Barriers to discharge: A retrospective study of factors associated with stays of longer than 2 years in a French secure hospital unit.

IF 1.1 4区医学 Q3 CRIMINOLOGY & PENOLOGY

Criminal Behaviour and Mental Health Pub Date : 2024-11-05 DOI:10.1002/cbm.2359

Camille Larhant, Sophie Raymond, Laurie-Anne Claude, Michel Lejoyeux, Ivan Gasman

{"title":"Barriers to discharge: A retrospective study of factors associated with stays of longer than 2 years in a French secure hospital unit.","authors":"Camille Larhant, Sophie Raymond, Laurie-Anne Claude, Michel Lejoyeux, Ivan Gasman","doi":"10.1002/cbm.2359","DOIUrl":null,"url":null,"abstract":"Background: Extended stays in specialist secure hospital units raise ethical concerns. While this topic has been investigated in various countries, there has been little research on it in France.Aims: We aimed to study the length of stay of patients in the Henri Colin unit, a secure hospital unit in the Paris area and test relationships between length of stay and sociodemographic, clinical and legal features.Methods: In this records-based retrospective study, we included all 60 inpatients on a census day just prior to the pandemic. We chose a 2-year threshold to define long stay status.Results: Mean length of stay was just in the long-stay range (756.7 days, SD 1071.2). Over a quarter (17, 28%) of the patients had been hospitalised for more than 2 years and 5 (8%) patients for more than 5 years. In multivariate analysis, legal status and need for seclusion during stay were significantly associated with long-stay status. These results are consistent with international literature, especially as they show the significant interplay between legal and medical aspects in the patients' care pathway.Conclusion: As the first such study in a specialist medium security hospital unit in France, this study adds to the international evidence on the complexities surrounding extended stays in secure units and underscores the importance of addressing both clinical and legal aspects in the treatment of patients with mental disorders in these settings.","PeriodicalId":47362,"journal":{"name":"Criminal Behaviour and Mental Health","volume":null,"pages":null},"PeriodicalIF":1.1000,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Criminal Behaviour and Mental Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/cbm.2359","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"CRIMINOLOGY & PENOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Extended stays in specialist secure hospital units raise ethical concerns. While this topic has been investigated in various countries, there has been little research on it in France.

Aims: We aimed to study the length of stay of patients in the Henri Colin unit, a secure hospital unit in the Paris area and test relationships between length of stay and sociodemographic, clinical and legal features.

Methods: In this records-based retrospective study, we included all 60 inpatients on a census day just prior to the pandemic. We chose a 2-year threshold to define long stay status.

Results: Mean length of stay was just in the long-stay range (756.7 days, SD 1071.2). Over a quarter (17, 28%) of the patients had been hospitalised for more than 2 years and 5 (8%) patients for more than 5 years. In multivariate analysis, legal status and need for seclusion during stay were significantly associated with long-stay status. These results are consistent with international literature, especially as they show the significant interplay between legal and medical aspects in the patients' care pathway.

Conclusion: As the first such study in a specialist medium security hospital unit in France, this study adds to the international evidence on the complexities surrounding extended stays in secure units and underscores the importance of addressing both clinical and legal aspects in the treatment of patients with mental disorders in these settings.

查看原文本刊更多论文

出院障碍：一项关于法国一家安全医院病房中住院时间超过两年的相关因素的回顾性研究。

背景：在专科安全医院病房长期住院会引发伦理问题。目的：我们旨在研究巴黎地区一家安全医院亨利-科林病房病人的住院时间，并检验住院时间与社会人口、临床和法律特征之间的关系：在这项以病历为基础的回顾性研究中，我们纳入了大流行病爆发前普查日的所有 60 名住院病人。我们选择了 2 年作为界定长期住院状态的门槛：结果：平均住院时间刚好在长期住院的范围内（756.7 天，SD 1071.2）。超过四分之一的患者（17 人，28%）住院时间超过 2 年，5 人（8%）住院时间超过 5 年。在多变量分析中，法律地位和住院期间的隔离需求与长期住院状态有显著关联。这些结果与国际文献一致，特别是因为它们显示了患者护理路径中法律和医疗方面的重要相互作用：作为在法国一家中等安全级别的专科医院病房进行的首次此类研究，本研究为国际上有关安全级别病房长期住院的复杂性提供了更多证据，并强调了在此类环境中治疗精神障碍患者时同时解决临床和法律问题的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Criminal Behaviour and Mental Health Multiple-

CiteScore

1.60

自引率

0.00%

发文量

期刊介绍： Criminal Behaviour & Mental Health – CBMH – aims to publish original material on any aspect of the relationship between mental state and criminal behaviour. Thus, we are interested in mental mechanisms associated with offending, regardless of whether the individual concerned has a mental disorder or not. We are interested in factors that influence such relationships, and particularly welcome studies about pathways into and out of crime. These will include studies of normal and abnormal development, of mental disorder and how that may lead to offending for a subgroup of sufferers, together with information about factors which mediate such a relationship.