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| ID | Type | Description | Link |
|---|---|---|---|
| ANSM | Other Identifier | 2019-A00062-55 |
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| Name | Class |
|---|---|
| Ministry of Health, France | OTHER_GOV |
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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental group | Experimental | Patients will benefit from regular care + Joint Crisis Plan |
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| Control group | No Intervention | Patients will benefit from regular care |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Joint Crisis Plan | Procedure | A Joint Crisis Plan will be drafted with the patient and a nurse |
|
| Measure | Description | Time Frame |
|---|---|---|
| Duration of isolation | Measured in hours. | Months: 12 |
| Measure | Description | Time Frame |
|---|---|---|
| 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. | Months: 12 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Yvonne QUENUM, Coordinating nurse | Centre Hospitalier Universitaire de Saint Etienne | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU Saint-Etienne | Saint-Etienne | France |
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| ID | Term |
|---|---|
| D001523 | Mental Disorders |
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| Number of hospitalizations |
| Months: 12 |
| Number of isolation | Months: 12 |
| Number of physical restraints | Months: 12 |
| Duration of physical restraint | Measured in hours | 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. | Months: 12 |
| Number of violent events | Months: 12 |
| Number of emergency room visits for psychiatric opinion | Months: 12 |
| Adhesion and feeling of nurses in relation to Joint Crisis Plan | Measured by focus-groups and individual interviews of nurses | Months: 12 |