Impact des facteurs structurels et des processus de travail des équipes sur les personnes utilisatrices de trois réseaux locaux de services en santé mentale dans un contexte de réforme
Publication: Canadian Journal of Community Mental Health
3 Février 2020
Résumé
Cet article explore l’impact des structures et processus de travail des équipes sur les personnes utilisatrices dans trois réseaux de services en santé mentale du Québec dans un contexte de réforme. Des coordonnateurs (N = 41), professionnels de soins (N = 311) et des personnes utilisatrices (N = 327) ont été sondés. Les effets sur les personnes utilisatrices dans le troisième réseau, semi-urbain, sont similaires à ceux du premier réseau, urbain et mieux nanti. L’autonomie d’équipe, la participation décisionnelle et des interactions avec les partenaires du réseau peuvent contribuer à améliorer la continuité des services, la qualité de vie et le rétablissement des personnes utilisatrices malgré un financement moindre.
Abstract
This article explores the impact of structures and team processes on service users in three Quebec mental health service networks in a context of reform. Managers (N = 41), healthcare professionals (N = 311) and services users (N = 327) were surveyed. Service user outcomes, in the third network, semi-urban, were similar to those of the first one, urban and better financed. Team autonomy, involvement in decision-making and interactions with network partners may help to improve service continuity, quality of life and recovery of services users despite lower funding.
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RÉFÉRENCES
Accietto, C. (2003). La validation d’une version française du questionnaire A.U.D.I.T. « Alcohol Use Identification Test ». (Thèse de doctorat), Université de Genève, Genève.
Adair C. E., McDougall G. M., Mitton C. R., Joyce A. S., Wild T. C., Costigan N., and Beckie A. 2005 Continuity of care and health outcomes among persons with severe mental illness Psychiatric Services 56 9 1061 -1069
Bainbridge D., Brazil K., Krueger P., Ploeg J., and Taniguchi A. 2010 A proposed systems approach to the evaluation of integrated palliative care BMC Palliative Care 9 8
Bitter N. A., Roeg D. P., van Nieuwenhuizen C., and van Weeghel J. 2016 Identifying profiles of service users in housing services and exploring their quality of life and care needs BMC Psychiatry 16 1 419
Björkman T. and Hansson L. 2002 Predictors of improvement in quality of life of long-term mentally ill individuals receiving case management European Psychiatry 17 1 33 -40
Bock G. W. and Kim Y. 2002 Breaking the myths of rewards: An exploratory study of attitudes about knowledge sharing Information Resource Management 15 14 -21
Bock G. W., Zmud R. W., Kim Y. G., and Lee J. N. 2005 Behavioral Intention Formation in Knowledge Sharing: Examining the Roles of Extrinsic Motivators, Social-Psychological Forces, and Organizational Climate MIS Quarterly 29 1 87 -111
Broadbent E., Kydd R., Sanders D., and Vanderpyl J. 2008 Unmet needs and treatment seeking in high users of mental health services: role of illness perceptions Australian and New Zealand Journal of Psychiatry 42 2 147 -153
Cameron, K. S., & Quinn, R. E. (2006). Diagnosing and changing organizational culture based on the Competing Values Framework. Revised edition. San Fransisco: Jossey-Bass.
Campion M. A., Medsker G. J., and Higgs A. C. 1993 Relations between work group characteristics and effectiveness: Implications for designing effective work groups Personnel Psychology 46 4 823 -850
Campion M. A., Papper E. M., and Medsker G. J. 1996 Relations between work team characteristics and effectiveness: A replication and extension Personnel Psychology 49 429 -452
Carey K. B., Carey M. P., and Chandra P. S. 2003 Psychometric evaluation of the alcohol use disorders identification test and short drug abuse screening test with psychiatric patients in India Journal of Clinical Psychiatry 64 7 767 -774
Caron J., Mercier C., and Tempier R. 1997 Une validation québécoise du Satisfaction with Life Domains Scale Santé mentale au Québec 22 2 195 -217
Catty J., White S., Clement S., Cowan N., Geyer C., Harvey K., and Burns T. 2013 Continuity of care for people with psychotic illness: its relationship to clinical and social functioning International Journal of Social Psychiatry 59 1 5 -17
Chiocchio F., Grenier S., O’Neill T. A., Savaria K., and Willms J. D. 2012 The effects of collaboration on performance: A multilevel validation in project teams International Journal of Project Organisation and Management 4 1 1 -37
Corrigan P. W. and Phelan S. M. 2004 Social support and recovery in people with serious mental illnesses Community Mental Health Journal 40 6 513 -523
Cramer V., Torgersen S., and Kringlen E. 2010 Mood disorders and quality of life. A community study Nordic Journal of Psychiatry 64 1 58 -62
Crane-Ross D., Lutz W. J., and Roth D. 2006 Consumer and case manager perspectives of service empowerment: relationship to mental health recovery Journal of Behavioral Health Services & Research 33 2 142 -155
Crane-Ross D., Roth D., and Lauber B. G. 2000 Consumers’ and Case Managers’ Perceptions of Mental Health and Community Support Service Needs Community Mental Health Journal 36 2 161 -178
Deegan P. 2007 The lived experience of using psychiatric medication in the recovery process and a shared decision-making program to support it Psychiatric Rehabilitation Journal 31 1 62 -69
Deneckere S., Robyns N., Vanhaecht K., Euwema M., Panella M., Lodewijckx C., and studygroup, E 2011 Indicators for follow-up of multidisciplinary teamwork in care processes: results of an international expert panel Evaluation & the Health Professions 34 3 258 -277
Donabedian, A. (1973). Aspects of Medical Care Administration: Specifying Requirements for Health Care. Cambridge Harvard University Press for the Commonwealth Fund.
Durbin J., Goering P., Streiner D. L., and Pink G. 2004 Continuity of care: validation of a new self-report measure for individuals using mental health services Journal of Behavioral Health Services & Research 31 3 279 -296
Evans S., Huxley P., and Priebe S. 1999 A comparison of the quality of life of severely mentally ill people in UK & German samples International Journal of Social Psychiatry 46 1 47 -56
Fleury M. J., Grenier G., Vallee C., Aube D., and Farand L. 2017 Implementation of Integrated Service Networks under the Quebec Mental Health Reform: Facilitators and Barriers associated with Different Territorial Profiles International Journal of Integrated Care 17 1 3
Fleury M. J., Grenier G., Vallee C., Aube D., Farand L., Bamvita J. M., and Cyr G. 2016 Implementation of the Quebec mental health reform (2005–2015) BMC Health Services Research 16 1 586
Giffort, D., Schmook, A., Woody, C., Vollendorf, C., & Gervain, M. (1995). Construction of a Scale to Measure Consumer Recovery. Springfield, IL: Illinois Office of Mental Health Green, C. A., Polen, M. R., Janoff, S. L., Castleton, D. K., Wisdom, J. P., Vuckovic, N., … Oken, S. L. (2008). Understanding how clinician-patient relationships and relational continuity of care affect recovery from serious mental illness: STARS study results. Psychiatric Rehabilitation Journal, 32(1), 9–22.
Griffin M. A., Neal A., and Parker S. K. 2007 A new model of work role performance: positive behavior in uncertain and interdependent contexts Academy of Management Journal 50 2 327 -347
Griffiths K. M., Mendoza J., and Carron-Arthur B. 2015 Whereto mental health reform in Australia: is anyone listening to our independent auditors? Medical Journal of Australia 202 4 172 -174
Hansson L. and Bjorkman T. 2007 Are factors associated with subjective quality of life in people with severe mental illness consistent over time? —A 6-year follow-up study Quality of Life Research 16 1 9 -16
Hansson L., Sandlund M., Bengtsson-Tops A., Bjarnason O., Karlsson H., Mackeprang T., and Middelboe T. 2003 The relationship of needs and quality of life in persons with schizophrenia living in the community. A Nordic multi-center study Nordic Journal of Psychiatry 57 1 5 -11
Ho W. W., Chiu M. Y., Lo W. T., and Yiu M. G. 2010 Recovery components as determinants of the health-related quality of life among patients with schizophrenia: structural equation modelling analysis Australian and New Zealand Journal of Psychiatry 44 1 71 -84
Hogan M. 2014 Mental health reform under policy mainstreaming: needed, but uncertain Epidemiology and Psychiatric Sciences 23 1 11 -16
Huppert J. D., Weiss K. A., Lim R., Pratt S., and Smith T. E. 2001 Quality of life in schizophrenia; contributions of anxiety and depression Schizophrenia Research 51 2–3 171 -180
Hurley J. and Linsley P. 2006 Proposed changes to the Mental Health Act of England and Wales: research indicating future educational and training needs for mental health nurses Journal of Psychiatric and Mental Health Nursing 13 1 48 -54
Janz B. D., Colquitt J. A., and Noe R. A. 1997 Knowledge worker team effectiveness: The role of autonomy, interdependence, team development, and contextual support variables Personnel Psychology 50 4 877 -904
Judge T. A., Thoresen C. J., Bono J. E., and Patton G. K. 2001 The job satisfaction-job performance relationship: a qualitative and quantitative review Psychological Bulletin 127 3 376 -407
Junghan U. M., Leese M., Priebe S., and Slade M. 2007 Staff and patient perspectives on unmet need and therapeutic alliance in community mental health services British Journal of Psychiatry 191 543 -547
Korner M., Lippenberger C., Becker S., Reichler L., Muller C., Zimmermann L., and Baumeister H. 2016 Knowledge integration, teamwork and performance in health care Journal of Health Organization and Management 30 2 227 -243
Lam J. A. and Rosenheck R. A. 2000 Correlates of improvement in quality of life among homeless persons with serious mental illness Psychiatric Services 51 1 116 -118
Langfred C. W. and Moye N. A. 2004 Effects of task autonomy on performance: an extended model considering motivational, informational, and structural mechanisms Journal of Applied Psychology 89 6 934 -945
Lasalvia A., Bonetto C., Salvi G., Bissoli S., Tansella M., and Ruggeri M. 2007 Predictors of changes in needs for care in patients receiving community psychiatric treatment: a 4-year follow-up study Acta psychiatrica Scandinavica Supplementum 437 31 -41
Lee H. and Cummings G. G. 2008 Factors influencing job satisfaction of front line nurse managers: a systematic review Journal of Nursing Management 16 7 768 -783
Lloyd C., King R., and Moore L. 2010 Subjective and objective indicators of recovery in severe mental illness: a cross-sectional study International Journal of Social Psychiatry 56 3 220 -229
Markon M. P., Bamvita J. M., Chiocchio F., and Fleury M. J. 2017 Profiles of mental health care professionals based on work role performance Psychiatric Quarterly 88 4 827 -838
Maynard, M. T. (2007). The impact of experience and familiarity: An examination in project teams. (Doctoral Dissertations. [PhD]), University of Connecticut.
Ministère de la Santé et des Services sociaux. (2005). Plan d’action en santé mentale 2005-2010 — La force des liens. Québec : ministère de la Santé et des Services sociaux
Narvaez J. M., Twamley E. W., McKibbin C. L., Heaton R. K., and Patterson T. L. 2008 Subjective and objective quality of life in schizophrenia Schizophrenia Research 98 1–3 201 -208
Nicaise P., Dubois V., and Lorant V. 2014 Mental health care delivery system reform in Belgium: the challenge of achieving deinstitutionalisation whilst addressing fragmentation of care at the same time Health Policy 115 2–3 120 -127
O’Connell M., Tondora J., Croog G., Evans A., and Davidson L. 2005 From rhetoric to routine: assessing perceptions of recovery-oriented practices in a state mental health and addiction system Psychiatric Rehabilitation Journal 28 4 378 -386
Ochoa S., Haro J. M., Autonell J., Pendas A., Teba F., Marquez M., and Group N. 2003 Met and unmet needs of schizophrenia patients in a Spanish sample Schizophrenia Bulletin 29 2 201 -210
Provan K. G. and Milward H. B. 1994 Integration of community-based services for the severely mentally ill and the structure of public funding: a comparison of four systems Journal of Health Politics, Policy and Law 19 4 865 -894
Provan K. G. and Milward H. B. 1995 A preliminary theory of interorganizational network effectiveness: A comparative study of four community mental health systems Administrative Science Quarterly 40 1 -33
Provan K. G., Sebastian J. G., and Milward H. B. 1996 Interorganizational cooperation in community mental health: a resource-based explanation of referrals and case coordination Medical Care Research and Review 53 1 94 -119
Quigley N. R., Tesluk P. E., Locke E. A., and Bartol K. M. 2007 A Multilevel Investigation of the Motivational Mechanisms Underlying Knowledge Sharing and Performance Organization Science 18 1 71 -88
Ravelli D. P., Buwalda V. J., Slooff C. J., Schrijvers A. J., and van Engeland H. 2003 Do integrated mental healthcare organisations facilitate process quality in the treatment of people with schizophrenia and related psychoses? International Journal of Integrated Care 3 e17
Ritsher J. B., Otilingam P. G., and Grajales M. 2003 Internalized stigma of mental illness: psychometric properties of a new measure Psychiatry Research 121 1 31 -49
Roux P., Passerieux C., and Fleury M. J. 2016 Mediation analysis of severity of needs, service performance and outcomes for patients with mental disorders British Journal of Psychiatry 209 6 511 -516
Salyers M. P., Tsai J., and Stultz T. A. 2007 Measuring recovery orientation in a hospital setting Psychiatric Rehabilitation Journal 31 2 131 -137
Sicotte C., D’Amour D., and Moreault M.-P. 2002 Interdisciplinary collaboration within Quebec community health care centres Social Science & Medicine 55 6 991 -1003
Siegfried N. 1998 A review of comorbidity: major mental illness and problematic substance use Australian and New Zealand Journal of Psychiatry 32 5 707 -717
Slade M., Leese M., Ruggeri M., Kuipers E., Tansella M., and Thornicroft G. 2004 Does meeting needs improve quality of life? Psychotherapy & Psychosomatics 73 3 183 -189
Slade M., Leese M., Taylor R., and Thornicroft G. 1999 The association between needs and quality of life in an epidemiologically representative sample of people with psychosis Acta psychiatrica Scandinavica 100 2 149 -157
Song M. and Xie J. 2000 Does innovativeness moderate the relationship between cross-functional integration and product performance? Journal of International Marketing 8 4 61 -89
Tse S., Murray G., Chung K. F., Davidson L., Ng K. L., and Yu C. H. 2014 Exploring the recovery concept in bipolar disorder: a decision tree analysis of psychosocial correlates of recovery stages Bipolar Disorders 16 4 366 -377
Vallée C., Poirier L.-R., Aubé D., Fournier L., Caulet M., Roberge P., and Lessard L. 2009 Plan d’action québécois en santé mentale : contextes de mise en oeuvre et éléments d’impact sur l’organisation des services de première ligne et les modes de collaboration Santé mentale au Québec 34 1 35 -53
van Busschbach J. and Wiersma D. 2002 Does rehabilitation meet the needs of care and improve the quality of life of patients with schizophrenia or other chronic mental disorders? Community Mental Health Journal 38 1 61 -70
Werner S. 2012 Subjective well-being, hope, and needs of individuals with serious mental illness Psychiatry Research 196 2–3 214 -219
Williams A. and Sibbald B. 1999 Changing roles and identities in primary health care: exploring a culture of uncertainty Journal of Advanced Nursing 29 3 737 -745
Wright S., Gournay K., Glorney E., and Thornicroft G. 2000 Dual diagnosis in the suburbs: prevalence, need, and in-patient service use Social Psychiatry and Psychiatric Epidemiology 35 7 297 -304
Zuckerman H. and D’Aunno T. 1990 Hospital alliances: cooperative strategy in a competitive environment Health Care Management Review 15 2 21 -30
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Canadian Journal of Community Mental Health
Volume 38 • Number 3 • November 2019
Pages: 115 - 133
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Version of record online: 3 Février 2020
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Marie-Josée Fleury, Guy Grenier, Jean-Marie Bamvita, Catherine Vallée, Lambert Farand, and François Chiocchio. 2019. Impact des facteurs structurels et des processus de travail des équipes sur les personnes utilisatrices de trois réseaux locaux de services en santé mentale dans un contexte de réforme. Canadian Journal of Community Mental Health.
38(3): 115-133. https://doi.org/10.7870/cjcmh-2019-013
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