Prospective National Survey of the Palliative Situation Among Inmates in French Prisons

Critical Illness Clinical Trial

— PARME  

Official title:

Prospective National Survey of the Palliative Situation Among Inmates in French Prisons

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02362295
• Other study ID #: 2011-A00791-40
• Status: Completed
• Phase: N/A
• First received: February 9, 2015
• Last updated: February 23, 2015
• Start date: May 2011
• Est. completion date: December 2013

Study information

• Verified date: February 2015
• Source: Centre Hospitalier Universitaire de Besancon
• Contact: n/a
• Is FDA regulated: No
• Health authority: France: Comité consultatif sur le traitement de l'information en matière de recherche dans le domaine de la santéFrance: Afssaps - Agence française de sécurité sanitaire des produits de santé (Saint-Denis)France: Commission nationale de l'informatique et des libertés
• Study type: Observational

Clinical Trial 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.

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 15
• Est. completion date: December 2013
• Est. primary completion date: October 2013
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years and older

Eligibility

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

Study Design

Time Perspective: Prospective

Related Conditions & MeSH terms

• Critical Illness
• Terminal Illness

Intervention

Other:
• qualitative interview
some patient are interviewed.

Locations

Country	Name	City	State
n/a

Sponsors (9)

Lead Sponsor	Collaborator
Centre Hospitalier Universitaire de Besancon	Assistance Publique - Hôpitaux de Paris, Central Hospital, Nancy, France, Hospices Civils de Lyon, Rennes University Hospital, University Hospital, Bordeaux, University Hospital, Lille, University Hospital, Marseille, University Hospital, Toulouse

References & Publications (33)

AUBRY R., 2011, Etat des lieux du développement des soins palliatifs en France en 2010, Rapport à M. Le Président de la République, M. Le Premier Ministre, Comité national de suivi du développement des soins palliatifs.

BERTRAND D, NIVEAU G, 2006, Santé et Prison. Chêne-Bourg : Editions Médecine & Hygiène, 2006

Bolger M. Dying in prison: providing palliative care in challenging environments. Int J Palliat Nurs. 2005 Dec;11(12):619-20; discussion 621. — View Citation

Byock I. Dying well in corrections: why should we care? Correctcare. 2002 Fall;16(4):18. — View Citation

Chow RK. Initiating a long-term care nursing service for aging inmates. Geriatr Nurs. 2002 Jan-Feb;23(1):24-7. — View Citation

Cohn F. The ethics of end-of-life care for prison inmates. J Law Med Ethics. 1999 Fall;27(3):252-9, 210. Review. — View Citation

DARBEDA P., mars-juin 1999, " Médecine et détenus ", Journal international de bioéthique, n°1-2, pp 35-45.

Drescher GP. Prisoner's right to refuse treatment outweighs physician's duty to treat. J Law Med Ethics. 1993 Fall-Winter;21(3-4):400-1. — View Citation

Dubler NN. The collision of confinement and care: end-of-life care in prisons and jails. J Law Med Ethics. 1998 Summer;26(2):149-56. — View Citation

Finlay IG. Managing terminally ill prisoners: reflection and action. Palliat Med. 1998 Nov;12(6):457-61. — View Citation

Gallagher EM. Elders in prison. Health and well-being of older inmates. Int J Law Psychiatry. 2001 Mar-Jun;24(2-3):325-33. — View Citation

Kiel RA. Caring for terminally ill inmates: on-site hospice care or compassionate release? Correctcare. 1995 Jun-Jul;9(2):5, 13-14. — View Citation

Lin J, Mathew P. Prison inmates and palliative care. JAMA. 2007 Dec 5;298(21):2481; author reply 2481. — View Citation

Lincoln A. Improving the conditions of confinement. End-of-life care in prison. Pharos Alpha Omega Alpha Honor Med Soc. 2008 Autumn;71(4):18-25. — View Citation

Linder JF, Meyers FJ. Palliative care for prison inmates: "don't let me die in prison". JAMA. 2007 Aug 22;298(8):894-901. — View Citation

Lum KL. Palliative care behind bars: the New Zealand prison hospice experience. J Pain Palliat Care Pharmacother. 2003;17(3-4):131-8; discussion 139-40. — View Citation

Mahon NB. Introduction: death and dying behind bars--cross-cutting themes and policy imperatives. J Law Med Ethics. 1999 Fall;27(3):213-5. — View Citation

Mara CM. Expansion of long-term care in the prison system: an aging inmate population poses policy and programmatic questions. J Aging Soc Policy. 2002;14(2):43-61. — View Citation

MOUQUET M-C, 2005 (mars), " La santé des personnes entrées en prison en 2003 ",Études et résultats, n°386, DREES.

MOUQUET M-C, DUMONT M., BONNEVIE M-C, 1999 (janvier)" La santé à l'entrée en prison, un cumul des facteurs de risques ", Études et résultats, n°4, DREES.

O'Connor MF. Finding boundaries inside prison walls: case study of a terminally ill inmate. Death Stud. 2004 Jan;28(1):63-76. — View Citation

Ratcliff M, Craig E. The GRACE Project: Guiding End-of-Life Care in Corrections 1998-2001. J Palliat Med. 2004 Apr;7(2):373-9. — View Citation

Reeder D, Meldman L. Conceptualizing psychosocial nursing in the jail setting. J Psychosoc Nurs Ment Health Serv. 1991 Aug;29(8):40-4. — View Citation

SANDO ROY (de) B., 2004 (mars), " La suspension de peine pour raison médicale : Une parenthèse de la peine contre une parenthèse de la santé. ", Droit Déontologie & Soin.; 4(1), pp 4-15.

SANNIER O, MANALOUIL C., 2008, " Est-ce que le secret médical est la clé de voûte du respect de l'éthique médicale en prison ? ", Éthique & Santé; 5(4), pp201-207.

Snow T. Should dying prisoners be given their freedom for a more dignified end? Nurs Stand. 2009 Aug 26-Sep 1;23(51):12-3. — View Citation

TRAULLE É, WERBROUCK A, MANAOUIL C., 2006 (sept) " La suspension de peine pour raison médicale. " Médecine & Droit., 79-80, pp 142-146.

Turner M, Barbarachild Z, Kidd H, Payne S. How notorious do dying prisoners need to be to receive high quality end-of-life care? Int J Palliat Nurs. 2009 Oct;15(10):472-3. — View Citation

Vesely R. Another aging population. More states considering early-release programs for older, infirm inmates. Mod Healthc. 2010 Mar 29;40(13):32-3. — View Citation

Wilford T. Developing effective palliative care within a prison setting. Int J Palliat Nurs. 2001 Nov;7(11):528-30. — View Citation

Wood FJ. The challenge of providing palliative care to terminally ill prison inmates in the UK. Int J Palliat Nurs. 2007 Mar;13(3):131-5. Review. — View Citation

Zelaya E. The challenges of caring for an incarcerated patient. Am J Hosp Palliat Care. 2009 Jun-Jul;26(3):230-1. doi: 10.1177/1049909109333931. — View Citation

ZIMMERAMANN N., WALD F.S., THOMPSON A.S., 2002 (juillet), " The needs and ressources for hospice care in the connecticut prison system : a feasibility study. ", Illness, Crisis and Cross, vol 10, n°3, pp204-232.

* Note: There are 33 references in all — Click here to view all references

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	census ill prisonners with vital prognosis less than a year and understand how penal and medical professional are coping with these situations		1 year	No
Secondary	uderstand how professionnels are coping with not condamned prisonners		1 year	No
Secondary	Question the meaning of the sentence for ill prisonners		1 year	No
Secondary	Compare the way professionnal are coping with these situation around France		1 year	No