Résumés
Résumé
Objectif À la suite d’une réorganisation dans le secteur de l’hébergement en santé mentale dans une région québécoise, cette étude descriptive a évalué l’intégration des principes de rétablissement selon des utilisateurs de services (n = 25), des responsables de milieux d’hébergement (n=19) et des professionnels de la santé et de services sociaux (n = 30).
Méthode La version française du Recovery Self-Assessment a été remplie par tous. Les utilisateurs de services ont également rempli l’Échelle de satisfaction envers les domaines de la vie. Des questions qualitatives supplémentaires écrites ont été posées.
Résultats La plupart des utilisateurs de services étaient globalement satisfaits de leur résidence actuelle, mais ont noté que les options d’intervention et aborder les besoins sexuels pourraient être améliorés. Les intervenants considèrent qu’il y a une intégration significativement plus faible des différentes dimensions du rétablissement que les deux autres groupes (p < 0,001). Les trois groupes ont indiqué que les utilisateurs de services devraient être davantage impliqués dans la planification des services en résidence.
Conclusion L’intégration des points de vue a mis en lumière le besoin de travailler de façon collaborative pour soutenir le processus de rétablissement dans les milieux d’hébergement et impliquer davantage les personnes utilisatrices de services.
Mots-clés :
- milieux résidentiels,
- services en santé mentale,
- rétablissement
Abstract
Objective Following a reorganization in the housing sector of mental health services in a region of Quebec, this descriptive study assessed the perceived integration of recovery principles according to service users (n=25), managers of residential facilities (n=19) and social and health care professionals (n=30).
Method All participants completed the Recovery Self-Assessment. Service users also filled the Satisfaction with Life Domains Scale. Additional qualitative questions were asked in a written format.
Results Most service users were satisfied overall with their current residence but noted that intervention options and addressing sexual needs could be improved. Clinicians perceived significantly less integration of the various dimensions of recovery than the two other groups (p < 0.001). All groups identified that persons with mental illness should be more involved in service planning in residences.
Conclusion Integrating the perspectives of different key stakeholders highlighted the need to continue to work collaboratively to support a recovery process in housing facilities and involve more service users.
Keywords:
- residential facilities,
- mental health services,
- recovery
Parties annexes
Bibliographie
- Ashcraft, L., Anthony, W.A., et Martin, C. (2008). Home is where recovery begins, Behavioral Healthcare, 28.13-15.
- Agence de santé et services sociaux Estrie (ASSSE). (2008). Programme-Services Santé mentale – Volet Organisation des services résidentiels et de soutien à la personne dans son milieu de vie 2008-2013. Document inédit.
- Baker, F. et Intagliata, J. (1982). Quality of life in the evaluation of community support systems, Evaluation and Program Planning, 5, 69-79.
- Becker, G. (1964). Human capital. A theoretical and empirical analysis with special reference to education, New York, NY : Columbia University Press.
- Bejerholm, U. (2010). Occupational balance in people with schizophrenia. Occupational Therapy in Mental Health, 26(1), 1-17.
- Bernard, Y. (1988). Du logement au chez-soi. Dans M. Legault, C. Bouvalet et C. Brun (dir.) Logement et habitat — L’état des savoirs (p. 374-380). Paris, France : La Découverte.
- Bonin, J. P. et coll. (2012). Optimisation de la collaboration avec les familles et les organismes communautaires au sein des transformations en santé mentale. Rapport de recherche. Document téléchargé en janvier 2019 à : https://www.iusmm.ca/documents/pdf/Recherche/Recherche/rapport%20Projet%20Famille_Version%20%20finale.pdf
- Bourdieu, P. (1986). The forms of capital. Dans J. Richardson (Ed) Handbook of theory and research for the sociology of education, (pp. 241-258). Westport, CT : Greenwood Press.
- Boydell, K. (2006). More than a building : supporting housing for older persons living with mental illness, Toronto, Canada : Boydell Consulting Group.
- Browne G. et Hemsley, M. (2010). Consumer participation in housing : reflecting on consumer preferences, Australian Psychiatry, 18, 579-583.
- Burgess, P., Pirkis, J., Coombs, T. et Rosen, A. (2011). Assessing the value of existing recovery measures for routine use in Australian mental health services, Australian and New Zealand Journal of Psychiatry, 45, 267-280
- Carbonneau, M. et Foley, V. (2014). Programmation des soins et des services de réadaptation visant le rétablissement des personnes aux prises avec un problème grave de santé mentale, Organisation des services résidentiels et de soutien à la personne dans son milieu de vie, Agence de santé et services sociaux Estrie.
- Caron, J., Mercier, C. et Tempier, R. (1997). Une validation québécoise du Satisfaction with Life Domains Scale. Santé mentale au Québec, 22(2), 195-217.
- Chesters, J., Fletcher, M. et Jones, R. (2005). Mental illness recovery and place. AeJAMH (Australian e-Journal for the Advancement of Mental Health), 4(2). http://dx.doi.org/10.5172/jamh.4.2.89
- Coleman, J.S. (1990). Foundations of Social Theory. Cambridge, R.-U. : Harvard University Press.
- Commission de la santé mentale du Canada (2017). Turning the key. Le logement : la clé du rétablissement. Document obtenu en août 2017 à : https://www.mentalhealthcommission.ca/Francais/media/3055.
- Davidson, L., Harding, C. et Spaniol, L. (2005). Recovery from severe mental illnesses : Research evidence and implications for practice, volume 1. Boston, MA : Boston University, Center for Psychiatric Rehabilitation.
- De Jager, J. et McCann, E. (2017). Psychosis as a barrier to the expression of sexuality and intimacy : An environmental risk ? Schizophrenia Bulletin, 43(2), 236-239, https://doi.org/10.1093/schbul/sbw172
- Fakhoury, W.K., Murray, A., Shepherd, G. et Priebe, S. (2002). Research in supported housing, Social Psychiatry and Psychiatric Epidemiology, 37, 301-315.
- Fitzgerald, E. (2009). Les ressources d’hébergement en santé mentale : analyse des enjeux et propositions d’action pour les ergothérapeutes. Document inédit. Université de Montréal : Département d’ergothérapie.
- Fortin, M. F. (2010). Fondements et étapes du processus de recherche, 2e ed. Montréal, Canada : Chenelière Éducation.
- Forum national sur la santé (1997). La santé au Canada : un héritage à faire fructifier. Rapports de synthèse et documents de référence, vol. 11, Ottawa, ministère des Travaux publics et Services gouvernementaux.
- Grant, J.G. et Westhues, A. (2010). Choice and outcome in mental health supported housing, Psychiatric Rehabilitation Journal, 33, 232-235.
- Hendryx, M., Green, C.A. et Perrin, N. A. (2008). Social support, activities and recovery from serious mental illness : STARS study findings. Journal of Behavioral Health Services & Research, 36 (3), 320-329.
- Hampson, M.E., Watt, B. et Hicks, R. (2018). Perspectives on Recovery in Psychosis. Journal of Recovery in Mental Health, 2(1), 53-67.
- Hill, A., Mayes, R. et McConnell, D. (2010). Transition to independent accommodation for adults with schizophrenia, Psychiatric Rehabilitation Journal, 33, 228-231.
- Kearns, R.A. et W.M. Gessler (1998). Putting health into place : Landscape, identity and well-being (space, place, society), Syracuse, NY : Syracuse University Press.
- Kloos, B. Townley, G. (2011). Investigating the relationship between neighborhood experiences and psychiatric distress for individuals with serious mental illness, Administration and Policy in Mental Health and Mental Health Research, 38, 105-116.
- Kloos, B. et Shah, S. (2009). A social ecological approach to investigating relationships between housing and adaptative functioning for persons with serious mental illness, American Journal of Community Psychology, 44, 316-326.
- Larivière, N. Denis, C., Payeur, A., Ferron, A., Lévesque, S. et Rivard, G. (2016). Comparison of objective and subjective life balance between women with and without a personality disorder. Psychiatric Quarterly, 87(4), 663-673. http://dx.doi.org/10.1007/s11126-016-9417-3
- Larivière, N. Couture, E., Blackburn, C., Carbonneau, M., Lacombe, C., Schinck, S.A., … St-Cyr-Tribble, D. (2015). Recovery, as experienced by women with borderline personality disorders. Psychiatric Quarterly, 86, 555-568.
- Larivière, N., Gélinas, I., Mazer, B., Tallant, B. et Paquette, I. (2006). Adjustment to community residential settings over time among older adults with serious mental illnesses. Psychiatric Rehabilitation Journal, 29(3), 189-196.
- Le Boutillier, C., Leamy, M., Bird, VJ., Davidson L., Williams J. et Slade M. (2011). What does recovery mean in practice ? A qualitative analysis of international recovery-oriented practice guidance. Psychiatric Services, 62(12), 1470-1476. doi: 10.1176/appi.ps.001312011.
- McLoughlin, K.A., Du Wick, A., Collazzi, C.M. et Puntill, C. (2013). Recovery-oriented practices of psychiatric-mental health nursing staff in an acute hospital setting, Journal of the American Nurses Association, 19, 152-159.
- Ministère de la Santé et des Services sociaux. (2015). Plan d’action en santé mentale 2015-2020, Québec : Gouvernement du Québec.
- Morin, P., Bossé, P. L., Carrier, S., Garon, S. et Lambert, A. (2015). La personnalisation des services de santé mentale : une voie d’avenir. Santé mentale au Québec, 40(1), 135-152.
- Nelson, G., Sylvestre, J., Aubry, T., George, L. et Trainor, J. (2007). Housing choice and control, housing quality, and control over professional support as contributors to the subjective quality of life and and community adaptation of people with severe mental illness, Administration and Policy in Mental Health and Mental Health Research, 34, 89-100.
- Noiseux, S. et Ricard, N. (2008). Recovery as perceived by people with schizophrenia, family members and health professionals : A grounded theory. International Journal of Nursing Studies, 45, 1148-1162.
- O’Connell, M., Tondora, J., Croog, G., Evans, A. et Davidson, L. (2005). From rhetoric to routine : assessing perceptions of recovery-oriented practices in a state mental health and addiction system, Psychiatric Rehabilitation Journal,28, 378-386.
- Ontario Federation of Community Mental Health and Addictions Programs (OFCMHAP). (1999). The Canadian toolkit for measuring psychosocial rehabilitation outcomes, récupéré de http://www.psr.ofcmhap.on.ca/ en mai 2015.
- Padgett, D., Gulcur, L. et Tsemberis, S. (2006). Housing first services for people who are homeless with co-occuring serious mental illness and substance abuse, Research on Social Work Practice, 16, 74-83.
- Piat, M. et Seida, K. (2018). Supported housing for persons with serious mental illness and personal recovery : What do families think ? International Journal of Social Psychiatry, 64 (8), 707-714.
- Piat, M., Boyer, R., Fleury, M.-J., Lesage, A., O’Connell, M. et Sabetti, J. (2015). Resident and proprietor perspectives of a recovery orientation in community-based housing, Psychiatric Rehabilitation Journal, 38(1), 88-95. http://dx.doi.org/10.1037/prj0000104
- Piat, M., Boyer, R., Cloutier, S., Fleury, M.-J. et Lesage, A. (2012). Les conditions favorables au rétablissement : perspective des usagers et usagères. Revue canadienne de santé mentale communautaire, 31(1), 67-85.
- Piat, M., Lesage, A., Boyer, R., Dorvil, H., Couture, A., Grenier, G. et Bloom, D. (2010). Housing for persons with serious mental illness : Consumer and service provider preferences, Psychiatric Services, 59, 1011-1017.
- Piat, M., Sabetti, J., Couture, A., Sylvestre, J., Provencher, H., Botschner, J. et Stayner, D. (2009). What does recovery mean for me ? Perspectives of Canadian mental health consumers. Psychiatric Rehabilitation Journal, 32(3), 199-207. http://dx.doi.org/10.2975/32.3.2009.199.207
- Piat, M., Ricard, N., Sabetti, J. et Beauvais, L. (2008). Building life around foster homes versus moving on : the competing needs of people living in foster homes, Psychiatric Rehabilitation Journal, 32, 32-39.
- Provencher, H. L. (2002). L’expérience du rétablissement : perspectives théoriques. Santé mentale au Québec, XXVII, 1, 35-64.
- Putnam, R.D. (1995). Bowling alone : America’s declining social capital, Journal of Democracy, 6(1), 65-78.
- Rodriguez, L., Bourgeois, L., Landry, Y., Guay, L. et Pinard, J.L. (2006). Repenser la qualité des services en santé mentale dans la communauté/Changer de perspective. Québec, Canada : Presses de l’Université du Québec.
- Tsai, J. et Salyers, M.P. (2012). Recovery orientation in hospital and community setting, Journal of Behavioral Health Services & Research, 37, 385-399.
- Williams, J., Leamy, M., Bird, V., Harding, C., Larsen, J., Le Boutillier, C., … Slade, M. (2012). Measures of the recovery orientation of mental health services : Systematic review, Social Psychiatric and Psychiatric Epidemiology, 47, 1827-1835.
- Ye, S., Pan, J.Y, Keung Wong, D.F. et Bola, J.R. (2013). Cross-validation of mental health recovery measures in a Hong Kong Chinese sample. Research on Social Work Practice, 23, 311-325.
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