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

Psychiatric Hospitalization Clinical Trial

— (PLAID-Care)  

Official title:

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

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05136989
• Other study ID #: IRBN1372021/CHUSTE
• Status: Recruiting
• Start date: December 1, 2021
• Est. completion date: June 2024

Study information

• Verified date: March 2024
• Source: Centre Hospitalier Universitaire de Saint Etienne
• Contact: Sébastien SAETTA, PhD
• Phone: 0477127778
• Email: sebastien.saetta[@]chu-st-etienne.fr
• Is FDA regulated: No
• Study type: Observational

Clinical Trial 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.

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.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 98
• Est. completion date: June 2024
• Est. primary completion date: June 2024
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years and older

Eligibility

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.

Related Conditions & MeSH terms

• Psychiatric Hospitalization

Intervention

Behavioral:
• Individual and collective semi-structured interviews
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-patients
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 services
Observations will be carried out in the services in order to measure the gap between rhetoric and practice, and to observe the effective implementation of lesser use practices

Locations

Country	Name	City	State
France	CHU Saint Etienne	Saint-Étienne

Sponsors (2)

Lead Sponsor	Collaborator
Centre Hospitalier Universitaire de Saint Etienne	L'École Nationale des Solidarités, de l'Encadrement et de l'Intervention Sociale (ENSEIS)

Country where clinical trial is conducted

France, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	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.	Baseline from 24 months
Secondary	Analysis of professionals' satisfaction	Analysis interview responses	Baseline from 24 months
Secondary	Analysis of ex-patients' satisfaction	Analysis interview responses.	Baseline from 24 months
Secondary	Analysis of the impact on care pathway	Analysis interview responses.	Baseline from 24 months
Secondary	Analysis of the impact on career paths	Analysis interview responses.	Baseline from 24 months