Psychiatry and Individual Liberties: a Study of Institutions Characterized by a Reduced Use of Coercion

Centre Hospitalier Universitaire de Saint Etienne98 enrolled

Overview

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.

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.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Psychiatric Hospitalization

Interventions

Individual and collective semi-structured interviewsBEHAVIORAL

Individual and collective semi-structured interviews will be performed with professionals to identify levers (practices, knowledge, tools, regulations) which, at the level of services and establishments, enable the development of a policy of less recourse to coercion

Individual semi-structured interviews with ex-patientsBEHAVIORAL

Individual semi-structured interviews will be performed with ex-patients in order to gather their experiences in the seven institutions concerned and to better understand the impact of their hospitalization in these institutions on their lives

Observations out in the servicesBEHAVIORAL

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

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.

Locations (1)

CHU Saint Etienne

Saint-Etienne, France

RECRUITING

Outcomes

Primary Outcomes

understand the history of less coercive institutions

identify and characterize the presence of tools, knowledge, rules, organizational specificities and collaborations in the territories allowing for less recourse to coercion.