Clinical trial NCT02362295: Prospective National Survey of the Palliative Situation Among Inmates in French Prisons
Official title: Prospective National Survey of the Palliative Situation Among Inmates in French Prisons
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Critical Illness
Terminal Illness
Keywords: palliative care
vulnerable population
qualitative research
Lead sponsor: Centre Hospitalier Universitaire de Besancon
Sponsor class: OTHER
Collaborators: name: Hospices Civils de Lyon
name: Central Hospital, Nancy, France
name: University Hospital, Lille
name: University Hospital, Marseille
name: University Hospital, Toulouse
name: University Hospital, Bordeaux
name: Rennes University Hospital
name: Assistance Publique - Hôpitaux de Paris
First posted: 2015-02-12
Enrollment: 15
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Every prisonners with terminal illness

Brief summary: PARME study had 3 objectives:

* To identify the specific number of incarcerated individuals with terminal illness in need of palliative care.
* To describe the health and penal situation of these prisoners.
* To analyse the situation of these ill prisoners especially in the context of suspended sentence for medical ground

In order to answer these questions, the investigators used a mixed method research.

Detailed description: First, in order to establish a baseline, the investigators contacted the medical units in all French prisons, which means 178 care units and 8 secures inpatient care units. The investigators census every patient with terminal illness, which was defined in this study as an evolutive pathology with a life prognosis less than a year.

A questionnaire was completed by these physicians for every situation. The census was conducted for three months across France.

For the qualitative study, the investigators selected 14 specific situations chosen into these which had been identified by the physicians.

The investigators wanted to get 3 types of patients :

1. patient who had obtained a compassionate release
2. patient whose demand has been refused
3. patient who did not demand any release. The four interviews (patients, physisians, judges, probation workers) for each situation has explained the global situation.

Each interviewee spoke about the situation with his/her perspective and sense that they attributed to the actions of others.

This research analyzes the particularity of each of these end of life situations in prison.

Eligibility criteria: Inclusion Criteria:

* prisonners
* serious and evolving pathology
* vital prognosis less than a year

Exclusion Criteria:

* less than 18 year
* person under tutelage
* patient who refuse to participate

Primary outcomes:
measure: census ill prisonners with vital prognosis less than a year and understand how penal and medical professional are coping with these situations
timeFrame: 1 year
Secondary outcomes:
measure: uderstand how professionnels are coping with not condamned prisonners
timeFrame: 1 year
measure: Question the meaning of the sentence for ill prisonners
timeFrame: 1 year
measure: Compare the way professionnal are coping with these situation around France
timeFrame: 1 year
Other outcomes:
Locations:
Study officials:
affiliation: Hospices Civils de Lyon
name: Edouard Amzallag, Dr
role: PRINCIPAL_INVESTIGATOR
affiliation: Centre Hospitalier Universitaire de Besancon
name: Sebastien Grignard, Dr
role: PRINCIPAL_INVESTIGATOR
affiliation: CHU NANCY
name: Blanchet Emmanuelle, Dr
role: PRINCIPAL_INVESTIGATOR
affiliation: CHU Lille
name: Grimopont Frederic, Dr
role: PRINCIPAL_INVESTIGATOR
affiliation: CHU Marseille
name: Bartoli Christophe, Dr
role: PRINCIPAL_INVESTIGATOR
affiliation: CHU Toulouse
name: BAYLE Paule, Dr
role: PRINCIPAL_INVESTIGATOR
affiliation: University Hospital, Bordeaux
name: Bedry Regis, Dr
role: PRINCIPAL_INVESTIGATOR
affiliation: CHU Rennes
name: Bernard Benoit, Dr
role: PRINCIPAL_INVESTIGATOR
affiliation: APHP
name: Auger Yvain, Dr
role: PRINCIPAL_INVESTIGATOR
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