Abstracts
Abstract
Following various reports highlighting the lack of mental health services for children and youth in Nunavik (Quebec, Canada), high rates of child placements under youth protection, and gaps in the coordination of services, the Regional Partnership Committee of Nunavik decided to prioritize collaborative, community-based approaches to the health and wellbeing of children, youth, and their families. It is in this context that the regional project Ilagiinut (‘For families’) was initiated and is being piloted in Kuujjuaraapik. In mental health care, collaborative practices are highly valued, and various models are flourishing. However, collaborative care models are not necessarily easy to implement and involve a variety of ingredients, including trust, strong partnerships, clarity of roles, and power dynamics, all of which are influenced by culture and context. In this study, we conducted a total of 54 interviews with administrators, clinicians, and Inuit family members to explore their everyday expectations for and experiences with child and youth mental health services and collaboration between people involved in care. In our analysis we explore how context influences expectations, beliefs, and experiences, and ultimately how these factors impact the nature of services offered to children, youth, and families. The aim is to shed light on obstacles to and facilitators of collaboration in child and youth mental health in order to inform individuals, communities, and organizations that are trying to change policy and practice.
Résumé
Suite à la publication de plusieurs rapports soulignant le manque de services en santé mentale de la jeunesse au Nunavik (Québec, Canada), les hauts taux de placement sous la protection de la jeunesse, de même que les lacunes dans la coordination des services, le Comité de partenariat régional du Nunavik a décidé de prioriser des approches collaboratives et communautaires pour la prévention et le bien-être des enfants, des jeunes et de leurs familles. C’est dans ce contexte que le projet régional Ilagiinut (« Pour les familles ») a été mis en place à Kuujjuaraapik. Alors que les pratiques en collaboration sont de plus en plus valorisées en santé mentale, de telles approches ne sont pas toujours faciles à mettre en place et requièrent nombre d’ingrédients, dont la confiance, de solides partenariats, des rôles clairement définis, ainsi que des dynamiques de pouvoir propices, le tout étant marqué par la culture et le contexte du Nunavik. Dans cette étude, nous avons mené un total de 54 entrevues avec des administrateurs, cliniciens et membres de familles inuit afin de déterminer leurs attentes et leurs expériences quotidiennes en ce qui a trait aux soins offerts en santé mentale de la jeunesse et à la collaboration entre les différents acteurs impliqués. Dans notre analyse, nous explorons comment le contexte influe sur les attentes, croyances et expériences, et comment celles-ci ont des impacts sur la nature des services offerts aux enfants et aux familles. Le but est de mettre en lumière tant les obstacles que les facilitateurs de la collaboration en santé mentale de la jeunesse au Nunavik afin d’informer les individus, communautés et organisations souhaitant des changements dans les politiques et les pratiques.
Appendices
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