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

NCT05136989 | Recruiting

• 1 other identifier: IRBN1372021/CHUSTE
• Study Type: observational
• Target: 98
• Locations: 1 country
• Sites: 1

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.

Conditions

Psychiatric Hospitalization

Keywords

Psychiatry; Reduction of coercion; Interviews; Observations; Sociology; Nursing

Outcome Measures

Primary Outcomes (1)

• 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 Outcomes (4)

• Analysis of professionals' satisfaction

  Baseline from 24 months

• Analysis of ex-patients' satisfaction

  Baseline from 24 months

• Analysis of the impact on care pathway

  Baseline from 24 months

• Analysis of the impact on career paths

  Baseline from 24 months

Study Arms (2)

Professionals from the seven least coercive facilities

Volunteer professionals selected on the basis of their experience in reducing the use of coercion.

Behavioral: Individual and collective semi-structured interviews; Behavioral: Observations out in the services

Voluntary ex-patients

Voluntary ex-patients who were hospitalized in these establishments in the two years preceding the survey and whose condition is stabilized

Behavioral: Individual semi-structured interviews with ex-patients

Interventions

Individual and collective semi-structured interviews BEHAVIORAL

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

Professionals from the seven least coercive facilities

Individual semi-structured interviews with ex-patients BEHAVIORAL

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

Voluntary ex-patients

Observations out in the services BEHAVIORAL

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

Professionals from the seven least coercive facilities

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• 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).

You may qualify if:

• 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

You may not qualify if:

• People who refused to participate to the study.

Sponsors & Collaborators

• Centre Hospitalier Universitaire de Saint Etienne: lead
• L'École Nationale des Solidarités, de l'Encadrement et de l'Intervention Sociale (ENSEIS): collaborator

Study Sites (1)

CHU Saint Etienne

Saint-Etienne, 42000, France

RECRUITING

Study Officials

• Sébastien SAETTA, PhD

  CHU de Saint-Etienne

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Sébastien SAETTA, PhD

CONTACT

0477127778; sebastien.saetta@chu-st-etienne.fr

Yvonne QUENUM

CONTACT

0477127722; yvonne.quenum@chu-st-etienne.fr

Study Design

• Study Type: observational
• Observational Model: ECOLOGIC OR COMMUNITY
• Time Perspective: OTHER
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 16, 2021
• First Posted: November 30, 2021
• Study Start: December 1, 2021
• Primary Completion: June 1, 2024
• Study Completion: June 1, 2024
• Last Updated: March 12, 2024

Record last verified: 2024-03

Locations

FR (1)