early intervention and nursing support for an " involuntary commitment procedure " for a close relative

Conditions: Anxiety

Summary: in a context of first hospitalization under the constraint of a relative in psychiatric emergencies: * effect of an early intervention and a 6-month nursing follow-up on the anxious experience of third party persons * effect of nursing support on family dynamics, on the durability of outpatient care and adherence

the patient that is meeting during time travel at psychiatric emergency come with their families wich live (or have been lived) the crisis at home, in the street, with their family doctor. with a psychic incoming sufferance, when the patient refuses his medicines, doctors ask to someone close to the patient to become his third party, his first guarantor of the without consent care commitment. these without consent hospitalizations at toulouse university hospital, and all over france hospitals, rise continuously. our daily nursing exercise is to support those helping people. the sentiment felt by our nursing team during the exchange, underlines ambivalence and several emotional problems and difficulties, which are even harder for a first time occurence. patient's close relatives that become a " resource " during non-consensual hospitalization could be affected indirectly by the burden of this referent role. between culpability, isolation and exhaustion, the studies show that their ability to " resist " is a real help for patient progression. this statement is showed by nursing team (even belonging to others structures) listened during our exploratory investigation.in our professional practice, our specific emergency environment is firstly focused about patient in crisis situation and about his security. in this environment, there is no formerly dedicated time for relatives needing, once actors and public in this acute disease. relatives hard experiences in a very central moment that we could consider as care beginnings, should impact therapy and patient health care plan. an early, well defined nursing act, built on close relatives needs and expectations could enhance this particular moment that should facilitate the following of the patient disease. a lot of data cited in literature specify the central role of relatives for a psychic patient, but there is no study about an early nursing intervention for relatives during a psychiatric emergency.

Eligibility criteria:
inclusion criteria: * being the "third party" adult, during the first involuntary commitment procedure of a close relative, in an aspdt(u) form. * being physically present during the admission, within 24 hours after the arrival of the patient. * accept to be recontacted by phone to j7, m2, m4 and m6 * affiliated person or beneficiary of a social security scheme. * free and informed consent, signed by the participant and the investigator (at the latest on the day of inclusion and before any examination required by the research). exclusion criteria: * to be the guardian or any person in charge of legal representation with the patient. * pregnant or lactating woman (the duration of the study may affect the subject's compliance and availability).

Keywords: involuntary commitment hospitalization close relative