Sante Mentale au Quebec最新文献

{"title":"Pratiques en santé mentale et besoins spécifiques.","authors":"Nadine Larivière","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"50 2","pages":"195-196"},"PeriodicalIF":0.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147436342","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":"[Recurring Floods: The Complex Relationship Between Mental Health and the Difficult Decision to Stay or Leave].","authors":"Ariane Hamel, Nathalie St-Amour","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Objectives This article presents part of the results of a study examining the recovery process of individuals repeatedly affected by flooding, conducted as part of the lead author's master's research. The study focuses specifically on the factors influencing the decision to stay in or leave one's home and neighborhood after recurrent flooding events, and how these factors are closely linked to the mental health of flood-affected individuals. Method Adopting a phenomenological qualitative approach, the study is based on the lived experiences of 14 residents of Pointe-Gatineau who experienced multiple floods (2017, 2019, and for some, 2023). Of these, 9 participants remained in the neighborhood after all 3 flood events, while 5 left following the 2019 floods. Semi-structured interviews were conducted to capture the complexity of their experiences. Results Data analysis indicates that several factors influence the decision to stay or leave, including attachment to one's home and the natural and built environment, financial situation, stress experienced during the floods, and adaptation strategies developed after repeated flooding. Depending on individual experiences, some factors play a more decisive role than others. Each factor impacts the mental health of the participants, so the ultimate decision to stay or leave reflects a pursuit of restoring or preserving emotional, psychological, and social well-being. Discussion/Conclusion The findings show that multiple factors shape the decision to stay or leave. Overall, however, most participants feel recovered and view their choice positively, noting that it allowed them to regain or maintain emotional, psychological, and social well-being. The study also highlights growing concerns among residents regarding institutional responses and government policies related to floodplain management, with some fearing potential relocation resulting from the Plan de protection du territoire face aux inondations. These concerns align with other Quebec and international studies emphasizing the need to incorporate identity and affective dimensions into land-use and flood management policies.</p>","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"50 2","pages":"97-117"},"PeriodicalIF":0.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147436355","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":"[Stressed Systems - A Qualitative Descriptive Study of the Resilience of Québec's Health-Care Network to Heat Waves and Associated Mental Health Impacts].","authors":"Lily Lessard, Joanie Turmel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Background and Objectives Heatwaves, which are becoming increasingly frequent and intense, have consequences for mental health, notably by causing distress, irritability, or violent behaviors toward oneself or others. These consequences are associated with an increase in consultations for mental health issues during periods (summer) when resources are limited. This situation raises questions about the capacity of the Quebec healthcare system to respond to a significant increase in mental health needs associated with climate change. This study aimed to document the actions already in place within the health and social services network to reduce or prevent the impacts of heatwaves on mental health and to propose measures to make the system more resilient to the growing needs in the context of climate change. Method This descriptive qualitative study was conducted with 38 individuals working with people living with mental health disorders in the community or with older adults receiving home care, as well as 4 patient partners who participated in semi-structured individual interviews between November 2021 and February 2022. These interviews took place in two territories of an integrated health and social services center (CISSS) in Quebec that are particularly affected by heatwaves and urban heat islands. Results Participants showed a clear awareness of climate change and described observable effects of heatwaves on mental health, whether in their own experiences or those of the populations they serve. Current actions mainly aim to reduce heat exposure to alleviate physical discomfort and, indirectly, its impact on mental health. Documented actions include access to air-conditioned spaces, ventilation of living or working environments, and regular hydration. However, few measures are currently in place to face a potential increase in mental health consultations during heatwaves. According to participants, fostering intersectoral collaboration among older adults, people with mental health disorders, health and social services, and community resources would help better meet the growing demand for mental health services during the summer. Increasing access to climate change training for all stakeholders would also help to better understand the systemic nature of its impacts and the solutions to be implemented. Conclusion Health organizations must mobilize and develop, in collaboration with their partners, transformative actions to prevent the impacts of heatwaves on mental health and to respond to the needs they generate.</p>","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"50 2","pages":"169-193"},"PeriodicalIF":0.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147436367","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 Integrated Psychological Treatment in correctional and forensic psychiatric settings: More than a decade of implementation and adaptation].","authors":"Mathieu Dumont, René Bélanger, Catherine Briand","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Introduction Implementing evidence-based psychosocial interventions is a challenge for most organizations providing mental health care. For correctional and forensic psychiatric settings, specific issues complicate implementation efforts. To ensure the viability of evidence-based practices, it is important that they are in line with the reality of the organization. An adaptation phase is often required following the initial implementation. However, this process remains poorly documented. This project focuses on the implementation in secure settings of a cognitive-behavioural group approach for people with schizophrenia, the Integrated Psychological Treatment (IPT). The aim is to document the process of adaptation and modification of IPT that has occurred in correctional and forensic psychiatric settings since the 2010s. Method A multiple-case study was conducted with correctional and forensic psychiatric settings delivering IPT. Three cases from 2 Canadian provinces were identified: 1 maximum-security forensic psychiatric hospital, 1 regional care centre providing forensic psychiatric services, and 1 federal correctional facility. In each case, the healthcare professionals who facilitate the IPT were interviewed. Interviews were recorded and analyzed using analytical questioning. Results Adaptations to IPT were found in all the cases studied. These adaptations concerned 3 main aspects: the content of the approach, the way in which the approach was delivered, and the training of clinicians. The main adaptations to the content of the approach included the addition of exercises focusing on cognition, the integration of virtual reality as an intervention modality, the removal of certain modules and the abandonment of integration outings. In terms of how the approach was delivered, there was a reduction in the length of sessions, an increase in the number of weekly sessions and the introduction of semi-open groups. As for the training of clinicians, 1 case chose to develop its own intervention manual following the adaptations made to the IPT. Discussion This project shows that the implementation of IPT in correctional and forensic psychiatric settings can be sustainable. Nevertheless, a number of adaptations are made to bring the requirements of the approach into line with the reality of secure settings. Some of these adaptations remain consistent with the approach and should be considered by correctional and forensic psychiatric settings who are planning to implement the approach, or who are already using it with their clients.</p>","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"50 2","pages":"197-216"},"PeriodicalIF":0.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147436388","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":"[Losing your home after major flooding in Quebec: A look at how men adapt].","authors":"Joanie Turmel, Lily Lessard, Marie-Hélène Morin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Objective Preventive relocations are used to limit the risks of weather hazards, such as flooding. While these practices are likely to increase in the context of climate change, their effects on the health and well-being of those who experience them remain poorly documented in Quebec. This lack of information could contribute to inadequate support practices for individuals experiencing these relocations. This article presents the results of a study that examined the measures taken by male homeowners affected by the major floods of 2019 in Quebec to adapt to the various stages leading up to the demolition of their homes and their relocation. Method Thirteen men from 2 neighboring municipalities in the Chaudière-Appalaches region were interviewed in semi-structured interviews and a group interview to validate the results, nearly 3 years after the major floods of 2019 that affected several regions of Quebec. They were asked to share their experiences of demolishing their homes after the floods and were questioned about the strategies they used to cope with the changes. Results The participants' adaptive process proved to be dynamic, characterized by the deployment of various strategies throughout their experience, which can be divided into 4 phases: 1) the moment of the flood; 2) the administrative procedures that followed; 3) demolition of their homes; 4) relocation. Preparing for the arrival of the flood, evacuating their homes to ensure their safety and that of their loved ones, or, conversely, staying put to limit damage, changing their eating habits, and seeking physical assistance from those around them were the main strategies used during the flood. Seeking information from government and municipal authorities, obtaining administrative support from their life partner, and rumination were predominant during the administrative process, while avoidance, identifying a temporary home, and using optimistic and forward-looking thoughts were predominant during the demolition phase. To facilitate their relocation, participants postponed their retirement or used savings set aside for it, reused goods and materials from their flooded homes in their new living environment, and established relationships with their new neighbors, although some preferred to avoid contact. Behavioral responses were adopted more than intra-individual responses, the latter being cognitive and emotional. Psychological processes, such as assessing the costs and benefits of a decision or action, also influenced participants' adaptation. Conclusion This study contributes to a better understanding of the adaptation of men affected by demolition.</p>","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"50 2","pages":"119-141"},"PeriodicalIF":0.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147436418","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 future depends on how we act today\": Perceptions of climate change among teenagers exposed to extreme weather events in Quebec].","authors":"Eve Pouliot, Olivia Maltais-Dufour, Alexandra Laliberté, Noémie Potvin-Hudon, Ann-Sophie Simard, Christine Gervais, Kristel Tardif-Grenier, Danielle Maltais, Catherine Lacelle, Gabrielle Dallaire","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Objectives Few studies document the perceptions of climate change among teenagers who have been exposed to extreme weather events (EWE). This article aims to better understand, from the perspective of teenagers themselves, how the experience of such an event can transform the way they view climate change. Method Conducted in January 2023 in the Outaouais region (Quebec), this study gathered the views of 28 young Quebecers aged between 13 and 16 who had experienced flooding in a rural setting (2019) or a tornado in an urban setting (2018). Participants were recruited from 2 high schools located in disaster-affected communities and were expected to have experienced significant material impact or disruption as a result. Individual semi-structured interviews explored their journey since the event, particularly about their perceptions of climate change. Results Analysis of the data collected revealed 4 profiles of teenagers, according to their level of concern about climate change and their sense of control over it and the EWE it could cause: (1) the \"engaged,\" the \"powerless,\" the \"confident\" and the \"disengaged.\" For many teenagers, the EWE was a turning point, sparking concerns about climate change. For the \"engaged,\" these concerns translate into pro-environmental behaviors, while the \"powerless,\" on the other hand, perceive EWE as inevitable and beyond their control. Although they make up a minority of the sample, some teenagers express little or no concern about climate change. They are sometimes \"confident,\" because they have experienced several floods and feel better prepared to adapt to this type of disaster in the future. For their part, the \"disengaged\" show little interest and make little connection between the events they experienced and climate change. Conclusion The results highlight the diversity of teenagers' reactions to EWE. This observation suggests the importance of developing support tailored to different youth profiles, including awareness raising, education, and guidance, to develop coping strategies aimed at transforming anxiety into a driver for positive action in the face of climate change. These different forms of support are conducive to the development of individual and collective empowerment regarding current and future environmental issues.</p>","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"50 2","pages":"51-74"},"PeriodicalIF":0.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147436341","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":"[An exploration of family functioning where one parent has Borderline Personality Disorder].","authors":"Marie Pauzé, Nadine Larivière, Lyne Desrosiers","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Introduction Being diagnosed with Borderline Personality Disorder (BPD) as a parent can undermine the overall functioning of the family, particularly the exercise of parental and marital roles. However, current knowledge about the general functioning of families in which a parent has such a diagnosis remains fragmented. It is therefore essential to better understand this reality in order to equip health and social service professionals who support these individuals and their families. Objectives The main objective of this study was to describe how each member of the parental couple with at least one minor child perceives family functioning when one partner has BPD. The specific objective was to identify the components of family functioning that pose the greatest challenges for individuals with BPD and their partners. Method A descriptive interpretative design was used for this study. Maximum variation purposive sampling led to the recruitment of four couples (n=8). Results The participants mostly formed blended families, in union for several years, and reported a certain marital stability. Thematic analysis revealed four main findings on the functioning of families where a parent has BPD. Couples tended to form quickly, viewed the partner's role as that of a therapist, adopted stereotypical roles, and implemented various strategies to prevent crises in family functioning. These strategies appear protective for the couples encountered who consider themselves to have generally satisfactory family functioning. Conclusion This exploratory study gave a voice to individuals with BPD who expressed a generally positive view of their family and couple. In this context, several facilitators emerged that helped maintain the couple's stability, protect relationships, and manage BPD symptoms. However, this mode of functioning leads to an overinvestment in family and household responsibilities.</p>","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"50 2","pages":"235-259"},"PeriodicalIF":0.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147436352","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":"[A typology for understanding 10 eco-emotions].","authors":"Marie-Josée Drolet","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This short text presents 10 eco-emotions that a person may feel in the face of climate change, or even the unprecedented ecocide facing humanity. A better understanding of these eco-emotions is likely to support the well-being of those who experience them.</p>","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"50 2","pages":"21-25"},"PeriodicalIF":0.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147436407","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":"[Assessment of the structure of the Climate Change-COVID-19 Belief Scale: Analysis in an adult population].","authors":"Jacques Marleau, Mélissa Généreux","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Objectives Data reveal that people who believe in the existence of a link between climate change and the COVID-19 pandemic are more likely to be concerned about the environment and to take pro-environmental actions. The objective of the study is to evaluate the factorial structure and psychometric properties of a short five-item scale assessing the belief in the links between climate change and COVID-19 among Quebec adults. Methods Two online surveys were conducted in May-June and October 2021 with 11,321 and 10,368 adult residents of Quebec, respectively. Exploratory and confirmatory factor analyses were conducted to assess whether the collected data conformed to a unidimensional structure. Convergent and divergent validity were also assessed. The reliability of the scale scores was estimated from the lambda 2 and total omega coefficients. Result The results support the presence of a unidimensional structure. More specifically, confirmatory factor analysis consolidates this position, but by considering 2 error covariances in the model. Furthermore, measurement invariance was established both across gender and based on the presence or absence of depressive disorder, supporting the generalizability of the scale across these subgroups. The results of convergent and divergent validity also support the relevance of using this new scale. The reliability coefficient values of the scale scores are excellent. Conclusion The results confirm the existence of a unidimensional structure for the climate change and COVID-19 belief scale. The unidimensionality of the scale, the other psychometric properties evaluated, as well as the invariance support its use among Quebec adults. The use of the total score of the 5 questions is therefore appropriate. In a context where climate change is accelerating and the possibility of other pandemics arises, this scale represents a valuable measurement tool for assessing the belief in links between the 2 phenomena.</p>","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"50 2","pages":"75-96"},"PeriodicalIF":0.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147436402","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":"Santé mentale et changements climatiques au Québec.","authors":"Paquito Bernard","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"50 2","pages":"17-20"},"PeriodicalIF":0.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147436433","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}