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L'Ailleurs Et L'Autrement Des Pratiques Communautaires En Santé Mentale Au Québec

Publication: Canadian Journal of Community Mental Health
September 2000

Résumé

Dans cet article, nous cherchons è comprendre l'évolution des pratiques « ailleurs » et « autrement » que les ressources alternatives communautaires au Québec ont proné et pronent toujours. è cette fin, nous préciserons d'abord le sens et la signification des notions d'« ailleurs « et d'» autrement » dans le contexte de la transformation du système de santé mentale au Québec depuis 1989. Nous présenterons ensuite les résultats d'une recherche exploratoire effectuée entre 1997 et 1999 auprès de coordonnateurs/intervenants et coordonnatrices/intervenantes et de participants et participantes de 6 ressources communautaires en santé mentale d'un territoire sociosanitaire semi-urbain du Québec. Les résultats de cette recherche démontrent le bien-fondé de certaines craintes de « déradicalisation » des ressources alternatives en santé mentale. En effect, notre analyse suggère le déroulement d'un processus complexe comprenant è la fois la nature de l'insertion des alternatives dans le système public plus large, leurs dynamiques internes ainsi que les limites émergentes de la vision de l'» ailleurs « et de l'» autrement » qui les a guidé jusqu'è maintenant. Après plus de 20 ans d'existence, est-ce que le sens de l'ailleurs « et de l'autrement » en santé mentale au Québec est sur le point de se réinventer?

Abstract

The objective of this article is to understand the evolution of the practice of “elsewhere” and “otherwise” that alternative community resources in Québec have consistently advocated. Towards this end, we begin by identifying the meaning and significance of the ideas of “elsewhere” and “otherwise” in the context of the transformation of Quebec's mental health system since 1989. Then we present the results of an exploratory study carried out between 1997 and 1999 in which the coordinators as well as members of 6 community mental health organisations in a semi-urban region of Quebec were interviewed. The resurces are becoming “deradicalized.” The analysis presented here suggests the unfolding of a complex process involving the integration of alternative resources into the broader public mental health system, internal dynamics, and the emerging limitations of the vision of “elsewhere” and “otherwise” that has guided them until now. Twenty years after alternative community resources appeared on the Quebec mental health seene, is it time to reform the philsophy of “elsewhere” and “otherwise”?

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cover image Canadian Journal of Community Mental Health
Canadian Journal of Community Mental Health
Volume 19Number 2September 2000
Pages: 31 - 56

History

Version of record online: 4 Mai 2009

Authors

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Marie-Claude Roberge
Université de Montréal
Deena White
Université de Montréal

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