Abstracts
Résumé
Cet article porte sur la pertinence des services d’évaluation psychosociale offerts dans le cadre du programme Passerelle aux personnes réfugiées, dès leur arrivée au Québec. Selon un devis de recherche qualitatif, 28 participants originaires d’Afghanistan et d’Afrique subsaharienne, et deux travailleuses sociales, ont été rencontrés lors d’entretiens en groupe ou en individuel. Des recommandations proposées par les participants pour améliorer l’évaluation psychosociale sont présentées et discutées à la lumière de celles faites par des chercheurs. L’exhaustivité de l’évaluation et les courts délais de temps prévus pour l’effectuer sont notamment questionnés, ainsi que l’efficacité de cette mesure pour pallier les iniquités d’accès aux services de santé et psychosociaux.
Mots-clés :
- réfugiés,
- évaluation psychosociale,
- immigration,
- santé mentale
Abstract
This article concerns the relevance of psychosocial assessment services offered to refugees as part of the program Passerelle upon their arrival in Quebec. Using a qualitative research design, 28 participants coming from Afghanistan and sub-Saharan Africa, and two social workers, were interviewed through focus group or individual interviews. Recommendations proposed by the participants in order to improve the psychosocial assessment are presented. These recommendations are discussed based on recommendations drawn from scientific literature. Among others, the completeness of the assessment and the short timeframe available to conduct it are questioned, as well as the efficiency of this measure to tackle the inequities of access to health and psychosocial services.
Keywords:
- refugees,
- psychosocial assessment,
- immigration,
- mental health
Appendices
Bibliographie
- Archer, M., Bhaskar, R., Collier, A., Lawson, T. et Norrie, A. (1998). Critical realism: Essential readings. Routledge.
- Arsenault, S., Guilbert, L. et Prévost, C. (2016). Être soi avec l’autre. Cahiers de L’ÉDIQ, 3(2), 50.
- Bélanger-Dumontier, G., Vachon, M. et Caldairou-Bessette, P. (2017). Entre donner, recevoir et rendre : Les dynamiques relationnelles et éthiques en recherche auprès des réfugiés. Revue québécoise de psychologie, 38(3), 125-149.
- Bhatia, R. et Wallace, P. (2007). Experiences of refugees and asylum seekers in general practice: a qualitative study. BMC Family Practice, 8(1), 48.
- Blain, M.-J., Rodriguez del Barrio, L., Caron, R., Rufagari, M.-C., Richard, M., Boucher, Y., Lester, C. (2019). Expériences de parrainage collectif de personnes réfugiées au Québec : perspectives de parrains et de personnes réfugiées de la Syrie. Lien social et Politiques, 83, 204-229.
- Bossé, J. (2017). Santé mentale de réfugiées bhoutanais, leurs stratégies de régulation émotionnelle et leurs besoins psychosociaux spécifiques : une étude exploratoire (Thèse de doctorat inédite). Université de Sherbrooke, Sherbrooke, QC.
- Carswell, K., Blackburn, P. et Baker, C. (1997). The relationship between trauma, post-migration problems and the psychological well-being of refugees and asylum seekers. Journal of the Society for Social Work and Research, 21(1), 19-31.
- Chu, T., Keller, A. S. et Rasmussen, A. (2013). Effects of post-migration factors on PTSD outcomes among immigrant survivors of political violence. Journal of Immigrant and Minority Health, 15(5), 890-897.
- Direction de la recherche et de l’analyse prospective du Ministère de l’Immigration et des communautés culturelles. (2010). Portrait statistique de la population d’origine afghane recensée au Québec en 2006. Ministère de l’Immigration et des communautés culturelles du Québec. http://www.quebecinterculturel.gouv.qc.ca/publications/fr/diversite-ethnoculturelle/com-afghane-2006.pdf
- Dona, G. (2007). The microphysics of participation in refugee research. Journal of Refugee Studies, 20(2), 210-229
- Easton, G. (2010). Critical realism in case study research. Industrial Marketing Management, 30, 118-128.
- Eklöf, N., Hupli, M. et Leino-Kilpi, H. (2017). Planning focus group interviews with asylum seekers: Factors related to the researcher, interpreter and asylum seekers. Nursing Inquiry, 24(4).
- Ellis, B., Miller, A., Baldwin, H. et Abdi, S. (2011). New directions in refugee youth mental health services: overcoming barriers to engagement. Journal of Child et Adolescent Trauma, 4, 69-85.
- Fenta, H., Hyman, I. et Noh, S. (2006). Mental health service utilization by Ethiopian immigrants and refugees in Toronto. Journal of Nervous and Mental Disease, 194, 925-934.
- Fortuna, L. R., Porche, M. V. et Alegria, M. (2008). Political violence, psychosocial trauma, and the context of mental health services use among immigrant Latinos in the United States. Ethnicity et Health, 13, 435-463.
- Gardiner, J. et Walker, K. (2010). Compassionate listening. Managing psychological trauma in refugees. Australian Family Physician, 39(4), 198-203.
- Hanley, J., al Mhamied, A., Cleveland, J., Hajjar, O., Hassan, G., Ives, N. (2018). The social networks, social support and social capital of syrian refugees privately sponsored to settle in Montreal: Indications for employment and housing during their early experiences of integration. Canadian Ethnic Studies, 50(2), 123-148.
- Hannigan, A., O’Donnell, P., O’Keeffe, M. et MacFarlane, A. (2016). How do variations in definitions of “migrant” and their application influence the access of migrant to health care services? Réseau des bases factuelles en santé de l’OMS, Europe.
- Haut Commissariat des Nations Unies pour les réfugiés (1951). Texte de la Convention de 1951 relative au statut des réfugiés. Genève.
- Hjörleifsson, S., Hammer, E. et Díaz, E. (2018). General practitioners’ strategies in consultations with immigrants in Norway - practice-based shared reflections among participants in focus groups. Family Practice, 35(2), 216-221.
- Horst, C., Temple, B. et Moran, R. (2007). Doing research with refugees: issues and guidelines. edited by bogusia temple and rhetta moran. Journal of Refugee Studies, 20(4), 673–674.
- Institut de la statistique du Québec [ISQ] (2019). Les indicateurs de l’occupation et de la vitalité des territoires : Nombre de personnes immigrantes admises. Banque de données des statistiques officielles sur le Québec. http://www.bdso.gouv.qc.ca/docs-ken/vitrine/occupation-vitalite-territoire/documents/demographie_02.pdf
- Kirmayer, L., J., Lavanya, N., Munoz, M., Rashid, M., Ryder, A., Guzder, J., Hassan, G., Rousseau, C. et Pottie, K. (2011). Common mental health problems in immigrants and refugees: general approach in primary care. Canadian Medical Association Journal, 183(12), 959-967.
- Laban, C. J., Gernaat, H. B. P. E., Komproe, I. H. et De Jong, J. T. V. M. (2007). Prevalence and predictors of health service use among Iraqi asylum seekers in the Netherlands. Social Psychiatry and Psychiatric Epidemiology, 42, 837-844.
- Lacroix, M. (2000). The Road to Asylum: Between Fortress Europe and Canadian Refugee Policy: the Social Construction of the Refugee Claimant Subjectivity (Doctoral dissertation, McGill University Libraries).
- Lee, E. O. J. et Brotman, S. (2011). Identity, refugeeness, belonging: Experiences of sexual minority refugees in Canada. Canadian Review of Sociology/Revue canadienne de sociologie, 48(3), 241-274.
- Macklin, R. (2003). Bioethics, vulnerability, and protection. Bioethics, 17(5-6), 472-486.
- Maillet, L., Vaillancourt, B., Laliberté, G., Desjardins, F., Benoit, M., Vassiliadis, H. M., Manceau, L., M. et Loignon, C. (Publication imminente). Measuring the social inequalities in mental health for refugees in Québec: A scoping review. Journal of Migrant and Minority Health.
- McDowell, C. (2013). Researching displacement(s). Dans K. Block, E. Riggs et N. Haslam (dir.), Values and vulnerabilities: the ethics of research with refugees and asylum seekers (p. 63-83). Australian Academic Press.
- McKenzie, K., Agic, B., Tuck, A. et Antwi, M. (2016). Pour la Commission de la santé mentale du Canada. Arguments en faveur de la diversité. Commission de la santé mentale du Canada.
- Miles, M. B. et Huberman, A. M. (2003). Analyse des données qualitatives. Méthodes en sciences humaines (2e éd.). De Boeck.
- Ministère de la Santé et des Services sociaux. (2015). Plan ministériel pour l’évaluation du bien-être et de l’état de santé physique des réfugiés en situation d’arrivées massives, 33(7).
- Ministère de l'Immigration, de la diversité et de l'inclusion. (2014). Recueil de statistiques sur l'immigration et la diversité au Québec. Bibliothèque et archives nationales du Québec.
- Morin, P., Benoît, M., Dallaire, N., Doré, C., LeBlanc, J., Bossé, J. et Belhadj-ziane, K. (2012). L'Intervention de quartier au CSSS-IUGS: une recherche évaluative. Direction de la recherche du centre affilié universitaire, CSSS-IUGS.
- Neighbors, H. W., Woodward, A. T., Bullard, K. M., Ford, B. C., Taylor, R. J. et Jackson, J. S. (2008). Mental health service use among older African Americans: The national survey of American life. The American Journal of Geriatric Psychiatry, 16, 948-956.
- Neuner, F., Kurreck, S., Ruf, M., Odenwald, M., Elbert, T. et Schauer, M. (2010). Can asylum-seekers with posttraumatic stress disorder be successfully treated? A randomized controlled pilot study. Cognitive Behaviour Therapy, 39, 81-91.
- Ngo, D., Tran, T. V., Gibbons, J. L. et Oliver, J. M. (2001). Acculturation, premigration traumatic experiences, and depression among Vietnamese Americans. Journal of Human Behavior in the Social Environment, 3, 225-242.
- Ontario center of excellence for child and youth mental health (2016). Evidence In-Sight: Best Practices for Working with Trauma-Affected Newcomers.
- Paillé, P. et Mucchielli, A. (2012). L'analyse qualitative en sciences humaines et sociales. Armand Colin.
- Polcher, K. et Calloway, S. (2016). Addressing the need for mental health screening of newly resettled refugees: a pilot project. Journal of Primary Care and Community Mental Health, 7(3), 199-203.
- Ponterotto, J., G. (2013). Qualitative research in multicultural psychology: Philosophical underpinnings, popular approaches, and ethical considerations. Qualitative Psychology 1(5), 19-32.
- Porter, M. et Haslam, N. (2005). Predisplacement and postdisplacement factors associated with mental health of refugees and internally displaced persons: a meta-analysis. Journal of American Medical Association, 294(5), 602-612.
- Pottie, K., Greenaway, C., Feightner, J., Welch, V., Swinkels, H. et Rashid, M. (2011). Evidence-based clinical guidelines for immigrants and refugees. Canadian Medical Association Journal, 183(12), 824-925.
- Rapport annuel au Parlement sur l’immigration. (2017). Immigration, réfugiés et citoyenneté Canada. https://www.canada.ca/fr/immigration-refugies-citoyennete.html
- Réseau des bases factuelles en santé de l’OMS Europe. (2016). How do variations in definitions of “migrant” and their application influence the access of migrant to health care services? Organisation Mondiale de la santé, Europe. http://www.euro.who.int/en/publications/abstracts/how-do-variations-in-definitions-of-migrant-andtheir-application-influence-the-access-of-migrantsto-health-care-services-2016
- Rousseau, C. et Drapeau, A. (2004). Premigration exposure to political violence among independent immigrants and its association with emotional distress. Journal of Nervous and Mental Disease, 192, 852-856.
- Rousseau, C., Hassan, G., Moreau, N., Jamil, U. et Lashley, M. (2010). Du global au local : Repenser les relations entre l'environnement social et la santé mentale des immigrants et des réfugiés. Thèmes Canadiens/Canadian Issues, 88-92.
- Rousseau, C. et Kirmayer, L. J. (2010). From complicity to advocacy: The necessity of refugee research. The American Journal of Bioethics, 10(2), 65-67.
- Rousseau, C., Pottie, K., Thombs, B., Munoz, M. et Jurcki, T. (2011). Post Traumatic Stress Disorder: Evidence review for newly arriving immigrants and refugees. Canadian Medical Association Journal, 183(12), 824-835.
- Schweitzer, R., Melville, F., Steel, Z. et Lacherez, P. (2006). Trauma, post-migration living difficulties, and social support as predictors of psychological adjustment in resettled Sudanese refugees. Australian and New Zealand Journal of Psychiatry, 40(2), 179-187.
- Shannon, P. J. (2014). Refugee's advice to physicians: how to ask about mental health. Family Practice 31(4), 462, 466.
- Silove, D. (2004). Refugee mental health. Australian Nursing Journal, 12(3), 39.
- Simich, L., Beiser, M. et Mawani, F. N. (2003). Social support and the significance of shared experience in refugee migration and resettlement. Western Journal of Nursing Research, 25(7), 872‑891.
- Tracy, S. J. (2010). Qualitative quality: Eight "big-tent" criteria for excellent qualitative research. Qualitative Inquiry, 16(10), 837-851.
- Vasilevska, B., Madan, A. et Simich. L. (2010). La santé mentale des réfugiés : pratiques prometteuses et ressources pour l’établissement de partenariats. Centre de toxicomanie et de santé mentale.
- Watters, C. (2001). Emerging paradigms in the mental health care of refugees. Social Science et Medicine, 52(11), 1709-1718.
- Whittemore, R., Chase, S. K. et Mandle, C. (2001). Validity in qualitative research. Qualitative Health Research, 11(4), 522-537.
- Woodland, L., Burgner, D., Paxton, G. et Zwi, K. (2010). Health service delivery for newly arrive refugee children: A framework for good practice. Journal of Paediatrics and Child Health, 46(10), 560-567.
- Zion, D., Gillam, L. et Loff, B. (2000). The declaration of Helsinki, CIOMS and the ethics of research on vulnerable populations. Nature Medicine, 6(6), 615-617.
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