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Master Thesis

Mesures de restriction des libertés lors d’une première hospitalisation en psychiatrie : influence sur la continuité du suivi ambulatoire à un an

Abstract : The early intervention in psychiatric disorders to improving the clinical and functional prognosis has been studied for several years. Patient compliance must be paid attention, from the first months after a first episode. The use of freedom-restraining measures during the first psychiatric admission can reduce patient compliance. We conducted a literature review for the early management of psychiatric disorders, the specificities of the first psychiatric episode treatment, and the different measures and care that can be provided during a first hospitalization. A study with patients during a first psychiatric admission was carried out to evaluate the influence of freedom-restraining measures on the continuity of care after un first psychiatric admision. In our study, isolation is associated with non-compliance at one year in patients hospitalized for delusional disorder. The other freedom-restraining measures (physical restraint, involuntary commitment, hospital pyjamas, removing the telephone) are not associated with a non-compliance. A more cautious use appears essential in order to ensure a prescription adapted to each situation. In addition, better information to the patient seems to be a potential mean of reducing the feeling of injustice or inadequacy leading to non-compliance.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03463142
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Submitted on : Thursday, December 2, 2021 - 11:44:23 AM
Last modification on : Friday, August 5, 2022 - 2:43:21 PM
Long-term archiving on: : Thursday, March 3, 2022 - 7:10:38 PM

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  • HAL Id : dumas-03463142, version 1

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Mylène Charre. Mesures de restriction des libertés lors d’une première hospitalisation en psychiatrie : influence sur la continuité du suivi ambulatoire à un an. Médecine humaine et pathologie. 2020. ⟨dumas-03463142⟩

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