Sante Mentale au Quebec最新文献

{"title":"[Beyond Housing: The Heterogenous Effect of Housing First on Criminal Justice Outcomes Among Homeless People With Mental Illness].","authors":"Marichelle Leclair,&nbsp;Éric Latimer,&nbsp;Ashley Lemieux,&nbsp;Laurence Roy,&nbsp;Tonia Nicholls,&nbsp;Anne G Crocker","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Background Housing First does not, on average, reduce criminal justice involvement. This analysis aims to test whether the overall absence of an impact is due to intervention effect heterogeneity as a function of the pattern of lifetime criminal justice involvement, identified through latent class analysis conducted through earlier work. Methods This analysis relied on data from the Montréal, Toronto and Vancouver sites of the Canadian At Home/Chez Soi randomized controlled trial, merged with administrative records of lifetime criminal charges (N = 1,321). Negative binomial models with interaction terms were used to estimate the impact of Housing First, in comparison to treatment as usual, on violent charges, acquisitive charges (e.g., theft, sex work), and administration of justice charges (e.g., breach of probation), for each pre-identified profile. Results Participants with past criminal justice involvement associated with a chronic history of homelessness or with criminalized substance use experienced a decrease in violent charges as a result of Housing First, whereas those with no or little past criminal justice involvement experienced a marginal increase. Housing First did not affect acquisitive or administration of justice charges, regardless of profile. Conclusions Findings suggest that integrating criminological or forensic mental health tools, knowledge and approaches into the multidisciplinary teams that support Housing First service users may be an effective solution, so that all aspects of their recovery, including potential criminogenic needs, are addressed. Future research should focus on the feasibility and effectiveness of such adjunct interventions.</p>","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"47 1","pages":"37-61"},"PeriodicalIF":0.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10419882","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":"Présentation.","authors":"Anne G Crocker,&nbsp;Valérie Moulin","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"47 1","pages":"11-17"},"PeriodicalIF":0.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10479742","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":"Violence conjugale commise et subie : profils personnologiques de personnes avec un trouble de personnalité limite","authors":"C. Savard, Dominick Gamache, Maude Payant, Élodie Gagné-Pomerleau, Renée-Claude Dompierre, Johanne Maranda, Olivier Potvin, Mélissa Verreault, M. Tremblay, D. Roy, Évens Villeneuve","doi":"10.7202/1098895ar","DOIUrl":"https://doi.org/10.7202/1098895ar","url":null,"abstract":"","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71266885","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":"[Basic, Clinical and Social Perspectives on the Use of Virtual Characters in Mental Health].","authors":"Audrey Marcoux,&nbsp;Marie-Hélène Tessier,&nbsp;Frédéric Grondin,&nbsp;Laetitia Reduron,&nbsp;Philip L Jackson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Along other breakthroughs in computer sciences, such as artificial intelligence, virtual characters (i.e. digitally represented characters featuring a human appearance or not) are foreseen as potential providers of mental healthcare services. However, their current use in clinical practice is marginal and limited to an assistive role to help clinicians in their practices. Safety and efficiency concerns, as well as a general lack of knowledge and experience, may explain this discrepancy between the expected (sometimes futuristic) and current use of virtual characters. An overview of recent evidence would help pinpoint the main concerns and challenges pertaining to their use in mental healthcare. Objective This paper aims to inform relevant actors, including clinicians, on the potential of virtual characters in mental healthcare practices and to raise awareness on societal challenges regarding their use. Method A narrative literature review was conducted to summarize basic and clinical research findings, and to outline an in-depth discussion on various societal caveats related to the inclusion of virtual characters. Results Basic studies highlight several characteristics of the virtual characters that seem to influence patient-clinician interactions. These characteristics can be classified into two categories: perceptual (e.g. realism) and social features (i.e. attribution of social categories such as gender). To this day, many interventions and/or assessments using virtual characters have shown various levels of efficiency in mental health, and certain elements of a therapeutic relationship (e.g. alliance and empathy) may even be triggered during an interaction with a virtual character. To develop and increase the use of virtual characters, numerous socioeconomic and ethical issues must be examined. Although the accessibility and the availability of virtual characters are an undeniable advantage for their use in mental healthcare, some inequities about their application remain. In addition, the accumulation of biometric data (e.g. heart rate) could provide valuable information to clinicians and could help develop autonomous virtual characters, which raises concerns over issues of security and privacy. This paper proposes some recommendations to avoid such undesirable outcomes. Conclusion Due to their promising features, the inclusion of virtual characters will no doubt be increasingly prevalent in mental healthcare services. All involved actors should thus be informed about specific challenges raised by such breakthroughs. They should also actively participate in discussions regarding the development of virtual characters in order to adopt unified recommendations for their safe and ethical use in mental healthcare.</p>","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"46 1","pages":"35-70"},"PeriodicalIF":0.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39476758","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":"Efficacité des applications mobiles et des messages textes comme intervention en cybersanté mentale pour les 3 blessures de stress opérationnel les plus fréquentes chez le personnel de la sécurité publique : une recension-cadre","authors":"Florence Ménard, Isabelle Ouellet-Morin, S. Guay","doi":"10.7202/1081518ar","DOIUrl":"https://doi.org/10.7202/1081518ar","url":null,"abstract":"Contexte La frequence de diagnostic probable de trouble de sante mentale est beaucoup plus haute chez le personnel de la securite publique (PSP) que dans la population generale, ce qui s’explique entre autres par l’exercice des fonctions operationnelles. Les blessures de stress operationnelles (BSO) les plus frequentes chez les PSP au Canada sont la depression, le trouble de stress posttraumatique et le trouble d’anxiete generalisee. Par leur caractere confidentiel et accessible, les interventions en cybersante mentale delivrees par des telephones intelligents (interventions mobiles) offrent un fort potentiel chez les PSP. La Commission de la sante mentale du Canada a propose des criteres evaluatifs afin de faire un examen complet des interventions mobiles, qui depasse l’examen scientifique de l’efficacite de l’outil.Objectifs Cette recension-cadre vise d’abord a recenser les resultats des recensions systematiques et des meta-analyses qui portent sur l’evaluation des interventions mobiles visant a diminuer les symptomes relies a au moins une BSO chez les PSP. Ensuite, nous evaluerons les interventions mobiles ayant ete etudiees aupres de PSP a l’aide des criteres evaluatifs proposes par la Commission de la sante mentale du Canada, afin d’etablir si leur usage peut etre recommande.Methode Des termes en lien avec les BSO, les technologies mobiles et les interventions ont ete utilisees dans les bases de donnees PubMed, PsycInfo et Embase. Les articles evaluant l’efficacite des interventions mobiles en lien avec au moins une BSO et desquels il etait possible d’extraire les informations necessaires a cette recension ont ete retenus. Un examen des articles inclus dans les recensions retenues a ete fait afin de reperer les etudes realisees aupres d’un echantillon de PSP.Resultats La recherche de la litterature n’a releve aucune recension qui s’interessait particulierement aux PSP, ce pour quoi nous avons du elargir notre recherche a la population generale. Neuf articles correspondent aux criteres d’inclusion, lesquels ont ete publies entre 2016 et 2019. De maniere generale, les interventions mobiles semblent reduire de maniere significative les symptomes d’anxiete, de depression et de stress posttraumatique. Deux interventions mobiles etudiees aupres de PSP ont ete identifiees, et ces dernieres remplissent la majorite des criteres evaluatifs.Conclusion Les interventions mobiles recensees dans la litterature offrent un fort potentiel aupres de la population generale et aupres des PSP. Toutefois, les meta-analyses et les recensions systematiques rapportent certaines limites importantes telles qu’une heterogeneite entre les etudes et un taux d’abandon eleve. Les recherches futures sur les interventions mobiles destinees aux PSP gagneraient a investiguer davantage les aspects lies a l’ergonomie, la desirabilite pour l’utilisateur et la securite des renseignements personnels. Les echantillons devraient egalement inclure une plus grande variete de professions","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71220443","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":"Détecter et traiter les troubles comorbides aux premiers épisodes psychotiques : un levier pour le rétablissement","authors":"Olivier Corbeil, F. Bérubé, Laurence Artaud, M. Roy","doi":"10.7202/1088187ar","DOIUrl":"https://doi.org/10.7202/1088187ar","url":null,"abstract":"","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71243938","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":"[Comment les services d'intervention précoce pour la psychose peuvent-ils mieux servir les migrants, les minorités ethniques et les populations autochtones ?]","authors":"Salomé M. Xavier, G. Jarvis, Clairélaine Ouellet-Plamondon, G. Gagné, A. Abdel-Baki, Srividya N. Iyer","doi":"10.7202/1088188ar","DOIUrl":"https://doi.org/10.7202/1088188ar","url":null,"abstract":"Objectives To synthesize the available epidemiological and clinical evidence relevant to the mental health care of migrant, ethnic minority and Indigenous populations in the context of early psychosis. Methods This study provides a narrative review of the literature on psychosis in these populations, including issues related to the provision of early intervention services for psychosis. Results Migrant status has long been reported as a significant risk factor for psychosis in many geographic contexts. This increased risk among migrants seems to persist beyond the first generation and has been found to be higher in all migrant populations, but especially for black ethnic minorities and individuals migrating from economically developing countries to developed ones. Recent evidence suggests that this higher risk is at least in part due to migrants' and minorities' cumulative exposure to social adversities, such as racial discrimination, marginalization and socio-economic disadvantage. Systemic racism affects migrant and minority populations by creating bias in diagnostic practices and aggravating treatment disparities in addition to contributing to causation of psychosis. Furthermore, migrant and ethnic minority groups are known to seek mental healthcare after longer delays, to be more frequently forcibly hospitalized, to disengage from treatment prematurely and to be less satisfied with their treatment. The consideration of social and cultural context and factors is essential to the provision of good healthcare, especially in a culturally diverse society. Furthermore, acknowledging power relationships that stem from the societal context and shape institutions and models of care is a key step towards structural competence and safety in mental healthcare. Several strategies have been proposed to make mental healthcare services and systems more culturally and structurally competent. These include the use of interpreters and cultural brokers, tailored assessments and specialised cultural interventions. However, these strategies have yet to be adopted broadly in early intervention for psychosis. Conclusion Given its emphasis on meaningful engagement and person-centered care, early intervention should integrate inclusive, structurally competent and context-informed interventions as a priority. Efforts must be made to apply knowledge from and adapt the tools of social and cultural psychiatry to the field of early intervention in psychosis. Sociocultural considerations, hitherto inconsistently applied in psychosis research and service design in Quebec, are especially relevant to the province given its distinct linguistic context, its increasing cultural diversity, and its ongoing effort to systematize and expand the delivery of early intervention services.","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"22 1","pages":"331-364"},"PeriodicalIF":0.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81462608","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":"De Kraepelin au tremplin de l’IEPA : avant-propos sur les premiers épisodes psychotiques et les prodromes","authors":"E. Stip","doi":"10.7202/1088175ar","DOIUrl":"https://doi.org/10.7202/1088175ar","url":null,"abstract":"","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71243311","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":"Détection et intervention précoce pour la psychose : pourquoi et comment ?","authors":"Bastian Bertulies-Esposito, Roxanne Sicotte, Srividya N. Iyer, Cynthia Delfosse, N. Girard, Marie-Chloé Nolin, M. Villeneuve, P. Conus, A. Abdel-Baki","doi":"10.7202/1088178ar","DOIUrl":"https://doi.org/10.7202/1088178ar","url":null,"abstract":"Objectives This article aims to synthesize the critical stages in the development of early detection and intervention services (EIS) for psychosis over the past 30 years, and to review key literature on the essential components and effectiveness of these programs. Method We conducted a narrative review of the literature on the international development of EIS leading to its endorsement as a service delivery model for young people with first­episode psychosis (FEP). We also reviewed various inter­ national and Canadian guidelines to identify consensus about the essential compo­ nents of EIS for psychosis and their effectiveness. Challenges to the implementation of these different essential components are presented, along with practical solu­ tions to addressing them. A particular emphasis is placed on implementing EIS in the Quebec context. Results Based on a model developed in the early 1990s, EIS for psychosis have now been disseminated worldwide and are deployed on a large scale in some regions, such as the United Kingdom and Quebec. The model’s gradual expansion has been facilitated by efforts to identify its main objectives and the components essential to achieve them, and by several studies demonstrating its effectiveness. Along with an important philosophical shift to optimism and hope, EIS have typically focused on the twin aims of reducing treatment delay (or the duration of untreated psychosis) and enhancing engagement in specialized, phase­specific, developmentally appropriate treatment. A meta­analysis (published in 2018) demonstrated the superiority of EIS for psychosis compared to standard treatment on several outcomes including hospitalizations, relapse of symptoms, treatment discontinuation, and vocational and social functioning. Based on these studies and expert consensus, many jurisdictions around the world have developed guidelines to ensure compliance with essential components that are associated with the effec­ tiveness of EIS, while accounting for their","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71243420","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":"Une approche de la psychopharmacologie des premiers épisodes psychotiques axée sur le rétablissement","authors":"Laurent Béchard, Olivier Corbeil, Esthel Malenfant, Catherine Lehoux, E. Stip, M. Roy, Marie-France Demers","doi":"10.7202/1088180ar","DOIUrl":"https://doi.org/10.7202/1088180ar","url":null,"abstract":"","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"12 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71243436","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}