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| Name | Class |
|---|---|
| L'École Nationale des Solidarités, de l'Encadrement et de l'Intervention Sociale (ENSEIS) | UNKNOWN |
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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Professionals from the seven least coercive facilities | Volunteer professionals selected on the basis of their experience in reducing the use of coercion. |
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| Voluntary ex-patients | Voluntary ex-patients who were hospitalized in these establishments in the two years preceding the survey and whose condition is stabilized |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 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 |
| Measure | Description | Time Frame |
|---|---|---|
| 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 |
| Measure | Description | Time Frame |
|---|---|---|
| Analysis of professionals' satisfaction | Analysis interview responses | Baseline from 24 months |
| Analysis of ex-patients' satisfaction | Analysis interview responses. |
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Inclusion Criteria:
Exclusion Criteria:
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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).
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Sébastien SAETTA, PhD | Contact | 0477127778 | sebastien.saetta@chu-st-etienne.fr | |
| Yvonne QUENUM | Contact | 0477127722 | 33 | yvonne.quenum@chu-st-etienne.fr |
| Name | Affiliation | Role |
|---|---|---|
| Sébastien SAETTA, PhD | CHU de Saint-Etienne | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU Saint Etienne | Recruiting | Saint-Etienne | 42000 | France |
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| 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 |
|
| 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 |
|
| Baseline from 24 months |
| Analysis of the impact on care pathway | Analysis interview responses. | Baseline from 24 months |
| Analysis of the impact on career paths | Analysis interview responses. | Baseline from 24 months |