Sante Mentale au Quebec最新文献

{"title":"[The Challenges of Victimization in the Treatment of Substance Addiction: What Do Clinicians Say About It?]","authors":"Francine Ferland,&nbsp;Nadine Blanchette-Martin,&nbsp;Chantal Plourde,&nbsp;Catherine Rossi,&nbsp;Annie-Claude Savard,&nbsp;Maggie-Audrey Bernier,&nbsp;Gabrielle Ehouarne,&nbsp;Mélanie Blais,&nbsp;Rosalie Genois","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Literature seems to establish a two-way relationship between psychoactive substance use and the presence of victimization. Indeed, substance can be used by a victim to overcome the different impacts lived because of the criminal acts experienced. On the other side, psychoactive substance use may increase the risks of a person being victim of criminal acts. It is therefore no wonder that an important proportion of people who consult for a problem of consumption/addiction to psychoactive substances have already been victims of criminal acts. Since the clinical profiles of these individuals is severe and complex, it appears important that the clinicians working with this person be aware of the presence of victimization in their life in order to help them. The objective of this project is to document the difficulties and the challenges encountered by the addiction clinicians in their interventions with people having already been victims of criminal acts and to present possible solutions to help improve interventions and promote their recovery. Thirty-two addiction clinicians (N = 9 Men) have taken part in individual meetings of about 60 minutes. Once transcribed in verbatim form, the interviews have been analyzed under a continuous theming method following the steps put forward by Braun and Clarke (2006). The results of the qualitative analysis highlighted the four following aspects: (1) Perception of clinicians regarding the portrait of people consulting in a public intervention center specializing in addiction; (2) Perception of addiction clinicians regarding the possible interactions between substance use and victimization; (3) The stakes of substance abuse intervention with the victims of a criminal act and (4) Suggestions to improve services for people with substance addiction and being criminal act victims. The results put forward the complexity of intervention with people with a problem of consumption/addiction and who were victims of criminal act victims. The results highlight the complexity of the intervention with people with a problem of consumption/addiction and who were victims of criminal acts, as well as the need for training addiction clinicians about victimization.</p>","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"47 1","pages":"221-240"},"PeriodicalIF":0.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10433649","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":"Réalités actuelles québécoises et dans la francophonie sur les troubles de personnalité limite.","authors":"Pierre David,&nbsp;Nadine Larivière","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"47 2","pages":"11-15"},"PeriodicalIF":0.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9629284","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":"[Services and Treatments for People with Borderline Personality Disorder: State of the Situation in Quebec and Future Prospects].","authors":"C. Le Corff, P. David, N. Larivière, Jennifer Dahak, C. Therriault","doi":"10.7202/1098898ar","DOIUrl":"https://doi.org/10.7202/1098898ar","url":null,"abstract":"Objectives People with borderline personality disorder experience significant health challenges, both in terms of their mental and physical health, resulting in significant functional repercussions. In Quebec and elsewhere in the world, it is reported that the services in place are often poorly adapted or inaccessible. The purpose of this study was to document the current situation in the different regions of Quebec for clients with borderline personality disorder, to describe the main challenges associated with the implementation of services for this clientele, and to identify possible recommendations to meet the needs of this clientele applicable in different practice settings. Method The design used was a qualitative single case study, with descriptive and exploratory aims. Twenty-three interviews were conducted in most Quebec regions with resources working in various CIUSSSs, CISSSs and non-merged institutions offering adult mental health services. In addition, where available, clinical programming documents were consulted. Mixed data analyses were conducted to provide insights based on different types of settings: urban, peripheral, and remote regions. Results Findings show that in all regions, recognized psychotherapeutic approaches are integrated but tend to need to be adapted. In addition, there is a desire to develop a continuum of care and services and some projects are already underway. Difficulties in implementing these projects and harmonizing services on the territory, due in part to financial and human resource issues, are frequently reported. Territorial issues are also to be considered. Conclusion Enhanced organizational support and the creation of clear guidelines to facilitate the development of borderline personality disorder services would be recommended, as well as the validation of rehabilitation programs and brief treatments.","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"7 1","pages":"141-163"},"PeriodicalIF":0.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78076138","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":"Influence de la comorbidité dans le traitement cognitif-comportemental des troubles anxieux et de l’humeur","authors":"Jessica Philippe, Martin D. Provencher, G. Belleville, Guillaume Foldes Busque","doi":"10.7202/1094156ar","DOIUrl":"https://doi.org/10.7202/1094156ar","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":"71255234","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":"Les méthodes et enjeux relatifs à l’évaluation du risque de la violence hétérodirigée","authors":"Jean-Pierre Guay, João Da Silva Guerreiro, Anne G. Crocker","doi":"10.7202/1094145ar","DOIUrl":"https://doi.org/10.7202/1094145ar","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":"71255245","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":"Les enjeux liés à la victimisation dans le traitement de la dépendance aux substances : qu’en disent les cliniciens en dépendance ?","authors":"F. Ferland, Nadine Blanchette-Martin, Chantal Plourde, C. Rossi, Annie Savard, M. Bernier, Gabrielle Ehouarne, Mélissa Blais, Rosalie Genois","doi":"10.7202/1094152ar","DOIUrl":"https://doi.org/10.7202/1094152ar","url":null,"abstract":"","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"19 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71255474","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":"Survol de l’organisation des services de santé mentale forensique à travers le monde : vers un modèle hiérarchisé-équilibré","authors":"Anne G. Crocker, Marichelle Leclair, Félix Bélanger, Jamie Livingston","doi":"10.7202/1094150ar","DOIUrl":"https://doi.org/10.7202/1094150ar","url":null,"abstract":"Objective The objective of this paper is to provide an overview of the provision and organization of forensic mental health services around the world. In particular, we attempt to address the following question: What system-level characteristics are important to consider in relation to the organization and structure of forensic mental health services? Methods To do so, we synthesize publicly accessible information, identified through Academic Search Complete (EBSCO), ProQuest Central, Scopus, PsycInfo, Google Scholar and Google, to describe how forensic systems are organized throughout the world. We examine the fundamental principles in the organization of services and examine potential quality indicators. Results This review is a steppingstone for the identification of best practices. Based on these fundamental principles, an efficient forensic mental health system would include the following elements: providing a comprehensive and balanced continuum of services; integrating services within and between systems; matching services to individual need; adhering to human rights; responding to population diversity; and using the best available evidence to make system-wide improvements. Conclusion Though all of these system-level principles are important, we focus on how the first three (service continuum, system integration, and service matching) may be applied to the organization of forensic mental health services.","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":"71255418","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":"Réalités actuelles québécoises et dans la francophonie sur les troubles de personnalité limite","authors":"P. David, Nadine Larivière","doi":"10.7202/1098892ar","DOIUrl":"https://doi.org/10.7202/1098892ar","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":"71267005","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":"[New challenge for services for people with a first episode of psychosis: To integrate interventions to prevent and reduce physical aggression].","authors":"Sheilagh Hodgins,&nbsp;Valérie Moulin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Objective Mental health services for persons presenting a first episode of psychosis include specialized interventions that are effective in treating psychosis, but they do not include treatments that prevent aggressive behaviour (AB). This article presents the results of studies in an effort to incite these services to evaluate the risk of AB and to intervene rapidly to prevent these behaviours as well as treating the psychotic disorder. Method This article presents a narrative review of the scientific studies. We have reviewed publications in French and English reporting studies, reviews, and meta-analyses focused on the antecedents, correlates, and effective treatments for AB and criminality of persons described as presenting severe mental disorder, schizophrenia, or a first episode of psychosis. Results The review of scientific studies confirms that persons developing or presenting schizophrenia are at increased risk to engage in AB, crime, and homicide relative to the general population. Before a first episode of psychosis approximately one third of patients display AB. One subgroup of these persons, those who present the highest risk of AB and criminality, have a history of conduct disorder since childhood. Another subgroup who also begin engaging in AB before a first episode of psychosis display AB as anxiety and positive symptoms increase. The association between positive psychotic symptoms and AB varies according to the phase of illness and the age of onset of AB. Further, other factors such as substance misuse (especially cannabis use), difficulty in recognizing emotions in the faces of others, impulsivity, and physical victimization are related to AB. In addition to effective treatments for psychosis and social skill training, treatment programs aimed at preventing AB and antisocial behaviours, and the associated factors are needed, as well as interventions that aim to reduce victimization. Conclusion The extant literature identifies different profiles of patients and factors associated with AB that can be identified at a first episode of psychosis. Consequently, first episode services could play an important role in preventing AB. To do this, they would need to simultaneously treat the psychosis and the AB. The implementation of such treatments would involve challenges such as convincing treatment teams of the benefits of such an approach and convincing patients needing these treatments to comply. Increasing patients' motivation and compliance remains an important challenge.</p>","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"47 1","pages":"87-109"},"PeriodicalIF":0.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10433650","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":"[Influence of Comorbidity in Cognitive-Behavioral Treatment of Anxiety and Mood Disorders].","authors":"Jessica Philippe,&nbsp;Martin D Provencher,&nbsp;Geneviève Belleville,&nbsp;Guillaume Foldes Busque","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Objectives Anxiety and depression are the most prevalent disorders observed in health care services and are frequently comorbid with other disorders. Although Cognitive-Behavioral Therapy (CBT) has widely been shown efficacious to treat anxiety and mood disorders, studies that have focused on its effectiveness in the presence of comorbidity have been few and show conflicting results. Thus, the implications of the presence of comorbid disorders for treatment are still unknown. In an attempt to answer these questions, this study explores the impact of comorbidity on CBT for anxiety and mood disorders in a university-based clinic. Methods A total of 293 clients consulting for anxiety and/or mood disorders at the Service de Consultation de l'École de Psychologie de l'Université Laval (SCEP) between 2007 and 2018 took part in the study. Clients were excluded if they presented uncontrolled psychotic, manic or substance abuse symptoms as their principal complaint. Clients without comorbid disorders where compared to clients who had comorbid disorders on different measures before and after receiving therapy to examine if comorbidity had an impact on CBT effectiveness to treat the principal disorder. The impact of treatment on comorbid disorders was also investigated. Effectiveness was assessed on several measures before and after treatment including the severity of diagnoses (measured with a structured interview), anxiety and mood symptoms as well as quality of life. Repeated measures ANOVAs and t-tests were used. Results Before initiating therapy, clients with comorbid disorders had significantly more severe symptoms than clients without comorbid disorders. However, following therapy, both groups had significantly less severe principal disorders and reached a clinically significant change in equivalent proportions. Furthermore, the number and severity of comorbid disorders significantly decreased following therapy. Conclusion These findings suggest that although the presence of comorbid disorders leads to more severe symptoms, it does not affect the effectiveness of CBT for the principal disorder. Furthermore, comorbid disorders improved even though they were not specifically targeted by treatment. In concordance with the literature, it is thus suggested to keep focusing treatment on the principal disorder, whether comorbid disorders are present or not.</p>","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"47 1","pages":"309-331"},"PeriodicalIF":0.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10433651","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}