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首页> 外文期刊>Journal of the Canadian Academy of Child and Adolescent Psychiatry >évaluation de l’implantation des services de première ligne en santé mentale jeunesse dans Lanaudière
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évaluation de l’implantation des services de première ligne en santé mentale jeunesse dans Lanaudière

机译：兰迪奥雷前线青年精神卫生服务实施情况评估

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Objective: The province of Quebec has initiated a vast reform of youth mental health services. This article aims at evaluating the first year of the implementation of first-line services in Lanaudière’s two local service networks. Methodology: A formative and participatory qualitative evaluation was carried out. Data collection was led by 32 key individuals who were engaged in the implementation of these services or who were involved in the decision-making process. Five semi-directed group interviews were carried out with the committees and teams concerned. The information collected is the object of a descriptive, qualitative content analysis. Results: The implementation of first-line services in youth mental health in the Lanaudière region has caused partners to mobilize. This fact was identified by the group as a positive element of the establishment of these services. The decision to go ahead with the implementation of these services in spite of a lack of child and adolescent psychiatrists has strengthened these individuals’ determination. On the other hand, the implementation of these services has been impeded by the lack of human resources, insufficient doctors, and difficulties with the integration of first-line services and child and adolescent psychiatry. Conclusion: Despite certain difficulties and differences between the local service networks in the implementation of first-line services in youth mental health, the establishment of these services seems to have caused an evolution in the institutional and clinical culture in Lanaudière.
机译：目标：魁北克省已启动了一项广泛的青年精神卫生服务改革。本文旨在评估Lanaudière的两个本地服务网络中实施一线服务的第一年。方法：进行了形成性和参与性的定性评估。数据收集由参与这些服务的实施或参与决策过程的32位关键人员领导。与有关委员会和小组进行了五次半定向小组访谈。收集的信息是描述性，定性内容分析的对象。结果：在Lanaudière地区，青年精神卫生领域一线服务的实施使合作伙伴得以动员。该小组认为这一事实是建立这些服务的积极因素。尽管缺乏儿童和青少年精神病医生，但仍决定继续实施这些服务，这增强了这些人的决心。另一方面，由于缺乏人力资源，医生不足以及将一线服务与儿童和青少年精神病学相结合的困难，阻碍了这些服务的实施。结论：尽管在青年心理健康领域实施一线服务时当地服务网络之间存在一定的困难和差异，但这些服务的建立似乎已导致Lanaudière机构和临床文化的发展。

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