1. Objectifs

Intentions :
«This chapter describes how collaborative care can be a useful model of service delivery for culturally diverse populations and how it can address specific needs of communities facing multiple forms of social structural disadvantage, precarity and exclusion.» (p. 203)

2. Méthode

Échantillon/Matériau :
Données documentaires diverses

Type de traitement des données :
Réflexion critique

3. Résumé

«Collaboration between primary, secondary and tertiary care professionals can provide better continuity of care and efficient use of limited resources. Of course, collaboration across different professions demands its own share of adjustments, and much work must be done with partners and stakeholders at the onset to clarify roles and build effective teams. Multidisciplinary teams can facilitate understanding of cultural contexts and promote negotiation of differences and the provision of culturally appropriate care. […] At its roots the model of collaborative mental health care encourages all actors to be partners in care and promotes a partnership role for families as well. At the same time, true collaboration remains a major challenge as both illness and migration may strain the voice and agency of families as they struggle with new predicaments. Families come to a new country with an expected model of care in mind, unconsciously if not consciously. Migrants become expert at adapting to new realities, but in so far as mental health problems mobilize defence mechanisms, they can provoke fears about an unfamiliar system of care which is perceived as stigmatizing and unresponsive. Introducing a multiplicity of voices within collaborative care symbolically conveys that all perspectives are important and this process can be empowering for families.» (p. 217-218)