L’intervention de quartier à Sherbrooke, ou quand le CLSC s’installe à la porte d’à côté

Morin, Paul; Benoît, Maryse; Dallaire, Nicole; Doré, Chantal; Leblanc, Jeannette

doi:10.7202/1024982ar

Cited by 4 publications

(3 citation statements)

References 6 publications

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“…As an example of this paradox, in one of the HSSE to which one of the IPPIs is affiliated, new community-based team projects are being developed without considering what has been done within the IPPI, and what is therefore being dismantled. 5 …”

Section: Discussionmentioning

confidence: 99%

Integrated Place-Based Primary Interventions: Levers and Tensions Related to Multilevel Governance for Community Integrated Pathways, A Multiple Case Study

Goudet,

Doré,

Hyppolite

et al. 2024

Health�Serv�Insights

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Integrated Place-Based Primary Interventions (IPPIs) are considered an innovative response to the challenges and complex issues faced in disadvantaged areas where traditional institutional services have difficulty reaching people in vulnerable situations. IPPIs are an innovative approach to the delivery of in services, conceived as an original community-based local care and service pathways. However, these intervention practices require adaptive modes of governance. In this article, we explore how and to what extent the mode of governance of IPPIs influences the performance of community-integrated pathways. To this end, using a qualitative exploratory multiple-case study design (observation and semi-structured interviews), we describe 4 IPPIs in 3 territories in Quebec. This includes an examination of the levers of action and tensions related to their governance and the performance levels of the community-integrated pathways. We conclude that collaborative and shared multilevel governance, despite its demanding nature, appears to contribute to the longevity of the actions and benefits of IPPIs and could prevent their relevance from being questioned.

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Section: Discussionmentioning

confidence: 99%

Integrated Place-Based Primary Interventions: Levers and Tensions Related to Multilevel Governance for Community Integrated Pathways, A Multiple Case Study

Goudet,

Doré,

Hyppolite

et al. 2024

Health�Serv�Insights

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“…Fewer interview participants are planned for Sherbrooke because of the city’s smaller size in comparison with Montreal and Toronto. The selected neighborhoods in the three cities, which have high volumes of refugees, asylum seekers, and migrants without status, are the following: Montréal-Nord, Côte-des-Neiges, and Sud-Ouest in Montreal [ 81 ]; Ascot and Jardins Fleuris in Sherbrooke [ 82 ]; North York and Downtown Toronto in Toronto [ 83 ]. A semi-structured interview guide (available upon request) will be used to elicit perspectives on the initiatives’ implementation processes focusing on (a) perceptions of viability, continuity, attention to needs, accessibility, trust, and quality of service delivery for refugees, asylum seekers, and migrants without status and (b) the challenges and opportunities of collaborative work [ 72 ].…”

Section: Methodsmentioning

confidence: 99%

“…Based on the findings from the first research activity, we will analyze selected initiatives from the point of view of service providers, by documenting the implementation processes of these initiatives in the pandemic context. These interviews (face-to-face or by video conference) will be conducted in neighborhoods of Montreal (n = 30), Sherbrooke (n = 20), and Toronto (n = 30) with (1) policymakers, frontline workers, and managers from public organizations (e.g., managers of healthcare services, health professionals) and ( 2) with managers, frontline The selected neighborhoods in the three cities, which have high volumes of refugees, asylum seekers, and migrants without status, are the following: Montréal-Nord, Côte-des-Neiges, and Sud-Ouest in Montreal [81]; Ascot and Jardins Fleuris in Sherbrooke [82]; North York and Downtown Toronto in Toronto [83]. A semi-structured interview guide (available upon request) will be used to elicit perspectives on the initiatives' implementation processes focusing on (a) perceptions of viability, continuity, attention to needs, accessibility, trust, and quality of service delivery for refugees, asylum seekers, and migrants without status and (b) the challenges and opportunities of collaborative work [72].…”

Section: Research Activitymentioning

confidence: 99%

Learning from intersectoral initiatives to respond to the needs of refugees, asylum seekers, and migrants without status in the context of COVID-19 in Quebec and Ontario: a qualitative multiple case study protocol

Gautier

Ruggiero

Jackson

et al. 2023

Health Res Policy Sys

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Background Refugees, asylum seekers, and migrants without status experience precarious living and working conditions that disproportionately expose them to coronavirus disease 2019 (COVID-19). In the two most populous Canadian provinces (Quebec and Ontario), to reduce the vulnerability factors experienced by the most marginalized migrants, the public and community sectors engage in joint coordination efforts called intersectoral collaboration. This collaboration ensures holistic care provisioning, inclusive of psychosocial support, assistance to address food security, and educational and employment assistance. This research project explores how community and public sectors collaborated on intersectoral initiatives during the COVID-19 pandemic to support refugees, asylum seekers, and migrants without status in the cities of Montreal, Sherbrooke, and Toronto, and generates lessons for a sustainable response to the heterogeneous needs of these migrants. Methods This theory-informed participatory research is co-created with socioculturally diverse research partners (refugees, asylum seekers and migrants without status, employees of community organizations, and employees of public organizations). We will utilize Mirzoev and Kane’s framework on health systems’ responsiveness to guide the four phases of a qualitative multiple case study (a case being an intersectoral initiative). These phases will include (1) building an inventory of intersectoral initiatives developed during the pandemic, (2) organizing a deliberative workshop with representatives of the study population, community, and public sector respondents to select and validate the intersectoral initiatives, (3) interviews (n = 80) with community and public sector frontline workers and managers, municipal/regional/provincial policymakers, and employees of philanthropic foundations, and (4) focus groups (n = 80) with refugees, asylum seekers, and migrants without status. Qualitative data will be analyzed using thematic analysis. The findings will be used to develop discussion forums to spur cross-learning among service providers. Discussion This research will highlight the experiences of community and public organizations in their ability to offer responsive services for refugees, asylum seekers, and migrants without status in the context of a pandemic. We will draw lessons learnt from the promising practices developed in the context of COVID-19, to improve services beyond times of crisis. Lastly, we will reflect upon our participatory approach—particularly in relation to the engagement of refugees and asylum seekers in the governance of our research.

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Venir de loin et se retrouver : intervention de groupe pour femmes immigrantes et réfugiées ayant vécu la violence

Benoît

Rondeau

Aubin

2021

smq

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Objectifs Cet article a une visée clinique et présente une intervention novatrice pouvant être offerte dans différents milieux de pratique. Il est question ici d’une intervention de groupe s’adressant plus spécifiquement à des femmes immigrantes et réfugiées qui ont vécu différentes formes de violence. Les répercussions de l’exposition à la violence intentionnelle et déshumanisante, jumelées aux défis liés à la migration et à l’exil forcé, peuvent fragiliser les individus et mettre à l’épreuve leurs capacités d’adaptation. Bien que le soutien psychologique et psychosocial au cours des années qui suivent leur arrivée peut s’avérer salutaire, les personnes immigrantes et réfugiées ont peu recours aux services institutionnels, et des experts pointent le manque d’adéquation des services offerts à cette population. Il s’avère donc indispensable de promouvoir le développement d’interventions plus signifiantes pour ces personnes, en vertu du principe d’équité et d’égalité des chances d’accès à des services adéquats, mais aussi pour mieux outiller les intervenants en leur fournissant des interventions sécuritaires et culturellement sensibles. C’est dans cette perspective qu’a été élaborée en 2010 une intervention de groupe pour des femmes immigrantes et réfugiées ayant vécu la violence, fruit d’une collaboration entre des chercheuses de l’IUPLSSS et des intervenantes du CIUSSS de l’Estrie-Chus. Méthode Cet article vise en premier lieu à présenter cette intervention de groupe. Il sera notamment question de son caractère novateur ainsi que du rationnel clinique et empirique qui sous-tend le choix de ses principales composantes, soit le format de groupe et les modalités artistiques. S’ensuivra une description plus détaillée de l’intervention quant à ses objectifs, son déroulement et certaines composantes essentielles pour assurer sa portée thérapeutique et l’établissement d’un espace sécuritaire. En second lieu, l’article présente brièvement les données préliminaires d’une étude en cours visant notamment à évaluer les retombées de cette intervention. Dans le cadre de cette étude, des données qualitatives et quantitatives ont été recueillies auprès de 3 groupes (n = 17) et soumises à des analyses de contenu et des analyses quantitatives non paramétriques pour mesurer les changements entre le pré et posttest. Résultats En ce qui concerne plus spécifiquement l’étude en cours, les résultats préliminaires des analyses qualitatives et quantitatives montrent que les femmes ayant participé aux groupes rapportent à la fin de l’intervention une diminution des symptômes de stress posttraumatique de même que des améliorations sur différentes dimensions de leur bien-être. Conclusion La conclusion met en exergue les avantages et les limites de cette intervention, mais aussi sa pertinence pour les milieux de pratique. Bien que n’étant pas l’unique réponse pour intervenir en contexte interculturel et postviolence, cette intervention représente une option de choix pour octroyer des services adaptés à la réalité et aux besoins de personnes immigrantes et réfugiées.

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L’intervention de quartier à Sherbrooke, ou quand le CLSC s’installe à la porte d’à côté

Cited by 4 publications

References 6 publications

Integrated Place-Based Primary Interventions: Levers and Tensions Related to Multilevel Governance for Community Integrated Pathways, A Multiple Case Study

Integrated Place-Based Primary Interventions: Levers and Tensions Related to Multilevel Governance for Community Integrated Pathways, A Multiple Case Study

Learning from intersectoral initiatives to respond to the needs of refugees, asylum seekers, and migrants without status in the context of COVID-19 in Quebec and Ontario: a qualitative multiple case study protocol

Venir de loin et se retrouver : intervention de groupe pour femmes immigrantes et réfugiées ayant vécu la violence

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