Partnership at the Forefront of Change: Documenting the Transformation of Child and Youth Mental Health Services in Quebec
Référence bibliographique 
Nadeau, Lucie, Jaimes, Annie, Rousseau, Cecile, Papazian-Zohrabian, Garine, Germain, Kateri, Broadhurst, Joanna, Battaglini, Alex et Measham, Toby. 2012. «Partnership at the Forefront of Change: Documenting the Transformation of Child and Youth Mental Health Services in Quebec ». Journal de l’Académie canadienne de psychiatrie de l’enfant et de l’adolescent / Journal of the Canadian Academy of Child and Adolescent Psychiatry, vol. 21, no 2, p. 91-97.
Intentions : «The Quebec Plan d’action en santé mentale (PASM) (Mental Health Action Plan) reform, a major transformation of the province’s mental health care system, has put primary care rather than hospital-based care at the forefront of mental health service delivery. This study documents perceptions of changes in child and youth mental health (CYMH) services following the reform, as well as facilitators and obstacles to collaboration and partnership in CYMH services, and the specific challenges related to collaboration and partnership when servicing multi-ethnic populations.» (p. 91)
Échantillon/Matériau : La présente étude est basée sur l’implication de «30 participants, ten from each of the three CSSSs [CSSS de la Montagne, CSSS Cavendish et CSSS Bordeaux-Cartierville-St-Laurent]. […] A focus group was organised with managers of the three CSSSs and with child-psychiatry managers at associated hospitals (seven participants) to discuss issues related to partnership between institutions. […] A joint meeting with workers from the three CSSSs (45 participants) allowed the participants to enrich the interpretation of the preliminary research findings.» (p. 93)
Instruments : Guide d’entretien semi-directif
Type de traitement des données : Analyse de contenu
«The reform process encountered challenges in building a common culture of care within and between institutions, while collaboration and partnership evolved in a positive direction throughout the study. Study results highlighted the importance of fostering communication at all levels. Collaboration and partnership was facilitated by opportunities for clinical discussions, dialogue on models of care, harmonizing administrative and clinical priorities, and involving key actors and structures. The results revealed difficulties in implementing multidisciplinary work and in negotiating partners’ responsibilities. Quality of partnership and collaboration appeared particularly crucial in providing optimal care to vulnerable families, including migrants.» (p. 91)