Questioned by a “satellite” of the Church of Scientology, the psychiatric hospital center is defending itself in front of a demonstration scheduled for this Saturday, September 17 in Dijon.
Like many other psychiatric institutions, La Chartreuse Hospital (CHLC) is being targeted by the Citizens’ Commission for Human Rights (CCDH) which reports on alleged “abuse in terms of restraint and isolation”.
The CCDH invites demonstrations this Saturday, September 17, in front of the Dijon health institution after disseminating the information established by the registries of restraint and solitary confinement for the years 2018 to 2020 (read below).
“CCHR is an offshoot of the Church of Scientology”
Saint-Jean-de-Luz, Évreux, Rennes, Quimper … and now Dijon. Many health institutions are defending themselves against the accusations of the CCHR that it is firing on all cylinders to “enforce human rights in psychiatry”.
Due to its name, whose acronym is reminiscent of the European Commission of Human Rights (ECHR) or the National Consultative Commission on Human Rights (CNCDH), some people adorn the structure with an official coating.
However, according to a 2005 report by the Interministerial Mission for the Vigilance and Combating Sectarian Aberrations (MIVILUDES), CCDH is a “satellite” of the Church of Scientology (read the report).
In 2005, the Directorate General of Health – that is, the ministry administration – recommended DDASS – the ancestors of regional health agencies – to alert the media in their region or department by informing them of “the fact that CCHR is an offshoot of the Church of Scientology. “.
“The trial of a psychiatry of yesteryear”
A 2013 Senate report also indicated that the CCDH theses “seemed disconnected from current French realities, noting the exceptionality of seismotherapy and insisting on the rigorous supervision of hospitalizations under duress.” The senators even evoke “the trial of a psychiatry of yesteryear” (read the report).
Asked by Info Dijonthe management of the Chartreuse hospital center responded to the criticisms of the Citizens’ Commission for Human Rights by communicating on the “framework” of the measures and insisting that there was not necessarily “a direct link between the measure registered on the register and that concrete reality the duration of patient care “(see below).
Jean-Christophe Tardivon
Details of the La Chartreuse hospital
Isolation and restraint practices are practices of last resort that are adopted on reasoned decisions by psychiatrists in order to prevent immediate or imminent harm to the patient or others in an appropriate and proportionate manner. They are supervised as part of their renewal, i.e. at least 2 assessments every 24 hours for an isolation measure and 4 assessments every 24 hours for a restraint measure.
All measurements are compiled in the registers and annual reports themselves, reflecting the information system of our care software. As soon as a measurement is entered, it continues to work until it is computerized and the time inevitably elapsed counts. Until 2020 there was not necessarily a direct link between the measurement recorded on the register and the concrete reality of the duration of the patient’s care. Some patients, even if registered in the registry, could be sent home, even on leave. As a result, the actual number of days is much less than our information system would suggest.
Since then, and the collaborative work with the software publisher, information and referral to the Judge of Freedoms, the overall duration of the number of days of solitary confinement has significantly decreased since 2022 in particular, because monitoring between real and the measurements are strongly correlated.
Beyond the apparent decline in the number of measures related to this work with our IT publisher, it should be noted that the institution has implemented a proactive policy to reduce the use of these measures and has implemented various concrete means to do so (a some calm for patients, OMEGA training for healthcare professionals, etc.).
The establishment, which is very aware of these necessary improvements, recorded them in its 2021 isolation and moderation report for 2022, which was also made available to the CDCH.
Communiqué from the Citizens’ Commission on Human Rights of 15 September 2022
694 days of solitary confinement, 557 days of restraint… at the Center Hospitalier La Chartreuse
Volunteers from the Citizens’ Commission for Human Rights (CCDH) will demonstrate this Saturday 17 September 2022 from 2.15 to 15.00 in front of the doors of the Center Hospitalier La Chartreuse in Dijon, to denounce the abuses in terms of restraint and isolation that are practiced there.
Under the law on access to administrative documents, the CCDH has requested the communication of registers and annual reports of restraint and solitary confinement for the years 2017-2020 to all French psychiatric institutions to take a position on these deprivation measures. freedom.
The Center Hospitalier La Chartreuse in Dijon sent its restraint and solitary confinement records to the CCDH for the years 2018-2020.
According to the 2018 annual report, the number of acts of isolation, with or without restrictions, increased by 8% between 2017 and 2018. 95.6% of these acts were performed in a non-dedicated space (i.e. outside an isolation room, which means that isolation and restraint are generalized in the “normal” rooms of the establishment).
Therefore, the CCDH studied the registers and annual reports for the years 2019 and 2020 transmitted by the Center Hospitalier La Chartreuse and the following emerges.
1) Patients present in the registers 2019 and 2020
Patient 18XXX (in free treatment): 694 days of isolation in total of which 435 days with restraint in the 2 years;
Patient 20XXX: 600 days of isolation in total with 17 days of restraint of which 11 consecutive days;
Patient 750XXXX (71 years): 586 days in total isolation and 557 days in restraint;
Patient 659XXXX (in private care except two measurements): 580 days of isolation in total;
Patient 1XX (in free treatment): 472 days of isolation in total and 351 days of restraint;
Patient 17XXX (in free treatment): 458 consecutive days of restraint as part of an isolation measure;
Patient 104XXXXXX: 452 days in total isolation;
Patient 1139XXXX (79-year-old patient on free treatment): 450 almost consecutive days of isolation, of which 442 with restraint;
Patient 13XXX (in free treatment): 416 days of isolation in total of which 181 days of restraint;
Patient 21XXX (in free treatment): 402 days of isolation in total and 296 days of restraint;
Patient 4XX (in free treatment): 402 days of isolation in total;
Patient 103XXXXX: 364 days in total isolation;
Patient 8XX (70-year-old patient on free treatment): 317 days of isolation in total, of which 308 days with restraint;
Patient 366XXXX: 310 days of isolation in total;
Patient 28XX (71-year-old patient on free treatment): 308 consecutive days of isolation;
Patient XX (in free treatment): 289 days of isolation in total, of which 68 consecutive days with restraint;
Patient 5XX: 280 days in total isolation and 179 days in restraint;
Patient 525XXXX: 279 days in total isolation and 9 days in restraint;
Patient 1XXX: total of 279 days in isolation;
Patient 110XXXXXX: 278 days in isolation in total;
Patient 247XXXX (in free treatment): total of 253 days of isolation including 171 days of restraint;
Patient 3XXX (patient of 64 years): 236 consecutive days of isolation of which 228 with restraint;
Patient 723XXXX (in free treatment): 175 days of isolation in total; etc
2) Patients registered only in the 2019 registry
Patient 116XXXXXX: 366 consecutive days of restraint with isolation, or a full year;
Patient 350XXXX: 335 almost consecutive days of restraint with isolation;
Patient 424XXXX: 230 days of isolation in total of which 47 days of restraint;
Patient 324XXXX: 228 consecutive days of isolation;
Patient 21XXX (in free treatment): 226 days of isolation in total of which 76 days of restraint;
Patient 20XXX: 215 consecutive days of isolation;
Patient 114XXXXXX: 213 days of almost consecutive isolation;
Another 10 patients underwent between 100 and 196 days of isolation in 2019 (with restraint for some of them);
other 6 patients between 51 and 91 days of isolation (with restraint also for some of them);
A further 3 patients underwent 19 days, 25 days and 33 consecutive days of restraint with isolation, respectively.
3) Patients registered only in the 2020 registry
Patient 104XXXXX (in free treatment): 319 consecutive days of isolation;
Patient 3XX (in free treatment): 305 days of isolation in total;
Patient 118XXXXX (64-year-old patient in free treatment): 291 consecutive days of restraint in the context of isolation;
Patient 750XXXX: 246 consecutive days of isolation;
Patient 118XXXXXX (84-year-old self-sufficient patient): 221 consecutive days of isolation and restraint;
Patient 418XXXX: 214 consecutive days of isolation;
Patient 271XXXX: 214 days in total isolation;
Patient 2XXX (77-year-old patient in free treatment): 200 consecutive days of isolation;
Another 11 patients underwent from 104 days to 178 days of isolation (in restraint and / or in “free treatment” for some of them);
13 other patients between 50 days and 98 days of isolation (in restraint and / or in “free treatment” even for some of them);
A child under 15 in “free treatment” has undergone 70 consecutive days of isolation.
Several dozen other patients underwent isolation and restraint measures in 2019 and 2020, the cumulative duration of which is between 10 and 50 days.
Furthermore, here are some data for 2020, taken from the Institution’s project “Policy for the reduction of isolation and restraint practices 2021-2025”:
424 of the 973 insulation measures were adopted outside the dedicated space, or 43.6%;
224 of the 376 restraint measures were decided on so-called “free care” patients, or 59.6%;
81 of the 159 patients included in the year were on “free treatment”, or 52.8%, with a maximum duration of 339 days.
Therefore, the law and recommendations of the High Authority for Health (HAS) were largely disregarded within the Center Hospitalier La Chartreuse.
Indeed, according to the recommendations of the HAS, isolation should not exceed 12 hours, restraint should be limited to 6 hours, except in exceptional circumstances.
The CCDH recalls the provisions of article L3222-5-1 of the Public Health Code which states that solitary confinement and restraint are practices of last resort, adopted for a limited period.
In order for these abuses to stop and shed light on the practices of the Center Hospitalier La Chartreuse, the CCDH will demonstrate in front of the establishment on Saturday 17 September 2022 from 2.15 to 3.00 pm.
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