Abstracts
Résumé
Au Québec, le Centre de santé et services sociaux (CSSS) Cavendish offre des services spécialisés destinés aux aînés avec des problèmes de santé mentale (SSSM 60+) (Nour et al., 2011a). Cet article décrit un segment ciblé de la population rejointe (50 % des usagers âgés recevant des SSSM 60+ ont été retenus en tenant compte des critères d’exclusion). Il présente le modèle de changements individuels liés aux services et explore les médiateurs psychosociaux qui influencent l’efficacité des services. Cette population vit avec diverses problématiques psychosociales, dont la principale est la présence de symptômes dépressifs de légers à modérés. Les services et les interventions réalisés par l’équipe spécialisée SSSM 60 + réussissent à augmenter significativement l’alliance thérapeutique et le sentiment d’appropriation du pouvoir (empowerment) chez cette clientèle. Prioriser ces concepts lors de la prestation de services semble une avenue à envisager.
Mots-clés :
- Santé mentale,
- personnes âgées,
- services de 1re ligne,
- intervention,
- évaluation
Abstract
In Quebec, the Centre de santé et services sociaux (CSSS) Cavendish offers specialized services for the elderly with mental health problems (SSSM 60+) (Nour et al., 2011a). This article describes a targeted segment of the population reached (considering the exclusion criteria, only 50% of the elderly receiving services from the SSSM 60+ were followed). The article presents the model of individual changes relating to services, and explores the psychosocial mediators that influence the efficiency of services. This population experiences various psychosocial problems, the most important being mild to moderate symptoms of depression. Services and interventions by the SSSM 60+ team appear to increase significantly the therapeutic alliance and the feeling of empowerment in this clientele. Prioritizing these two concepts during service delivery appears to be an avenue to consider.
Keywords:
- Mental health,
- seniors,
- first line services,
- intervention,
- evaluation
Appendices
Bibliographie
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