Psychiatric Hospitalization
Conditions
Keywords
Psychiatry, Reduction of coercion, Interviews, Observations, Sociology, Nursing
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.
Interventions
BEHAVIORALIndividual 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
BEHAVIORALIndividual 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
BEHAVIORALObservations 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
Sponsors
L'École Nationale des Solidarités, de l'Encadrement et de l'Intervention Sociale (ENSEIS)
Centre Hospitalier Universitaire de Saint Etienne
Study design
Observational model
ECOLOGIC_OR_COMMUNITY
Time perspective
OTHER
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
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.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 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
| Measure | Time frame | Description |
|---|---|---|
| Analysis of the impact on career paths | Baseline from 24 months | Analysis interview responses. |
| Analysis of professionals' satisfaction | Baseline from 24 months | Analysis interview responses |
| Analysis of ex-patients' satisfaction | Baseline from 24 months | Analysis interview responses. |
| Analysis of the impact on care pathway | Baseline from 24 months | Analysis interview responses. |
Countries
France
Contacts
Primary ContactSébastien SAETTA, PhD
Backup ContactYvonne QUENUM
Outcome results
None listed