Psychiatric Disorder
Conditions
Keywords
Psychiatric Disorder, Prevention, Mechanical restraint, Isolation
Brief summary
This observational study assesses whether the use of the QPGE has an impact on the rates of isolation and mechanical restraint in adult psychiatric admission units. It is supplemented by a qualitative survey that will collect the experience of caregivers using the QPGE.
Detailed description
The use of isolation and mechanical restraint in psychiatry has deleterious consequences for the patient. Caregivers also testify to their dissatisfaction with using these methods. The Coping Agreement Questionnaire (CAQ) is a form presented to the patient admitted to a psychiatric unit in the United States that has shown a significant effect on the reduction of coercive measures. It has been translated into French under the name Questionnaire Préventif de la Gestion des Emotions (QPGE). In France, the Haute Autorité de Santé has been recommending this type of tool since 2016 in the form of shared prevention plans to better prevent moments of violence. The main objective is to assess whether the use of a shared prevention plan based on the Preventive Emotions Management Questionnaire (QPGE) can reduce the rates of isolation measures and mechanical restraint in hospitalized people. in a sectoral admission unit receiving patients in care without consent.
Interventions
OTHERQuestionnaire
The study will compare the rates of isolation and restraint of the two sectoral admission units welcoming people in care without consent for a period of one year. The impact of the QPGE on the satisfaction scores will be systematically evaluated by a self-questionnaire for patients at the end of hospitalization. The QPGE is administered by a nurse during the reception interview of the patient in the unit.
Sponsors
Centre Hospitalier Charles Perrens, Bordeaux
Study design
Observational model
CASE_ONLY
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Have been hospitalized in psychiatric admission unit with an entry date between January 1, 2020 and December 31, 2020 * Be at least 18 years old at the time of hospitalization * Master the French language in order to have benefited from the QPGE and the satisfaction questionnaire
Exclusion criteria
* Being the subject of an isolation and/or restraint measure, decided in another unit before, during the transfer to the study places * To have objected to the use of data collected during hospitalization following the information in the welcome booklet
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Rate of isolation measures.(%) | up to 1 year | Isolation and/or restraint notified in the registers dedicated to the monitoring of measures restricting liberty in the admission units during the study period |
| Rate of restraint measures.(%) | up to 1 year | Isolation and/or restraint notified in the registers dedicated to the monitoring of measures restricting liberty in the admission units during the study period |
Secondary
| Measure | Time frame |
|---|---|
| Rate of mechanical restraint measures (%) | up to 1 year |
| Rate of isolation measures not associated with an episode of mechanical restraint (%) | up to 1 year |
| User satisfaction score at the end of hospitalization | up to 1 year |
| Duration of mechanical restraint measures (hours) | up to 1 year |
| Duration of isolation measures not associated with an episode of mechanical restraint. (hours) | up to 1 year |
Countries
France
Outcome results
None listed