Sante Mentale au Quebec最新文献

{"title":"[In Quebec, mental health without kinesiology is like a sugar shack without sirup].","authors":"Samuel St-Amour, Ahmed Jérôme Romain, Paquito Bernard","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Imagine a treatment improving physical AND mental health is identified by an important number of studies. Scientists continuously work on this treatment to analyze, improve, and understand it better. Imagine that this treatment is not only cheap but makes people save money when used. Imagine now that a large number of professionals are especially trained each year to administer this treatment but next to none are working in any health service centre nor pharmacy. This absurd situation is currently happening in Quebec. Despite the vast literature supporting the benefits of physical activity for mental health, kinesiologists are seldom involved in mental health care settings. Paradoxically, Quebec's and Canada's researchers have made important strides on this subject over the last decade. Indeed, teams worked to analyze physical activity's effect on mental well-being, mental illness symptoms and comorbid metabolic disorders. But kinesiologists (physical activity and behaviour change specialists) are still chronically underemployed in mental health settings nonetheless. Today, fewer than 1 in 3 kinesiology graduates is fully employed in a position linked to their training (including a variety of fields outside of health services). Financing the implantation of kinesiologists in public health services would, therefore, be among the best use of public funds.</p>","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"51 2","pages":"85-99"},"PeriodicalIF":0.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148670808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The use of AI scribes across medical fields and why psychiatry is lagging behind: A scoping review.","authors":"Chloé Daignault, Justine Audelin-Rinfret, Marie Désilets, Arash Bahremand, André Do","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Objective This scoping review aimed to examine the current available literature on the use of artificial intelligence (AI) scribes across all medical fields compared to their use in psychiatry. Methods A scoping review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines. Five electronic databases (PubMed, MEDLINE, EMBASE, PsycINFO, and CINAHL) were systematically searched for studies published up to June 2025. Two reviewers independently screened titles and abstracts according to pre-established eligibility criteria using the PICOS framework. Full-text articles were then assessed for inclusion. Results A total of 1896 records were identified, of which 15 met the inclusion criteria. Most studies were conducted in outpatient, primary care, and procedural settings. Across studies, clinicians generally reported favorable acceptance and perceptions of AI scribes. Findings also suggested improved clinician well-being, reduced documentation time, better workflow efficiency, and positive patient experience. Results on documentation accuracy and quality were mixed. Critically, no eligible studies evaluated the use of AI scribes in psychiatry. Limitations included study heterogeneity, with wide variations in study design, sample size, and evaluation metrics. Conclusion The absence of empirical studies in psychiatry highlights a significant gap in the literature, particularly in contrast to the growing body of research across other medical specialties. Because of its unique clinical, ethical, and relational dimensions, dedicated research is needed to evaluate the feasibility, safety, and ethical implications of implementing AI scribes in psychiatric care.</p>","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"51 2","pages":"53-83"},"PeriodicalIF":0.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148670748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[\"I tried so hard to be normal… that I ended up exhausting myself.\": Forms of social exclusion experienced by young autistic adults].","authors":"Isabelle Courcy, Maxime Bélanger, Catherine Des Rivières-Pigeon, Lucila Guerrero, Isabelle Soulières","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Introduction Autistic people are particularly at risk of experiencing forms of violence, ostracism or discrimination, which lead to social exclusion in the course of their lives. However, very little research has addressed social exclusion from its subjective dimensions (e.g. attitudes, opinions, social representations and self-perception) and the relational contexts in which these experiences take shape and affect well-being and mental health. This article presents the results of qualitative research conducted with young autistic adults in Quebec who took part in asynchronous online discussion groups. It aims to identify the forms of social exclusion shared by the participants to better understand the relational contexts in which these experiences take place. Method Four asynchronous online focus groups were conducted with 23 autistic adults living in Quebec and aged 19 to 31 (average: 24). They all have received a professional diagnosis of autism. For nearly 3 weeks, open-ended questions were asked on a specific topic. A qualitative analysis using open coding was conducted. Results: The results show 4 main sources of exclusion mentioned by the participants: microaggressions, discrimination, victimization and constraints on self-determination. Social exclusion takes place in a variety of relational contexts, in which the entourage and formal services are sometimes seen as supports, sometimes as sources of vulnerability. Strategies of concealment, self-exclusion and camouflage appear to be ways of preventing exclusion, to the detriment of well-being. Discussion Five avenues for improvement in clinical and reception practices in general services are identified: 1. Develop service delivery practices in general and specialized services that are sensitive to the characteristics and needs of autistic people; 2. Adopt a trauma-informed approach and promote environments that support recovery; 3. Improve the flexibility of services and intervention methods in response to the needs expressed by autistic people; 4. Continue awareness-raising efforts to promote greater social acceptance of autism and neurodiversity in schools and the workplace; 5. Establish cross-sectoral collaborations between the education, employment, health, and social services sectors, involving user groups and advocacy organizations, to contribute to the development of truly inclusive practices.</p>","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"51 2","pages":"305-331"},"PeriodicalIF":0.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148670799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Spirituality and cortisol in people living with schizophrenia: An exploratory study].","authors":"Ariane Poulin, Sonia Lupien","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Objective Several factors can contribute to the recovery of people living with schizophrenia. According to service users living with schizophrenia, spirituality would be an important element in their recovery journey. Spirituality could serve as a coping mechanism to manage psychological stress. The objective of this exploratory study was to examine the relationship between spirituality and cortisol, a stress biomarker, among people living with schizophrenia compared to the general population. Method Participants were drawn from the Signature Project of the Institut universitaire en santé mentale de Montréal (IUSMM). The sample included 94 people living with schizophrenia and 95 control participants. Linear regressions were performed to examine the association between spirituality and cortisol. Results Individuals with schizophrenia accorded greater importance to spirituality than control participants, with a medium to large effect size. Spirituality was more important for women than men, regardless of the group. No significant differences were observed in cortisol concentrations. Lastly, spirituality had no effect on cortisol levels in either group. Bayesian analyses confirmed that the absence of effect was real and not due to a lack of statistical power. Conclusion This study highlights the clinical relevance and importance of integrating the perspective of those directly involved by confirming that people living with schizophrenia place great importance on spirituality. Furthermore, the findings suggest that the role played by spirituality in the recovery of people living with schizophrenia does not rely on a physiological mechanism. Therefore, it would be pertinent to explore the relationship between spirituality and other dimensions of recovery, such as psychological, social or cognitive aspects. A better understanding of the role of spirituality in the recovery of people living with schizophrenia would provide a better comprehension of how to mobilize it to support service users in their ongoing journey.</p>","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"51 2","pages":"31-51"},"PeriodicalIF":0.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148670792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"L’approche en santé mentale : une évolution permanente.","authors":"Nadine Larivière","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"51 2","pages":"269-271"},"PeriodicalIF":0.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148670739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Patient partnership and neuromodulation in mental health: A field worth cultivating].","authors":"Jillian Mills, Kamilia Soltani, Olivier Roy, Lionel Cailhol","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Background/Originality Collaboration between patient partners (PPs), clinicians, and researchers is rapidly expanding in mental health care and research. This participatory approach, integrating patient experiential knowledge with scientific expertise is progressively transforming research paradigms with significant positive impacts. Patient engagement promotes adhesion to research projects, facilitates knowledge transfer, and contributes to reducing the stigma associated with mental illness. In addition, it helps advance therapeutic targets and interventions that better address patients' real-world needs. Neuromodulation is an emerging field with the potential to overcome many limitations of our current mental health systems. Its therapeutic efficacy has been demonstrated for various psychiatric conditions, yet it remains largely unknown to the public and inaccessible to many patients who could benefit from these otherwise promising interventions. The involvement of PPs in neuromodulation research and its impacts, currently undocumented in the scientific literature, would offer new and necessary perspectives on these challenges and warrants further investigation. Objective This article explores the roles and impacts of PP engagement in mental health research involving neuromodulation, with a focus on the specific issues that affect its implementation. We also examine the perspectives of both the PP and the researchers currently collaborating on TENTADIS, a project investigating home-based transcranial direct current stimulation (tDCS) for individuals suffering from borderline personality disorder. Through an examination of the literature and experiential reflections, this paper identifies various roles that the patient partner can fill in the co-construction of neuromodulation research and the important effects of such partnerships. Method/Expected Results This perspective article is based on a reflective analysis of co-construction experiences within the TENTADIS project, integrated with current literature on neuromodulation research and participatory approaches in mental health. Expected Impacts (Discussion) Within the TENTADIS research project, the PP actively participates in protocol development, contributing experiential knowledge that highlights practical constraints, participant expectations, and patient needs, thus enriching project design. Expected outcomes include advances in understanding both clinical and patient-related issues associated with neuromodulation, and identification of the specific contributions PPs can make in this field. This collaboration illustrates how co-construction can reduce barriers to access, improve intervention acceptability, and accelerate the implementation of neuromodulation in mental health services.</p>","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"51 2","pages":"251-261"},"PeriodicalIF":0.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148670810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[The Group as Care: Group Dynamics and Functions in Adventure Therapy for Young Adults with Psychosis].","authors":"Catherine Séguin-Green, J Éric Dubé, Clairélaine Ouellet-Plamondon","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Ojectives The repercussions of a first episode psychosis (FEP) can be very trying for people suffering from it and those around them. The recovery process remains laborious and some people have difficulty engaging in it. Understanding better the effects of group intervention on people suffering from so-called negative symptoms or on those more resistant to usual treatments appears necessary. Adventure therapy stands out among group interventions for its outdoor activities, in a natural setting, aimed at behavioral changes. This study aims to better understand emerging group phenomena, as well as the functions of a group of young psychotic adults who participated in an adventure therapy program. The program included four weeks of preparatory meetings, followed by a four-day expedition in nature and a postexpedition debriefing session. Method This qualitative study is based on participant observation conducted throughout the program, as well as semi-structured interviews with 8 participants who experienced a FEP, carried out up to 6 months after the expedition. The research material was analysed using a thematic analysis, followed by an interpretative phenomenological analysis, in order to deepen the understanding of participants' lived experience. Results The analyses highlighted 8 key themes, 4 focused on group phenomena that emerged during the expedition (mutual support and initiative in interpersonal context, motivational effect, destigmatizing effect, solidarity) and 4 on the functions of group dynamics (containment, regulation, mediation, contemplation). Discussion Adventure therapy appears to promote setting in motion and the recovery of self-confidence among participants in addition to helping them overcome significant relational difficulties related to their mental health diagnosis. The structure of the program, the continuous presence of mental health professionals, as well as the presence of peers with a similar life path, seem reassuring and to allow for breaking isolation, socializing, developing emotional regulation skills, initiating reflections on lifestyle habits and, for some, changing these habits following the expedition. Conclusion This study highlights the therapeutic potential of adventure therapy, which can be beneficial and complementary to usual treatment in a global approach to the treatment of a FEP.</p>","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"51 2","pages":"333-360"},"PeriodicalIF":0.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148670727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Fifteen years of commitment to improving mental health practices: 3 initiatives supported by participatory research].","authors":"Catherine Briand, Michel Perreault, Brigitte Vachon, Juliette Nadeau-Tremblay, Diana Milton","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Continuous improvement of practices is a constant challenge for healthcare organizations, managers, and decision-makers. Despite knowledge of evidence-based data and recommended health practices, integrating best practices into care and services remains difficult and requires tailored support approaches. Over the past 30 years, several initiatives have been implemented to support the continuous improvement of practices in the field of mental health in Quebec. Within these continuous improvement processes, close collaboration with stakeholders at all stages of the process, under collaborative leadership, has been an essential component. Objectives The aim of this article is to present 3 initiatives supporting the continuous improvement of practices in the field of mental health in Quebec, which involved a participatory research approach as well as a close partnership of more than 15 years between researchers and managers. Method The article draws on 3 different initiatives supporting continuous improvement of practices in the mental health field, as described by the researchers involved. It takes an auto-ethnographic approach and cross-reflection with the aim of identifying points of convergence and findings from experience. The 3 initiatives are as follows: (1) the À portée de main program, supporting the implementation of practices that foster personal recovery; (2) the cross-training program, supporting exchanges and transformation of practices in concurrent disorders; (3) the COMPAS+ program, supporting quality improvement in primary care services. These initiatives involved different stakeholders. Results Several points of convergence were identified regarding the challenges and facilitators of such approaches. They highlight the importance of spaces for exchange and co-creation to enable a redefinition of ways of doing things, as well as what is referred to as \"transformative learning.\" They also illustrate the importance of participatory evaluative research in fostering reflective practice that leads to action and practice change. Conclusion This article provides an opportunity to engage in critical reflection on the complexity of continuous improvement initiatives in our healthcare systems. Despite structural reforms to Quebec's healthcare system, managers and other stakeholders must be able to rely on the expertise of researchers and their ability to inject agility into systems that, unfortunately, are not very flexible. Close collaboration between managers and researchers deserves to be protected and better valued.</p>","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"51 2","pages":"125-152"},"PeriodicalIF":0.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148670736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transformer la santé mentale par la recherche : 30 ans d’engagement au Québec.","authors":"Marc Corbière, Johana Monthuy-Blanc","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"51 2","pages":"19-30"},"PeriodicalIF":0.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148670797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"L’ornithorynque et le thermomètre : réflexions sur les 30 ans du CR-IUSMM et les transformations contemporaines de la recherche en santé mentale.","authors":"Emmanuel Stip, Lionel Cailhol","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"51 2","pages":"11-18"},"PeriodicalIF":0.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148670742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}