[Isolation and restraint in units for difficult patients and in psychiatric intensive care units].

Rev Infirm

Unité pour malades difficiles (UMD), Pôle de psychiatrie médico-légale (PPML), Centre hospitalier de Cadillac, 33410  Cadillac, France; Institut psycho-judiciaire et de psychopathologie (IPJP), Institute of Forensic Psychology and Psychopathology, Centre hospitalier de Cadillac, 33410 Cadillac, France; Psychologie-Criminologie-Victimologie (PCV), 33000  Bordeaux, France; Statistics and Population Studies Department, Faculty of Natural Sciences, University of the Western Cape, Bellville, 7535 Cape-Town, South Africa. Electronic address:

Published: June 2023

The units for difficult patients (UMD) and the intensive psychiatric care units (Usip) are psychiatric services that are not successively sectorized, created to meet the needs of intensive care in a closed environment and sometimes of a forensic nature. These two systems are used to care for patients whose clinical condition often makes it too complex to maintain them in sector psychiatric units, and many of their operating rules differ. This is not the case for seclusion and restraint measures and the application of the law governing these measures.

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http://dx.doi.org/10.1016/j.revinf.2023.05.005DOI Listing

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