L'amorce du virage préventif en santé mentale au Québec: Enquête sur les politiques, les structures et les programmes de prévention en santé mentale.

Abstract

Celte etude correspond au volet quebecois d'unc cnqueie pan-canadiennc visant ;i ctahlir le profil dc l'ctat de la prevention en sante mentale a l'crc dc la transformation des services de sante. Comme dans l'cnquctc pan-canadienne, des donnees out etc recueillies auprcs des directions de sante mentale et. de promotion de la sante all niveau provincial sur les politiques, les ressources et la programmation en prevention. Par ailleurs, des donnees supplementaires out ete obtenues aupres des Regies rcgionales de la sante et des services sociaux alors en voie de stnicturation, ainsi qu'aupres d'autres services miiiistericls interesses par la prevention en sante mentale. Les resultats souligncnt, outre la vitalite de la programmation en prevention dans different.es structures gouvcrnementalcs, le caractere encore insuffisammeiit structure de I'approche preventive sur le plan administrate et une cenaine distance cntre le discours de la prevention et rengagement du gouvernement, nofamment en matiere de financement recurrent.

Community psychology in the Canadian psychological family.

“…On the other hand, community psychology could use its marginalized status in the Canadian psychology family to its advantage and consciously and fully develop its mandate for emancipatory theory, ethics, research, practice, and training. Community psychologists have already demonstrated their leadership as researchers and social-change agents in many areas of primary prevention, such as preventing violence against women, community-based economic development, and support programmes for adolescent mothers (Nelson, Prilleltensky, Laurendeau, & Powell, 1996; Laurendeau & Perreault, 1997), and in community integration of psychiatric consumer/survivors. With this recent rich history, as well as the valuable legacy of Canadian community psychology in earlier decades, the subdiscipline could continue to make its mark on Canadian society, provided that in the current climate there is sufficient public support for community well-being.…”

“…With this recent rich history, as well as the valuable legacy of Canadian community psychology in earlier decades, the subdiscipline could continue to make its mark on Canadian society, provided that in the current climate there is sufficient public support for community well-being. For example, the bulk of prevention programmes are directly supported by provincial governments, obviously subject to political trends, and are funded at a very low level relative to other health and social services (Nelson et al, 1996; Laurendeau & Perreault, 1997).…”

Complementary Development of Prevention and Mental Health Promotion Programs for Canadian Children Based on Contemporary Scientific Paradigms

“…The authors of the review could not develop an information system that distinguished between mental health promotion and prevention activities in Canada. The same situation was observed in Quebec (9). Despite efforts of certain Canadian authors to differentiate the concepts of prevention and mental health promotion (10,11) or to design health promotion strategies in light ofthe Ottawa Charter for Health Promotion (12), the delimitation ofthe respective fields of prevention and promotion remains controversial.…”

Contributions of Canadian community psychology.

“…For example, Bouchard collaboratively developed an influential report, Un Que ´bec Fou de ses Enfants (Bouchard Que ´bec Ministe `re de la sante ´et des services sociaux, & Que ´bec Groupe de travail pour les jeunes, 1991), that emphasised the need for prevention programs for children and families. Following the release of this report, Que ´bec created many progressive policies and an infrastructure for prevention programs for children and families, including a low-cost childcare program (Bouchard, 2005a;Laurendeau & Perreault, 1997). More recently, Malo and Gagne ´(2002) were instrumental in adding the concept of psychological violence to Que ´bec legislation on child maltreatment and in training workers in child protection agencies.…”