Prospective National Survey of the Palliative Situation Among Inmates in French Prisons

Completed

• Conditions: Terminal Illness; Critical Illness
• Interventions: Other: qualitative interview

• Registration Number: NCT02362295
• Lead Sponsor: Centre Hospitalier Universitaire de Besancon

Brief Summary

PARME study had 3 objectives:

* To identify the specific number of incarcerated individuals with terminal illness in need of palliative care.

* To describe the health and penal situation of these prisoners.

* To analyse the situation of these ill prisoners especially in the context of suspended sentence for medical ground

In order to answer these questions, the investigators used a mixed method research.

Detailed Description

First, in order to establish a baseline, the investigators contacted the medical units in all French prisons, which means 178 care units and 8 secures inpatient care units. The investigators census every patient with terminal illness, which was defined in this study as an evolutive pathology with a life prognosis less than a year.

A questionnaire was completed by these physicians for every situation. The census was conducted for three months across France.

For the qualitative study, the investigators selected 14 specific situations chosen into these which had been identified by the physicians.

The investigators wanted to get 3 types of patients :

1. patient who had obtained a compassionate release

2. patient whose demand has been refused

3. patient who did not demand any release. The four interviews (patients, physisians, judges, probation workers) for each situation has explained the global situation.

Each interviewee spoke about the situation with his/her perspective and sense that they attributed to the actions of others.

This research analyzes the particularity of each of these end of life situations in prison.

Study Timeline

• Study Start: 2011-05
• Primary Completion: 2013-10
• Study Completion: 2013-12
• Status Verified: 2015-02
• Study First Submitted: 2015-02-09
• Study First Submitted QC: 2015-02-09
• Study First Posted: 2015-02-12
• Last Update Submitted: 2015-02-23
• Last Update Posted: 2015-02-24

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 15

Inclusion Criteria

• prisonners
• serious and evolving pathology
• vital prognosis less than a year

Exclusion Criteria

• less than 18 year
• person under tutelage
• patient who refuse to participate

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
census	qualitative interview	qualitative interview

Primary Outcome Measures

Name	Time	Method
census ill prisonners with vital prognosis less than a year and understand how penal and medical professional are coping with these situations	1 year

Secondary Outcome Measures

Name	Time	Method
uderstand how professionnels are coping with not condamned prisonners	1 year
Question the meaning of the sentence for ill prisonners	1 year
Compare the way professionnal are coping with these situation around France	1 year