Impact of Joint Crisis Plan (PLANCO-ISO)

For some patients in department psychiatric, isolation measures are put in place. But the measures is not pleasant for the patient or for the care team. That's why care team are trying to find ways to improve patient care, including asking them how they would like to be treated. One of the solutions is called the Joint Crisis Plan. A Joint Crisis Plan is a personalized procedure for a patient. It describes the attitude, the care, the measures in case of crisis with the patient and his family. Patients indicate their wishes regarding their care. However, there is no real scientific proof of the effectiveness of this Joint Crisis Plan, especially to reduce isolation measures.

Joint Crisis Plan, Internalized Stigma of Mental Illness (ISMI), Isolation, physical restraint, Psychiatry

Measured by the MacArthur Coercion Scale. Each "True" = 0, and each "False" = 1, perceived cohesion scale score is between 0 and 5, Negative pressures scale score is between 0 and 6, Voice scale score is between 0 and 3, Affective Reactions to Hospitalization score is between 0 and 6.

Measured by the Internalized Stigma of Mental Illness. This scale is a 29 items scale with stigma graded on a 4 point scale (Strongly disagree-1, Disagree-2, Agree-3 and strongly agree-4) which are divided into fivecomponents/domains (alienation, stereotype endorsement, perceived discrimination, social withdrawal and stigma resistance). Higher scores indicate higher level of self stigma.

Inclusion Criteria: Patients >18 years Patients having had at least one isolation, restraint or forced hospitalization measure in the 24 months before inclusion Followed by nurses of a mobile team of psychiatry sector Saint Etienne Social security affiliation Signed informed consent Exclusion Criteria: Patient having already had a Joint Crisis Plan for less than 6 months. Patient does not speak French Pregnant and lactating women