Démarche réflexive d’analyse en partenariat sur l’élaboration de stratégies pour améliorer l’offre de services en santé mentale des personnes ayant subi un traumatisme craniocérébral modéré ou grave
Publication: Canadian Journal of Community Mental Health
24 Octobre 2016
Résumé
L’objectif de cette étude est de déterminer les priorités d’action afin d’améliorer l’offre de services de santé mentale suite à un traumatisme craniocérébral (TCC) modéré ou grave. Quatre-vingts participants (intervenants et intervenantes, décideurs et représentants et représentantes de la communauté) ont participlé au forum de discussion. Un logiciel d’analyse qualitative des énoncés de la démarche réflexive (Démarche réflexive d’analyse en partenariat : DRAP) a été utilisé pour recueillir et analyser les énoncés (Boudreault et Kalubi, 2007). Les participants (hommes et femmes) devaient évaluer l’importance de chaque énoncé (incontournable, nécessaire, souhaitable). Un total de 341 énoncés ont été proposés dont 70,3 % ont été jugés comme étant incontournables dans le secteur des pratiques cliniques, 63,2 % dans le secteur des politiques, 50,7 % et 66,6 % dans les secteurs organisation des services et formation respectivement. Cette activité de réflexion provinciale en partenariat propose un plan d’action afin d’améliorer l’offre de services en santé mentale suite à un TCC modéré ou grave.
Abstract
This study used a qualitative design with the objective of identifying concrete and practical solutions to optimize mental health care service delivery to persons with moderate-to-severe traumatic brain injury (TBI). Eighty provincial service providers, decision-makers, and community representatives participated. Qualitative analysis software (DRAP), developed by Boudreault and Kalubi (2007), was used to collect and analyze the statements emerging from the provincial workshop discussions. To summarize, 341 statements were collected during the workshop; 70.3% of these relating to clinical practice were considered essential, as were 63.2% that addressed policies, 50.7% that dealt with service reorganization, and 66.6% that were related to training. This workshop identified important strategies and priority actions considered essential for implementation in the Quebec health network for persons with moderate-to-severe TBI.
Formats available
You can view the full content in the following formats:
References
1
Andelic N., Soberg H. L., Berntsen S., Sigurdardottir S., and Roe C. 2014 Self-perceived health care needs and delivery of health care services 5 years after moderate-to-severe traumatic brain injury PM&R: The Journal of Injury, Function and Rehabilitation 6 11 1013 -1021
2
Anderson S., Allen P., Peckham S., and Goodwin N. 2008 Asking the right questions: Scoping studies in the commissioning of research on the organisation and delivery of health services Health Research and Policy Systems, 2008 6 7
3
Anson K. and Ponsford J. 2006 Evaluation of a coping skills group following traumatic brain injury Brain Injury 20 2 167 -178
4
Audrit H. and de Guise E. 2014 Le traumatisme craniocérébral léger : symptômes et prise en charge Journal de réadaptation médicale 34 3 109 -113
5
Battista R. N. and Hodge M. J. 1995 Setting priorities and selecting topics for clinical practice guidelines Canadian Medical Association Journal 153 9 1233 -1237
6
Bay E. H., Blow A. J., and Yan X. E. 2012 Interpersonal relatedness and psychological functioning following traumatic brain injury: Implications for marital and family therapists Journal of Marital and Family Therapy 38 3 556 -567
7
Bombardier C. H., Fann J. R., Temkin N. R., Esselman P. C., Barber J., and Dikmen S. S. 2010 Rates of major depressive disorder and clinical outcomes following traumatic brain injury Journal of the American Medical Association 303 19 1938 -1945
8
Boudreault, P. et Kalubi, J.-C. (2007). De la méthodologie Q à la DRAP : un défi d’ordre technologique. Dans J.-C. Kalubi (dir.), Recherche interdisciplinaire en réadaptation et défis technologiques : nouvelles perspectives théoriques et réflexions cliniques (p. 93–109). Montréal, QC : Les publications du CRIR.
9
Bryant R. A., O’Donnell M. L., Creamer M., McFarlane A. C., Clark C. R., and Silove D. 2010 The psychiatric sequelae of traumatic injury American Journal of Psychiatry 167 3 312 -320
10
Casey P. 2009 Adjustment disorder: Epidemiology, diagnosis and treatment CNS Drugs 23 11 927 -938
11
Chronister J. and Chan F. 2006 A stress process model of caregiving for individuals with traumatic brain injury Rehabilitation Psychology 51 3 190 -201
12
Clavisi O., Bragge P., Tavender E., Turner T., and Gruen R. L. 2013 Effective stakeholder participation in setting research priorities using a Global Evidence Mapping approach Journal of Clinical Epidemiology 66 5 496 -502
13
Corrigan J. D., Whiteneck G., and Mellick D. 2004 Perceived needs following traumatic brain injury Journal of Head Trauma Rehabilitation 19 3 205 -216
14
Dahm J., Wong D., and Ponsford J. 2013 Validity of the Depression Anxiety Stress Scales in assessing depression and anxiety following traumatic brain injury Journal of Affective Disorders 151 1 392 -396
15
Dawkins N., Cloherty M. E., Gracey F., and Evans J. J. 2006 The factor structure of the Hospital Anxiety and Depression Scale in acquired brain injury Brain Injury 20 12 1235 -1239
16
Deb S., Lyons I., Koutzoukis C., Ali I., and McCarthy G. 1999 Rate of psychiatric illness 1 year after traumatic brain injury American Journal of Psychiatry 156 374 -378
17
Degeneffe C. E. 2001 Family caregiving and traumatic brain injury Health and Social Work 26 257 -267
18
Degeneffe C. E., Chan F., Dunlap L., Man D., and Sung C. 2011 Development and validation of the caregiver empowerment scale: A resource for working with family caregivers of persons with traumatic brain injury Rehabilitation Psychology 56 243 -250
19
de Guise É., LeBlanc J., Feyz M., Meyer K., Duplantie J., Thomas H., [. . .], and Roger E. Long-term recovery after severe traumatic brain injury: The McGill Multidisciplinary Prospective Outcome Study Journal of Head Trauma Rehabilitation 23 294 -303
20
Dikmen S. S., Machamer J. E., Powell J. M., and Temkin R. 2003 Outcome 3 to 5 years after moderate to severe traumatic brain injury Archives of Physical and Medical Rehabilitation 84 1449 -1455
21
Dijkers M. P. 2004 Quality of life after traumatic brain injury: A review of research approaches and findings Archives of Physical Medicine and Rehabilitation 85 21 -35
22
Fann J. R., Bombardier C. H., Dikmen S., Esselman P., Warms C. A., Pelzer E., [. . .], and Temkin N. 2005 Validity of the Patient Health Questionnaire-9 in assessing depression following traumatic brain injury Journal of Head Trauma Rehabilitation 20 6 501 -511
23
Fann J. R., Burington B., Leonetti A., Jaffe K., Katon W. J., and Thompson R. S. 2004 Psychiatric illness following traumatic brain injury in an adult health maintenance organization population Archives of General Psychiatry 61 53 -61
24
Fleminger S. 2008 Long-term psychiatric disorders after traumatic brain injury European Journal of Anaesthesiology 42 123 -130
25
Gordon W. A., Zafonte R., Cicerone K., Cantor J., Brown M., Lombard L., [. . .], and Chandna T. 2006 Traumatic brain injury rehabilitation: State of the science American Journal of Physical Medicine and Rehabilitation 85 4 343 -382
26
Handel S. F., Ovitt L., Spiro J. R., and Rao V. 2007 Affective disorder and personality change in a patient with traumatic brain injury Psychosomatics 48 1 67 -70
27
Hart T., Whyte J., Polansky M., Millis S., Hammond F., Sherer M., [. . .], and Kreutzer J. 2003 Concordance of patient and family report of neurobehavioral symptoms at 1 year after traumatic brain injury Archives of Physical and Medical Rehabilitation 84 204 -213
28
Hodgson J., McDonald S., Tate R., and Gertler P. 2005 A randomized controlled trial of a cognitive behavioural therapy program for managing social anxiety after acquired brain injury Brain Impairment 6 169 -180
29
Homaifar B. Y., Brenner L. A., Gutierrez P. M., Harwood J. F., Thompson C., Filley C. M., [. . .], and Adler L. E. 2009 Sensitivity and specificity of the Beck Depression Inventory-II in persons with traumatic brain injury Archives of Physical Medicine and Rehabilitation 90 4 652 -656
30
Hoofien D., Gilboa A., Vakil E., and Donovick P. J. 2001 Traumatic brain injury (TBI) 10–20 years later: A comprehensive outcome study of psychiatric symptomatology, cognitive abilities and psychosocial functioning Brain Injury 15 189 -209
31
Institut canadien d’information sur la santé. (2006, August 30). Hospitalizations due to traumatic brain injuries down 35% over a decade. Récupéré de http://secure.cihi.ca/cihiweb/dispPage.jsp?cw_page=media_30aug2006_e
32
Jennekens N., de Casterlé B. D., and Dobbels F. A. 2010 A systematic review of care needs of people with traumatic brain injury (TBI) on a cognitive, emotional and behavioural level Journal of Clinical Nursing 19 9–10 1198 -1206
33
Jorge R. E., Robinson R. G., Moser D., Tateno A., Crespo-Facorro B., and Arndt S. 2004 Major depression following traumatic brain injury Archives of General Psychiatry 61 1 42 -50
34
Jumisko E., Lexell J., and Soderberg S. 2007 Living with moderate or severe traumatic brain injury: The meaning of family members’ experiences Journal of Family Nursing 13 353 -369
35
Kalpakjian C. Z., Lam C. S., Toussaint L. L., and Merbitz N. K. H. 2004 Describing quality of life and psychosocial outcomes after traumatic brain injury American Journal of Physical Medicine & Rehabilitation 83 4 255 -265
36
Kapiriri L. and Norheim O. F. 2002 Whose priorities count? Comparison of community-identified health problems and Burden-of-Disease-assessed health priorities in a district in Uganda Health Expectations: An International Journal of Public Participation in Health Care and Health Policy 5 1 55 -62
37
Kreutzer J. S., Seel R. T., and Gourley E. 2001 The prevalence and symptom rates of depression after traumatic brain injury: A comprehensive examination Brain Injury 15 7 563 -576
38
Kroenke K., Spitzer R. L., and Williams J. B. W. 2003 The Patient Health Questionnaire-2: Validity of a two-item depression screener Medical Care 41 11 1284 -1292
39
Lathif N., Phipps E., Alton P., and Tyagi Sharma D. 2014 Prevalence of psychiatric disorders following brain injury British Journal of Medical Practitioners 7 3 4 -6
40
Lefebvre, H. (2007). L’adéquation entre les besoins vécus par les proches de personnes ayant un traumatisme crânien et les services offerts par le continuum de soins. Rapport de recherche. Récupéré de https://papyrus.bib.umontreal.ca/xmlui/handle/1866/2235
41
Lefebvre, H. (2009). Les besoins des proches, des intervenants et des personnes ayant un traumatisme craniocérébral : comparaison du Québec et de la France. Rapport de recherche. Récupéré de https://papyrus.bib.umontreal.ca/xmlui/handle/1866/8862
42
Legendre, R. (2005). Dictionnaire actuel de l’éducation. Montréal, QC : Guérin.
43
Mauri M. C., Paletta S., Colasanti A., Miserocchi G., and Altamura A. C. 2014 Clinical and neuropsychological correlates of major depression following post-traumatic brain injury, a prospective study Asian Journal of Psychiatry 12 118 -124
44
Noorani H. Z., Husereau D. R., Boudreau R., and Skidmore B. 2007 Priority setting for health technology assessments: A systematic review of current practical approaches International Journal of Technology Assessment in Health Care 23 3 310 -315
45
Oxman A. D., Schünemann H. J., and Fretheim A. 2006 Improving the use of research evidence in guideline development: 2. Priority setting Health Research and Policy Systems 29 4 -14
46
Pickelsimer E. E., Selassie A. W., Sample P. L., Heinemann A., Gu J. K., and Veldheer L. C. 2007 Unmet service needs of persons with traumatic brain injury Journal of Head Trauma Rehabilitation 22 1 1 -13
47
Ponsford J., Bayley M., Wiseman-Hakes C., Togher L., Velikonja D., McIntyre A., [. . .], and Tate R. 2014 INCOG recommendations for management of cognition following traumatic brain injury, part II: Attention and information processing speed Journal of Head Trauma Rehabilitation 29 4 321 -337
48
Rapoport M. J., McCullagh, Streiner D., and Feinstein A. 2003 The clinical significance of major depression following mild traumatic brain injury Psychosomatics 44 31 -37
49
Sasse N., Gibbons H., Wilson L., Martinez-Olivera R., Schmidt H., Hasselhorn M., [...], and von Steinbüchel N. 2013 Self-awareness and health-related quality of life after traumatic brain injury Journal of Head Trauma Rehabilitation 28 6 464 -472
50
Scholten A. C., Haagsma J. A., Cnossen M. C., Olff M., Van Beeck E. F., and Polinder S. 2016 Prevalence and risk factors of anxiety and depressive disorders following traumatic brain injury: a systematic review Journal of Neurotrauma Publication électronique en avance
51
Schonberger M. and Ponsford J. 2010 The factor structure of the Hospital Anxiety and Depression Scale in individuals with traumatic brain injury Psychiatry Research 179 3 342 -349
52
Schwarzbold M., Diaz A., Martins E. T., Rufino A., Amante L. N., Thais M. E., [. . .], and Walz R. 2008 Psychiatric disorders and traumatic brain injury Neuropsychiatric Disease And Treatment 4 4 797 -816
53
Schwarzbold M. L., Diaz A. P., Nunes J. C., Sousa D. S., Hohl A., Guarnieri R., [. . .], and Walz R. 2014 Validity and screening properties of three depression rating scales in a prospective sample of patients with severe traumatic brain injury Revista brasileira de psiquiatria 36 3 206 -212
54
Silver J. M., McAllister T. W., and Arciniegas D. B. 2009 Depression and cognitive complaints following mild traumatic brain injury American Journal of Psychiatry 166 6 653 -661
55
Sliwinski M., Gordon W. A., and Bogdany J. 1998 The Beck Depression Inventory: Is it a suitable measure of depression for individuals with traumatic brain injury? Journal of Head Trauma Rehabilitation 13 4 40 -46
56
Swaine, B., Feldman, D., Ouellet, M.C., de Guise, E., Desjardins, M., Gagnier, S., [. . .] Richard, Y. (2014). Optimisation des services de santé mentale offerts en réadaptation aux personnes ayant subi un traumatisme crâniocérébral. Rapport de recherche. Montréal, QC : Université de Montréal (FRQS-CDRT).
57
Tomberg T., Toomela A., Pulver A., and Tikk A. 2005 Coping strategies, social support, life orientation and healthrelated quality of life following traumatic brain injury Brain Injury 19 14 1181 -1190
58
Turner-Stokes L., Kalmus M., Hirani D., and Clegg F. 2005 The Depression Intensity Scale Circles (DISCs): A first evaluation of a simple assessment tool for depression in the context of brain injury Journal of Neurology, Neurosurgery, and Psychiatry 76 9 1273 -1278
59
Vaishnavi S., Rao V., and Fann J. R. 2009 Neuropsychiatric problems after traumatic brain injury: Unraveling the silent epidemic Psychosomatics 50 3 198 -205
60
Vincent P. 2014 Le cheminement de la personne adulte ayant subi un traumatisme craniocérébral (TCC) à travers les divers établissements partenaires du consortium montréalais : une question d’efficience et de respect de l’usager Journal de réadaptation médicale : pratique et formation en médecine physique et de réadaptation 34 3 105 -108
61
von Steinbüchel N., Wilson L., Gibbons H., Hawthorne G., Höfer S., Schmidt S., [. . .], and Truelle J. L. 2010 Quality of Life after Brain Injury (QOLIBRI): Scale development and metric properties Journal of Neurotrauma 27 7 1167 -1185
Information & Authors
Information
Published In
Canadian Journal of Community Mental Health
Volume 35 • Number 2 • October 2016
Pages: 19 - 41
History
Version of record online: 24 Octobre 2016
Mots-clés
Key Words
Authors
Metrics & Citations
Metrics
Other Metrics
Citations
Cite As
Élaine de Guise, Frédéric Banville, Monique Desjardins, Marie-Christine Ouellet, Yvonne Richard, Stéphane Gagnier, Simon Bonneau-Beaulieu, Hélène Audrit, Debbie Feldman, and Bonnie Swaine. 2016. Démarche réflexive d’analyse en partenariat sur l’élaboration de stratégies pour améliorer l’offre de services en santé mentale des personnes ayant subi un traumatisme craniocérébral modéré ou grave. Canadian Journal of Community Mental Health.
35(2): 19-41. https://doi.org/10.7870/cjcmh-2016-031
Export Citations
If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download.
There are no citations for this item
View Options
View options
Get Access
Login options
Check if you access through your login credentials or your institution to get full access on this article.
Subscribe
Click on the button below to subscribe to Canadian Journal of Community Mental Health
