NCT05136989

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

• Status: Unknown
• Phase: —
• Study type: Observational
• Enrollment: 98 (estimated)
• Sponsor: Centre Hospitalier Universitaire de Saint Etienne · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Accepted

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.

Conditions

• Psychiatric Hospitalization

Interventions

Type	Name	Description
BEHAVIORAL	Individual 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
BEHAVIORAL	Individual 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
BEHAVIORAL	Observations 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

Timeline

• Start date: 2021-12-01
• Primary completion: 2024-06-01
• Completion: 2024-06-01
• First posted: 2021-11-30
• Last updated: 2024-03-12

Locations

1 site across 1 country: France