Psychiatry and Individual Liberties: a Study of Institutions Characterized by a Reduced Use of Coercion ((PLAID-Care))

Centre Hospitalier Universitaire de Saint Etienne

Status: Enrolling

Conditions: Psychiatric Hospitalization

Treatments: Behavioral: Individual semi-structured interviews with ex-patients; Behavioral: Observations out in the services; Behavioral: Individual and collective semi-structured interviews

Study type: Observational

Funder types: Other

Identifiers

NCT05136989

IRBN1372021/CHUSTE

Details and patient eligibility

About

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.

Full 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.

Enrollment: 98 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

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.

Trial design

98 participants in 2 patient groups

Professionals from the seven least coercive facilities

Description:

Volunteer professionals selected on the basis of their experience in reducing the use of coercion.

Treatment:

Behavioral: Observations out in the services

Behavioral: Individual and collective semi-structured interviews

Voluntary ex-patients

Description:

Voluntary ex-patients who were hospitalized in these establishments in the two years preceding the survey and whose condition is stabilized

Treatment:

Behavioral: Individual semi-structured interviews with ex-patients