Impact of Joint Crisis Plan

Not Applicable

Completed

• Conditions: Mental Disorders
• Interventions: Procedure: Joint Crisis Plan

• Registration Number: NCT03984682
• Lead Sponsor: Centre Hospitalier Universitaire de Saint Etienne

Brief Summary

For some patients in department psychiatric, isolation measures are put in place. But the measures is not pleasant for the patient or for the care team.

That's why care team are trying to find ways to improve patient care, including asking them how they would like to be treated.

One of the solutions is called the Joint Crisis Plan. A Joint Crisis Plan is a personalized procedure for a patient. It describes the attitude, the care, the measures in case of crisis with the patient and his family. Patients indicate their wishes regarding their care. However, there is no real scientific proof of the effectiveness of this Joint Crisis Plan, especially to reduce isolation measures.

Detailed Description

The primary objective of this study is to evaluate efficacy of the Joint Crisis Plan.

Study Timeline

• Study First Submitted: 2019-06-11
• Study First Submitted QC: 2019-06-11
• Study First Posted: 2019-06-13
• Study Start: 2019-11-21
• Primary Completion: 2023-03-28
• Status Verified: 2024-04
• Study Completion: 2024-04-04
• Last Update Submitted: 2024-04-11
• Last Update Posted: 2024-04-12

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 96

Inclusion Criteria

• Patients >18 years
• Patients having had at least one isolation, restraint or forced hospitalization measure in the 24 months before inclusion
• Followed by nurses of a mobile team of psychiatry sector Saint Etienne
• Social security affiliation
• Signed informed consent

Exclusion Criteria

• Patient having already had a Joint Crisis Plan for less than 6 months.
• Patient does not speak French
• Pregnant and lactating women

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Experimental group	Joint Crisis Plan	Patients will benefit from regular care + Joint Crisis Plan

Primary Outcome Measures

Name	Time	Method
Duration of isolation	Months: 12	Measured in hours.

Secondary Outcome Measures

Name	Time	Method
Duration of physical restraint	Months: 12	Measured in hours
Experience of discrimination and stigmatization	Months: 12	Measured by the Internalized Stigma of Mental Illness. This scale is a 29 items scale with stigma graded on a 4 point scale (Strongly disagree-1, Disagree-2, Agree-3 and strongly agree-4) which are divided into fivecomponents/domains (alienation, stereotype endorsement, perceived discrimination, social withdrawal and stigma resistance). Higher scores indicate higher level of self stigma.
Number of violent events	Months: 12
Number of emergency room visits for psychiatric opinion	Months: 12
Number of hospitalizations	Months: 12
Number of isolation	Months: 12
Perception of constraint	Months: 12	Measured by the MacArthur Coercion Scale. Each "True" = 0, and each "False" = 1, perceived cohesion scale score is between 0 and 5, Negative pressures scale score is between 0 and 6, Voice scale score is between 0 and 3, Affective Reactions to Hospitalization score is between 0 and 6.
Adhesion and feeling of nurses in relation to Joint Crisis Plan	Months: 12	Measured by focus-groups and individual interviews of nurses
Number of physical restraints	Months: 12

Trial Locations

Locations (1)

CHU Saint-Etienne; 🇫🇷 Saint-Étienne, France