Résumés
Résumé
Le premier épisode psychotique (PEP) est un trouble mental grave qui touche majoritairement les jeunes adultes. C’est un phénomène multidimensionnel et complexe duquel il est possible de se rétablir. Certains travaux démontrent des relations entre le rétablissement et les interventions facilitant la mobilisation des ressources personnelles et environnementales des personnes. Parmi celles-ci se trouvent les pratiques centrées sur la nature et l’aventure (PCNA). Bien que ces pratiques soient particulièrement reconnues pour leurs bienfaits sur le rétablissement en santé mentale, peu de travaux portent sur les PCNA réalisées auprès des personnes ayant vécu un PEP. Cet article a donc pour but d’exposer les retombées d’un projet d’intervention réalisé en nature auprès de jeunes adultes ayant vécu un PEP. Les retombées montrent que l’intervention a été bénéfique sur les dimensions clinique, existentielle, fonctionnelle, physique et sociale du rétablissement. En tenant compte de la nature de ce projet et de ses limites, cet article met en lumière le potentiel de telles démarches en travail social auprès des personnes ayant vécu un PEP.
Mots-clés :
- Travail social,
- premier épisode psychotique,
- rétablissement,
- groupe,
- nature
Abstract
First-episode psychosis (FEP) is a serious mental disorder that predominantly affects young adults. It is a multidimensional and complex phenomenon from which recovery is possible. Some studies show a relationship between recovery and the use of interventions that help mobilize personal and environmental resources. Among these are nature and adventure-based practices (NAPs). Although these practices are well known for their benefits on mental health recovery, few studies have been conducted on NAPs with people who have experienced FEP. The purpose of this article is therefore to present the outcomes of an intervention project carried out in nature with young adults who have experienced FEP. Outcomes show that the intervention was beneficial for clinical, existential, functional, physical, and social dimensions of recovery. Considering the nature of this project and its limitations, this article highlights the potential of such approaches in social work with people who have experienced FEP.
Keywords:
- Social work,
- first-episode psychosis,
- recovery,
- group,
- nature
Parties annexes
Bibliographie
- Alyahya, N. M., Munro, I. et Moss, C. (2020). The experience of psychosis and recovery from consumers’ perspectives: An integrative literature review. Journal of Psychiatric and Mental Health Nursing, 29(1), 1-17. https://doi.org/10.1111/jpm.12696
- American Psychological Association (2013). Diagnostic and Statistical Manual of Mental Disorders: DSM-5 (5th ed.). Washington, D.C.: American Psychiatric Publishing.
- Bielinis, E., Jaroszewska, A., Lukowski, A. et Takayama, N. (2019). The effects of a forest therapy programme on mental hospital patients with affective and psychotic disorders. International Journal of Environmental Research and Public Health, 17(1), 1-10. https://doi.org/10.3390%2Fijerph17010118
- Bryson, J., Feinstein, J., Spavor, J. et Kidd, S. A. (2013). An examination of the feasibility of adventure-based therapy in outpatient care for individuals with psychosis. Canadian Journal of Community Mental Health, 32(2), 1-11. https://doi.org/10.7870/cjcmh-2013-015
- Cuesta, M. J., Sánchez-Torres, A. M., Moreno-Izco, L., García de Jalón, E., Gil-Berrozpe, G. J., Zarzuela, A., Peralta, V., Ballesteros, A., Fañanás, L., Hernández, R., Janda, L., Lorente, R., Papiol, S., Peralta, D., Ribeiro, M., Rosero, A. et Zandio, M. (2022). Neurocognitive correlates of the varied domains of outcomes at 20 year follow-up of first-episode psychosis. Psychiatry research, 318, 114933. https://doi.org/10.1016/j.psychres.2022.114933
- Cuthbert, S., Sharp, H. et Berry, C. (2021). Green care in first-episode psychosis: Short report of a mixed-methods evaluation of a “woodland group” in an early intervention service. BJPsych Bulletin, 45(4), 235-237. https://doi.org/10.1192/bjb.2021.54
- Davidson, L., Borg, M., Marin, I., Topor, A., Mezzina, R. et Sells, D. (2005). Processes of recovery in serious mental illness: Findings from a multinational study. American Journal of Psychiatric Rehabilitation, 8(3), 177-201. https://doi.org/10.1080/15487760500339360
- Fusar-Poli, P., Estradé, A., Stanghellini, G., Venables, J., Onwumere, J., Messas, G., Gilardi, L., Nelson, B., Patel, V., Bonoldi, I., Aragona, M., Cabrera, A., Rico, J., Hoque, A., Otaiku, J., Hunter, N., Tamelini, M. G., Maschião, L. F., Puchivailo, M. C., Piedade, V. L., Kéri, P., Kpodo, L., Sunkel, C., Bao, J., Shiers, D., Kuipers, E., Arango, C. et Maj, M. (2022). The lived experience of psychosis: A bottom-up review co-written by experts by experience and academics. World Psychiatry, 21(2), 168-188. https://doi.org/10.1002/wps.20959
- Gargano, V. (2022). Les pratiques centrées sur la nature et l’aventure et le travail social : perspectives disciplinaires et théoriques. Intervention, 155, 151-165. https://doi.org/10.7202/1089312ar
- Gargano, V. et Turcotte, D. (2017). L’intervention en contexte de nature et d’aventure : une application de l’approche centrée sur les forces. Canadian Social Work Review, 34(2), 187-206. https://doi.org/10.7202/1042888ar
- Girard, C., Dubé, J. É., Abdel-Baki, A. et Ouellet-Plamondon, C. (2021). Off the beaten path: Adventure therapy as an adjunct to early intervention for psychosis. Psychosis, 1-11. https://doi.org/10.1080/17522439.2021.1901301
- Gouvernement du Québec (2022). S’unir pour un mieux-être collectif. Plan d’action interministériel en santé mentale 2022-2026. Direction des communications du ministère de la Santé et des Services sociaux.
- Institut national de santé publique du Québec (2012). Surveillance des troubles mentaux au Québec : prévalence, mortalité et profil d’utilisation des services. Surveillance des maladies chroniques, 6, 1-16.
- Iyer, S. N. et Malla, A. K. (2014). Intervention précoce pour la psychose : concepts, connaissances actuelles et orientations futures. Santé mentale au Québec, 39(2), 201-229. https://doi.org/10.7202/1027840ar
- Kelley, M. P., Coursey, R. D. et Selby, P. M. (1997). Therapeutic adventures outdoors: A demonstration of benefits for people with mental illness. Psychiatric Rehabilitation Journal, 20(4), 61-73.
- Lackey, N. Q., Tysor, D. A., McNay, G. D., Joyner, L., Baker, K. H. et Hodge, C. (2019). Mental health benefits of nature-based recreation: A systematic review. Annals of Leisure Research,24(3), 379-393. https://doi.org/10.1080/11745398.2019.1655459
- Lal, S. (2012). Resilience in youth recently diagnosed with psychosis: A qualitative inquiry. Thèse de doctorat, Université McGill.
- MacIntyre, T. E., Calogiuri, G., Donnelly, A. A., Warrington, G., Beckmann, J., Lahart, I. et Brick, N. (2019). Societal challenges, methodological issues and transdisciplinary approaches. Dans A. A. Donnelly et T. E. MacIntyre (dir.), Physical activity in natural settings: Green and blue exercise (p. 15-35). Routledge.
- Mishna, F., Michalski, J. et Cummings, R. (2002). Camps as social work interventions: Returning to our roots. Social Work with Groups, 24(3-4), 153-171. https://doi.org/10.1300/J009v24n03_11
- O’Keeffe, D., Hannigan, A., Doyle, R., Kinsella, A., Sheridan, A., Kelly, A., Madigan, K., Lawlor, E. et Clarke, M. (2019). The iHOPE-20 study: Relationships between and prospective predictors of remission, clinical recovery, personal recovery and resilience 20 years on from a first episode psychosis. Australian & New Zealand Journal of Psychiatry, 53(11), 1080-1092. https://doi.org/10.1177/0004867419827648
- Ouellet-Plamondon, C. et Abdel-Baki, A. (2011). Jeune, urbain... mais psychotique : l’importance du travail de proximité. Santé mentale au Québec, 36(2), 33-51. https://doi.org/10.7202/1008589ar
- Ow, R. et Poon, A. W. C. (2022). Mental health and social work. Springer.
- Sallans, D. (1999). Nancy’s story. Journal of Experiential Education, 22(3), 162-163.
- Shearer, R. M. (1975). Camping as a therapeutic experience for depressed and schizophrenic patients. Hospital & Community Psychiatry, 26(8), 494-497. https://doi.org/10.1176/ps.26.8.494
- Solmi, M., Radua, J., Olivola, M., Croce, E., Soardo, S., de Pablo, G. S., Shin, J. I., Kirkbride, J. B., Jones, P., Kim, J. H., Kim, J. Y., Carvalho, A. F., Seeman, M. V., Correll, C. U. et Fusar-Poli, P. (2022). Age at onset of mental disorders worldwide: Large-scale meta-analysis of 192 epidemiological studies. Molecular Psychiatry, 27(1), 281-295.
- Statistique Canada (s.d.) Tableau 13-10-0465-01. Indicateurs de la santé mentale.https://doi.org/10.25318/1310046501-fra.
- Vaingankar, J. A., Cetty, L., Subramaniam, M., Lee, Y. Y., Chong, S. A., Lee, H. et Verma, S. (2020). Recovery in psychosis: Perspectives of clients with first episode psychosis. Annals of the Academy of Medicine, 49(4), 186-198.
- Voruganti, L. N. P., Whatham, J., Bard, E., Parker, G., Babbey, C., Ryan, J., Lee, S. et MacCrimmon, D. J. (2006). Going beyond: An adventure- and recreation-based group intervention promotes well-being and weight loss in schizophrenia. The Canadian Journal of Psychiatry, 51(9), 575-580. https://doi.org/10.1177/070674370605100905
- Whitley, R., et Drake, R. E. (2010). Recovery: A dimensional approach. Psychiatric Services, 61(12), 1248-1250. https://doi.org/10.1176/ps.2010.61.12.1248
- Wong, S. C. Y., Chang, W. C., Hui, C. L. M., Chan, S. K. W., Lee, E. H. M., Suen, Y. N. et Chen, E. Y. H. (2021). Relationship of subjective quality of life with symptomatology, neurocognition and psychosocial functioning in first-episode psychosis: A structural equation modelling approach. European Archives of Psychiatry and Clinical Neuroscience, 271, 1561-1569. https://doi.org/10.1007/s00406-021-01309-0
- Woodford, K. M., Fenton, L. et Connors, J. (2017). A change of scenery: Wilderness therapy treatment for inpatients in acute care. Therapeutic Recreational Journal,LI(4), 258-273.
10.7202/1089312ar