Clinical trial NCT05136989: Psychiatry and Individual Liberties: a Study of Institutions Characterized by a Reduced Use of Coercion
Official title: Psychiatry and Individual Liberties: a Study of Institutions Characterized by a Reduced Use of Coercion
Study type: OBSERVATIONAL
Overall status: RECRUITING
Conditions: Psychiatric Hospitalization
Keywords: Psychiatry
Reduction of coercion
Interviews
Observations
Sociology
Nursing
Lead sponsor: Centre Hospitalier Universitaire de Saint Etienne
Sponsor class: OTHER
Collaborators: name: L'École Nationale des Solidarités, de l'Encadrement et de l'Intervention Sociale (ENSEIS)
First posted: 2021-11-30
Enrollment: 98
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: ECOLOGIC_OR_COMMUNITY
Time perspective: OTHER
Sampling method: NON_PROBABILITY_SAMPLE
Study population: The research focuses mainly on care and support professionals, administrative and management staff, and users of seven establishments or poles identified as less coercive (three establishments in the Auvergne-Rhône-Alpes region, and four establishments on the national territory).

Brief 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.

Eligibility criteria: 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.

Primary outcomes:
measure: understand the history of less coercive institutions
timeFrame: Baseline from 24 months
Secondary outcomes:
measure: Analysis of professionals' satisfaction
timeFrame: Baseline from 24 months
measure: Analysis of ex-patients' satisfaction
timeFrame: Baseline from 24 months
measure: Analysis of the impact on care pathway
timeFrame: Baseline from 24 months
measure: Analysis of the impact on career paths
timeFrame: Baseline from 24 months
Other outcomes:
Locations:
city: Saint-Étienne
country: France
facility: CHU Saint Etienne
Study officials:
affiliation: CHU de Saint-Etienne
name: Sébastien SAETTA, PhD
role: PRINCIPAL_INVESTIGATOR
References: