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

Recruiting

• Conditions: Psychiatric Hospitalization
• Interventions: Behavioral: Individual semi-structured interviews with ex-patients; Behavioral: Individual and collective semi-structured interviews; Behavioral: Observations out in the services

• Registration Number: NCT05136989
• Lead Sponsor: Centre Hospitalier Universitaire de Saint Etienne

Brief Summary

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.

Detailed Description

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.

Study Timeline

• Study First Submitted: 2021-11-16
• Study First Submitted QC: 2021-11-16
• Study First Posted: 2021-11-30
• Study Start: 2021-12-01
• Status Verified: 2024-03
• Last Update Submitted: 2024-03-08
• Last Update Posted: 2024-03-12
• Primary Completion: 2024-06
• Study Completion: 2024-06

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 98

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

Exclusion Criteria

• People who refused to participate to the study.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Voluntary ex-patients	Individual semi-structured interviews with ex-patients	Voluntary ex-patients who were hospitalized in these establishments in the two years preceding the survey and whose condition is stabilized
Professionals from the seven least coercive facilities	Individual and collective semi-structured interviews	Volunteer professionals selected on the basis of their experience in reducing the use of coercion.
Professionals from the seven least coercive facilities	Observations out in the services	Volunteer professionals selected on the basis of their experience in reducing the use of coercion.

Primary Outcome Measures

Name	Time	Method
understand the history of less coercive institutions	Baseline from 24 months	identify and characterize the presence of tools, knowledge, rules, organizational specificities and collaborations in the territories allowing for less recourse to coercion.

Secondary Outcome Measures

Name	Time	Method
Analysis of the impact on care pathway	Baseline from 24 months	Analysis interview responses.
Analysis of professionals' satisfaction	Baseline from 24 months	Analysis interview responses
Analysis of the impact on career paths	Baseline from 24 months	Analysis interview responses.
Analysis of ex-patients' satisfaction	Baseline from 24 months	Analysis interview responses.

Trial Locations

Locations (1)

CHU Saint Etienne; 🇫🇷 Saint-Étienne, France