychiatry and Individual Liberties: a Study of Institutions Characterized by a Reduced Use of Coercion

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Total Enrollment

98 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-12-01

Study Completion Date

2024-06-30

Brief Summary

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Psychiatric establishments show significant disparities in terms of coercion: while some use it frequently, others use it only exceptionally. This project aims at a better understanding of the less coercive establishments, which are currently little investigated and whose study may allow to identify the levers of a psychiatry more respectful of individual liberties.

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Detailed Description

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This study aims precisely at understanding the history of less coercive establishments, and at identifying the knowledge as well as the forms of organization, coordination and cooperation that are developed there. To do so, it will consist of an inventory of establishments and practices based on the analysis of scientific literature, and an intensive study of seven less coercive establishments (four establishments on the French national territory, three establishments in the Auvergne-Rhône-Alpes region). The study of these institutions and their environment, which mobilizes nursing research and sociology, is based on a methodological approach combining interviews with professionals and users, observations in the institutions and services, a documentary method, and analysis of data from the RIM-P, the SAE, and the institutions' databases.

Conditions

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Psychiatric Hospitalization

Study Design

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Observational Model Type

ECOLOGIC_OR_COMMUNITY

Study Time Perspective

OTHER

Study Groups

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Professionals from the seven least coercive facilities

Volunteer professionals selected on the basis of their experience in reducing the use of coercion.

Individual and collective semi-structured interviews

Intervention Type BEHAVIORAL

Individual and collective semi-structured interviews will be performed with professionals to identify levers (practices, knowledge, tools, regulations) which, at the level of services and establishments, enable the development of a policy of less recourse to coercion

Observations out in the services

Intervention Type BEHAVIORAL

Observations will be carried out in the services in order to measure the gap between rhetoric and practice, and to observe the effective implementation of lesser use practices

Voluntary ex-patients

Voluntary ex-patients who were hospitalized in these establishments in the two years preceding the survey and whose condition is stabilized

Individual semi-structured interviews with ex-patients

Intervention Type BEHAVIORAL

Individual semi-structured interviews will be performed with ex-patients in order to gather their experiences in the seven institutions concerned and to better understand the impact of their hospitalization in these institutions on their lives

Interventions

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Individual and collective semi-structured interviews

Individual and collective semi-structured interviews will be performed with professionals to identify levers (practices, knowledge, tools, regulations) which, at the level of services and establishments, enable the development of a policy of less recourse to coercion

Intervention Type BEHAVIORAL

Individual semi-structured interviews with ex-patients

Individual semi-structured interviews will be performed with ex-patients in order to gather their experiences in the seven institutions concerned and to better understand the impact of their hospitalization in these institutions on their lives

Intervention Type BEHAVIORAL

Observations out in the services

Observations will be carried out in the services in order to measure the gap between rhetoric and practice, and to observe the effective implementation of lesser use practices

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Professionals who worked in one of the seven establishments identified
* Ex-patients who were hospitalized in these establishments in the two years preceding the survey and whose condition is stabilized