Résumés
Résumé
Le programme Integrated Psychological Treatment (IPT) de Brenner et al. (1992), d’approche cognitivo-comportementale, a été implanté dans neuf milieux cliniques offrant des services aux personnes souffrant de schizophrénie. Une étude a permis de suivre l’implantation du programme IPT dans chacun des milieux, plus particulièrement d’évaluer le niveau de satisfaction des participants et des intervenants et d’identifier les points forts et les améliorations souhaitées. Les résultats permettent de constater que l’implantation a été un succès pour l’ensemble des neuf milieux. Les intervenants et les participants ont apprécié non seulement la structure hiérarchique qui tient compte davantage des besoins en réadaptation des personnes souffrant de schizophrénie, mais aussi son cadre d’application privilégié qui permet le suivi régulier d’un même groupe de patients pendant une année. Les modifications et ajouts proposés ont permis de développer une version québécoise du programme favorisant davantage l’atteinte des objectifs, particulièrement ceux liés au maintien et à la généralisation des apprentissages dans le contexte de vie réelle des participants.
Abstract
Brenner’s Integrated Psychological Treatment (IPT) program (Brenner et al., 1992 ; Pomini et al., 1998), a cognitive-behavioural approach, was implemented in nine of Quebec’s clinical settings that treat people with schizophrenia. A study allowed an evaluation of the IPT program in each location, with emphasis on the level of satisfaction of both participants and professionals, the program’s strong points, and areas where improvements were needed. The results have shown that the implementation of the program has been successful in all nine clinical settings. Professionals and participants appreciated the IPT program not only for its hierarchic structure that considers the rehabilitation needs of people affected by schizophrenia, but also for its customised application framework, which allows a regular follow-up of a similar group of patients over the course of a one year period. As a result of this study, the modifications proposed and additions have enabled the creation of a Quebec version of the IPT program, which better achieves its objectives, particularly those relating to the maintenance and generalisation of social learning in the context of a participant’s real-life situation.
Resumen
El programa de Tratamiento Psicológico Integral (Integrated Psychological Treatment IPT) de Brenner (Brenner et al., 1992; Pomini et al., 1998), de enfoque cognitivo-comportamental, ha sido implantado en nueve medios clínicos quebequenses que ofrecen servicios a personas que sufren de esquizofrenia. Un estudio ha permitido dar seguimiento a la implantación del programa IPT en cada uno de los medios, en particular, evaluar el nivel de satisfacción de los participantes y de los interventores acerca del programa e identificar los puntos fuertes y las mejoras deseadas. Los resultados permiten constatar que la implantación del programa ha sido un éxito en los nueve medios. Los interventores y los participantes han apreciado el programa IPT no sólo por su estructura jerárquica, que toma más en cuenta las necesidades de readaptación de las personas que sufren de esquizofrenia, sino también por su marco de aplicación privilegiada, que permite el seguimiento regular de un mismo grupo de pacientes durante un año. Las modificaciones y adiciones propuestas en el momento de este estudio han permitido desarrollar una versión quebequense del programa IPT que favorece más el logro de los objetivos, particularmente aquellos relacionados con el mantenimiento y generalización del aprendizaje en el contexto de la vida real de los participantes.
Resumo
O programa Integrated Psychological Treatment (IPT) de Brenner (Brenner et al., 1992; Pomini et al., 1998), de abordagem cognitivo-comportamental, foi implantado em nove meios clínicos quebequenses que oferecem serviços às pessoas que sofrem de esquizofrenia. Um estudo permitiu acompanhar a implantação do programa IPT em cada um dos meios, mais precisamente, ele permitiu avaliar o nível de satisfação dos participantes e dos atores com respeito ao programa, e identificar os pontos fortes e as melhorias almejadas. Os resultados permitem constatar que a implantação do programa foi um sucesso em todos os nove meios. Os atores e os participantes apreciaram o programa IPT, não apenas por sua estrutura hierárquica, que leva mais em consideração as necessidades de readaptação das pessoas que sofrem de esquizofrenia, mas também por seu quadro de aplicação privilegiado, que permite o acompanhamento regular de um mesmo grupo de pacientes durante um ano. As modificações e acréscimos propostos durante este estudo permitiu desenvolver uma versão quebequense do programa IPT, que favorece mais o alcance dos objetivos, principalmente os relacionados com a manutenção e a generalização das aprendizagens no contexto de vida real dos participantes.
Parties annexes
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10.7202/031588ar