La contention physique en psychiatrie : étude du vécu soignant et perspectives actuelles

Abstract : At all times, physical restraint has been an integral part of the care of the mentally ill, as a safe measure most often, sometimes as a therapeutic tool. Its upsurge in psychiatric services since the 2000s, now places it at the heart of the concerns of health care personnel and users, but also legislators and politicians. The objective of this transverse descriptive epidemiological study of the caregiver's experience, hitherto little explored, is to highlight the positioning of caregivers confronted with this practice. The results show an intense emotional charge, with dominance of guilt, frustration and feeling of failure. This act remains nevertheless considered difficult but necessary. A desire for change is perceptible, with the emergence of ways to improve, such as the generalization of training in the management of violence and the opening of team speaking time around restraint experiments. In view of the results and the observation of other models of care organization, a reflection on the use of this means of constraint seems unavoidable, integrating an ethical dimension. The recent recommendations and the law in force aim at the reduction of the restraint, designated like last resort, and a better traceability of its use. Granting the practices of the mental health institutions to these aspirations can not be done without including the caregivers and offering them the human and material means.
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Submitted on : Tuesday, April 30, 2019 - 12:15:34 PM
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Alice Huguet. La contention physique en psychiatrie : étude du vécu soignant et perspectives actuelles. Médecine humaine et pathologie. 2018. ⟨dumas-02115470⟩

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