['Zero isolation', a care practice oriented towards recovery].

Area of Science:

• Mental Health Care
• Psychiatric Rehabilitation
• Patient Autonomy

Background:

• Many mental health facilities lack dedicated isolation rooms.
• Traditional methods like restraint and isolation are viewed as detrimental patient experiences.
• There's a growing need for patient-centered care models.

Purpose of the Study:

• To describe a care pathway that avoids isolation rooms for managing agitation.
• To promote patient autonomy and minimize restrictions on freedom.
• To present an example of a unit implementing this rehabilitation concept.

Main Methods:

• Qualitative description of a care pathway.
• Focus on continuous professional-user interaction.
• Case example of a rehabilitation unit.

Main Results:

• Agitation is managed through alternative strategies when isolation rooms are unavailable.
• The care pathway successfully prioritizes patient autonomy.
• Reduced restrictions on patient freedom are achieved.

Conclusions:

• A care pathway focusing on autonomy and reduced restrictions is feasible and effective.
• Continuous professional engagement is key in managing agitation without isolation.
• Rehabilitation units can successfully implement this person-centered approach.