Over recent years, the psychiatric sector has endeavoured to develop community-based care. Paradoxically, the number of compulsory hospitalisations is increasing. At the same time, the legal framework is evolving and measures relating to the deprivation of liberty in the context of psychiatric care have given rise to extensive guidelines. The work of the French National Health Authority represents, in this context, a certain continuity, with regard to the legal, ethical and social discussions around restriction of liberty practices within psychiatric units. The main focus is on the prevention and management of violent outbursts.
Commitment of Mentally Ill/legislation & jurisprudence , Mental Disorders/nursing , Psychiatric Department, Hospital/legislation & jurisprudence , Violence/prevention & control , Community Networks/ethics , Community Networks/legislation & jurisprudence , Consensus , Ethics, Medical , France , Guideline Adherence , Humans , Mental Disorders/psychology , Patient Advocacy/legislation & jurisprudence , Patient Isolation/legislation & jurisprudence , Patient Isolation/psychology , Psychiatric Department, Hospital/ethics , Psychiatric Nursing/legislation & jurisprudence , Restraint, Physical/legislation & jurisprudence , Restraint, Physical/psychology , Risk Assessment/legislation & jurisprudence , Schizophrenia/diagnosis , Schizophrenia/nursing , Schizophrenic Psychology , Violence/ethics
Several measures relating to seclusion and restraint are included in the French public health code. The best practice guidelines of the French National Health Authority, published in 2017, define these two notions and advise on the behaviour to adopt with regard to their implementation and monitoring. Likewise, informing and supporting the patient when these measures are lifted are critical moments which the teams must also be able to manage correctly.
Guideline Adherence , Mental Disorders/nursing , Patient Isolation/legislation & jurisprudence , Psychiatric Department, Hospital/legislation & jurisprudence , Restraint, Physical/legislation & jurisprudence , Risk Assessment/legislation & jurisprudence , France , Guideline Adherence/legislation & jurisprudence , Humans , Mental Disorders/psychology , National Health Programs/legislation & jurisprudence , Patient Care Team/legislation & jurisprudence , Patient Isolation/psychology , Psychiatric Nursing/legislation & jurisprudence , Restraint, Physical/psychology , Symptom Assessment/nursing , Symptom Assessment/psychology
