Post-traumatic stress disorder and restraint in patients followed at Arrazi Hospital

Introduction Post-traumatic stress disorder (PTSD) is characterized by intense, unpleasant, and dysfunctional reactions that appear after an overwhelming traumatic event. A life-threatening or serious injury event can cause lasting and intense suffering. Hospitalization without consent, the use of isolation techniques, restraint or the obligation to take treatment are situations that can be perceived as traumatic. Objectives Our goal is: The search for the existence of psycho-pathological links and vulnerabilities between the state of post-traumatic stress and physical restraint. Consideration of the traumatic event in the development of appropriate care strategies. Our goal is:The search for the existence of psycho-pathological links and vulnerabilities between the state of post-traumatic stress and physical restraint.Consideration of the traumatic event in the development of appropriate care strategies. Methods To meet this objective, we carried out a descriptive study which identified 200 cases collected in the psychiatric emergency department of the Arrazi Hospital in Salé from 2017 to 2021. An exploitation sheet was drawn up and the study was carried out using Meta-chart and Visuel-chart software. Results At the end of this work we found: The average age is 35 years +/- the sex ratio is equal to 1.42. 80% are single while 10% are divorced. Regarding professional activity, 70% are unemployed. 10% of patients have a level of education above the baccalaureate. As for the history, 60% of the cases studied have a personal psycho-addictive history. 34.6% of the cases studied have a medical-surgical history. The psychiatric pathologies that were found are: 10% suffer from depressive disorder, 80% have psychosis, 10% have attempted suicide. Conclusions During an acute episode, patients may be exposed to coercive treatments. Hospitalization without consent, the use of isolation techniques, restraint or the obligation to take treatment are all factors that can be perceived as traumatic. For example, patients recently exposed to a first psychotic episode confirmed the traumatic character of the psychotic episode itself, of the treatment or of both. Disclosure of Interest None Declared

Introduction: Post-traumatic stress disorder (PTSD) is characterized by intense, unpleasant, and dysfunctional reactions that appear after an overwhelming traumatic event.A life-threatening or serious injury event can cause lasting and intense suffering.Hospitalization without consent, the use of isolation techniques, restraint or the obligation to take treatment are situations that can be perceived as traumatic.Objectives: Our goal is: The search for the existence of psychopathological links and vulnerabilities between the state of posttraumatic stress and physical restraint.Consideration of the traumatic event in the development of appropriate care strategies.Our goal is:The search for the existence of psycho-pathological links and vulnerabilities between the state of post-traumatic stress and physical restraint.Consideration of the traumatic event in the development of appropriate care strategies.Methods: To meet this objective, we carried out a descriptive study which identified 200 cases collected in the psychiatric emergency department of the Arrazi Hospital in Salé from 2017 to 2021.An exploitation sheet was drawn up and the study was carried out using Meta-chart and Visuel-chart software.Results: At the end of this work we found: The average age is 35 years þ/the sex ratio is equal to 1.42.80% are single while 10% are divorced.Regarding professional activity, 70% are unemployed.10% of patients have a level of education above the baccalaureate.As for the history, 60% of the cases studied have a personal psychoaddictive history.34.6% of the cases studied have a medical-surgical history.The psychiatric pathologies that were found are: 10% suffer from depressive disorder, 80% have psychosis, 10% have attempted suicide.
Conclusions: During an acute episode, patients may be exposed to coercive treatments.Hospitalization without consent, the use of isolation techniques, restraint or the obligation to take treatment are all factors that can be perceived as traumatic.For example, patients recently exposed to a first psychotic episode confirmed the traumatic character of the psychotic episode itself, of the treatment or of both.

EPV0777
Organization of psychological rehabilitation and medical care for patients with mental health issues caused by military operations M. Arakelyan1 *, T. Tunyan2 and K. Grigoryan3 Introduction: On 11 October, 2020, a post-traumatic psychological rehabilitation (PPR) department was formed in the Armed Forces owing to the last Nagorno-Karabakh war on 27 September 2020.Initially, it was located in one of the military training centers, and a day after the end of the war, on November 10, it was moved to the "Mountain Armenia" rest house in Dilijan to ensure the continuous process of rehabilitation of wounded servicemen.In addition to the qualified professional help, the favorable climatic, high-quality social-living conditions were added, which, in terms of treatment, contributes more to the transformation of the psycho-traumatic memory of the combat situation and conditions.Objectives: The objective was to sort military personnel who suffered as a result of hostilities, psychological, post-stress, mental illnesses that have not yet been diagnosed, inpatient treatment, and psychological support.The composition of patients treated in the PPR center by category.Compulsory military service, officers and NCOs, contract servicemen, conscripted by mobilization.All the patients admitted with acute stress reactions or PTSD also had the following conditions: -Mine debris (after processing), -Gunshot wound /after treatment/, -Closed Head Injury, -Witnessed the death of a comrade-in-arms or close brother or father or childhood friend, -Provided assistance to a wounded or mutilated corpse, -They were under siege, in captivity.Methods: The following therapeutic methods were used in the Center.Pharmacotherapy -Antidepressants, tranquilizers, herbal preparations, nootropics, atypical neuroleptics, symptomatic medication.
Group and individual psychotherapy and psychodiagnostics -CBT/REBT, EMDR, Biofeedback, Art Therapy, Music Therapy, Sport Activity etc.
Results: From 11 October, 2020 to 24 December, 2021, more than 700 military personnel received inpatient treatment in the post-