[Security and home emergency psychiatric interventions].
Sectorisation of cares leads professionals to a confrontation with violent home patients. These interventions need a maximal security for professionals. Emergency Mobile Crisis Team (ERIC) has more than 6,000 crisis home interventions' experience. The aim of this study was to assess violent situations during a 42 months experience. We present 70 situations of danger for professionals, and their consequences. Difficulties lead to procedural safety measures, which are presented. Prevention of violence during intervention needs an acute preparation, a clear evaluation of context, and passive or active securisation measures. Occurrence of acting-out is low, but situations considered as dangerous are frequent. We propose some pragmatic issues to increase security in crisis home interventions.
Pochard
F
F
Equipe Rapide d'Intervention Crise (ERIC), Plaisir.
Robin
M
M
Regel
I
I
Mauriac
F
F
Waddington
A
A
Kannas
S
S
D000062:Accidents, Occupational / Q000517:prevention & control / Q000706:statistics & numerical data; D000184:Acting Out; D003419:Crisis Intervention; D004637:Emergency Services, Psychiatric; D005196:Family Therapy; D005602:France; D006801:Humans; D008952:Mobile Health Units; D012307:Risk Factors; D012449:Safety; D012637:Security Measures; D014754:Violence / Q000517:prevention & control / Q000706:statistics & numerical data*; D014947:Wounds and Injuries / Q000453:epidemiology / Q000517:prevention & control