RESUMEN
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.
Asunto(s)
Internamiento Obligatorio del Enfermo Mental/legislación & jurisprudencia , Trastornos Mentales/enfermería , Servicio de Psiquiatría en Hospital/legislación & jurisprudencia , Violencia/prevención & control , Redes Comunitarias/ética , Redes Comunitarias/legislación & jurisprudencia , Consenso , Ética Médica , Francia , Adhesión a Directriz , Humanos , Trastornos Mentales/psicología , Defensa del Paciente/legislación & jurisprudencia , Aislamiento de Pacientes/legislación & jurisprudencia , Aislamiento de Pacientes/psicología , Servicio de Psiquiatría en Hospital/ética , Enfermería Psiquiátrica/legislación & jurisprudencia , Restricción Física/legislación & jurisprudencia , Restricción Física/psicología , Medición de Riesgo/legislación & jurisprudencia , Esquizofrenia/diagnóstico , Esquizofrenia/enfermería , Psicología del Esquizofrénico , Violencia/éticaRESUMEN
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.
