Nouveaux paramètres pour l’élaboration des pratiques de soutien communautaire : contribution des organismes communautaires et alternatifs au Québec

Abstract

Cet article examine l’origine et le contexte du projet d’implantation du suivi dans la communauté selon la perspective des organismes communautaires et alternatifs en santé mentale au Québec. L’auteure présente les résultats d’une recherche sur les pratiques de ces organismes qui ont développé un dispositif spécifique qui intègre les composantes essentielles du modèle de suivi communautaire. L’auteure examine six paramètres qui permettent de caractériser les dispositifs, les approches et les pratiques : 1) l’approche dans l’accompagnement ; 2) le rapport volontaire à l’organisme ; 3) la place du traitement biomédicale ; 4) la flexibilité dans la durée et l’intensité ; 5) la dimension individuelle et collective de l’accompagnement ; 6) et, la participation citoyenne.This article examines the origin and the context of the implementation project of community treatment according to the perspective of community and alternative mental health groups in Québec. The author presents results of a research on practices of these groups through a specific array that integrates the essential components of the community treatment model. The author examines six parameters characterizing devices, approaches and practices: 1) approach in supportive care and attention; 2) voluntary relation with the organization 3) the place of biomedical treatment; 4) flexibility in length and intensity of treatment; 5) the individual and collective dimension of supportive care; 6) and, participation as an active citizen.Este artículo examina el origen y contexto del proyecto de implantación del seguimiento en la comunidad conforme a la perspectiva de los organismos comunitarios y alternativos de salud mental en Quebec. La autora presenta los resultados de una investigación sobre las prácticas de estos organismos, los cuales han desarrollado un dispositivo específico que integra los componentes esenciales del modelo de seguimiento comunitario. La autora examina seis parámetros que permiten caracterizar los dispositivos, los enfoques y las prácticas: 1) el enfoque en el acompañamiento; 2) la relación voluntaria con el organismo; 3) el sitio del tratamiento biomédico; 4) la flexibilidad en la duración e intensidad; 5) la dimensión individual y colectiva del acompañamiento y 6) la participación ciudadana.Este artigo examina a origem e o contexto do projeto de implantação do acompanhamento na comunidade segundo a perspectiva dos organismos comunitários e alternativos em saúde mental no Quebec. A autora apresenta os resultados de uma pesquisa sobre as práticas destes organismos que desenvolveram um dispositivo específico que integra os componentes essenciais do modelo de acompanhamento comunitário. A autora examina seis parâmetros que permitem caracterizar os dispositivos, as abordagens e as práticas: 1) a abordagem no acompanhamento; 2) a relação voluntária ao organismo; 3) a importância do tratamento biomédico; 4) a flexibilidade na duração e na intensidade; 5) a dimensão individual e coletiva do acompanhamento; 6) e a participação cívica

Recovery Attitudes and Recovery Practices Have an Impact on Psychosocial Outreach Interventions in Community Mental Health Care

“…The ACT program is a model that was developed within the walls of a psychiatric institution as an alternative to hospitalization in the context of deinstitutionalization; it is defined as providing round-the-clock, individualized psychiatric services in a person’s home or community (17). However, it has a history of coercive and intrusive interventions that are almost singularly focused on pharmacological adherence to manage symptoms (18, 19). The objective of ACT is to provide comprehensive outreach in the community where service users can access the same type of treatment team they would access if they were in an inpatient setting.…”