For some patients in department psychiatric, isolation measures are put in place. But the measures is not pleasant for the patient or for the care team. That's why care team are trying to find ways to improve patient care, including asking them how they would like to be treated. One of the solutions is called the Joint Crisis Plan. A Joint Crisis Plan is a personalized procedure for a patient. It describes the attitude, the care, the measures in case of crisis with the patient and his family. Patients indicate their wishes regarding their care. However, there is no real scientific proof of the effectiveness of this Joint Crisis Plan, especially to reduce isolation measures.
The primary objective of this study is to evaluate efficacy of the Joint Crisis Plan.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
96
A Joint Crisis Plan will be drafted with the patient and a nurse
CHU Saint-Etienne
Saint-Etienne, France
Duration of isolation
Measured in hours.
Time frame: Months: 12
Perception of constraint
Measured by the MacArthur Coercion Scale. Each "True" = 0, and each "False" = 1, perceived cohesion scale score is between 0 and 5, Negative pressures scale score is between 0 and 6, Voice scale score is between 0 and 3, Affective Reactions to Hospitalization score is between 0 and 6.
Time frame: Months: 12
Number of hospitalizations
Time frame: Months: 12
Number of isolation
Time frame: Months: 12
Number of physical restraints
Time frame: Months: 12
Duration of physical restraint
Measured in hours
Time frame: Months: 12
Experience of discrimination and stigmatization
Measured by the Internalized Stigma of Mental Illness. This scale is a 29 items scale with stigma graded on a 4 point scale (Strongly disagree-1, Disagree-2, Agree-3 and strongly agree-4) which are divided into fivecomponents/domains (alienation, stereotype endorsement, perceived discrimination, social withdrawal and stigma resistance). Higher scores indicate higher level of self stigma.
Time frame: Months: 12
Number of violent events
Time frame: Months: 12
Number of emergency room visits for psychiatric opinion
Time frame: Months: 12
Adhesion and feeling of nurses in relation to Joint Crisis Plan
Measured by focus-groups and individual interviews of nurses
Time frame: Months: 12
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