Du Rapport Castonguay Au Rapport Rochon: Le Developpement Du Systeme De Sante Au Quebec

1990 ◽  
Vol 9 (1) ◽  
pp. 143-154
Author(s):  
Jean-Pierre Belanger
Keyword(s):  
Health Services ◽  
Health System ◽  
Social Services ◽  
Social Evolution ◽  
Health Management ◽  
Social Health ◽  
Health And Social Services ◽  
Official Report ◽  
Critical Account ◽  
New Challenges

The present article is a critical account of the official report from the Commission of Inquiry on Health and Social Services in Quebec (la Commission Rochon). This report is first examined in light of the socio-political context of Quebec society in the '80s with a particular emphasis on factors which directly influenced the development of the Commission's work. The author then presents the main elements of the report. He stresses the quality and appropriateness of studies bearing on Quebec social evolution during the last 20 years and on the identification of health and social problems in the present time. He reminds us of the radical diagnosis made on the organization of health services. The principal options for more adequate health system orientations are then studied in the context of debates following the report publication, two years ago, particularly concerning issues of regional decentralization and financing. The author finally stresses the new challenges of today in social health management, while showing the profound continuity existing between the Commission's works and those of the Castonguay Commission, at the beginning of the '70s.

Community Participation in Quebec's Health System: A Strategy to Curtail Community Empowerment?

1992 ◽  
Vol 22 (2) ◽  
pp. 287-301 ◽  
Author(s):  
Michel O'Neill
Keyword(s):  
Health Services ◽  
Health System ◽  
Public Participation ◽  
Community Participation ◽  
Social Services ◽  
Community Empowerment ◽  
Health And Social Services ◽  
System A ◽  
Major Reform ◽  
Current Reform

Since the beginning of the 1970s, the province of Quebec has undergone a major reform of its health and social services system. Following this reform, the state has become a major protagonist, and the participation of the population is a built-in element in the system, guaranteed by law. Now, about 20 years later, there is a major effort to reorganize health services, in the wake of a “dewelfarization” mood that has reached Canada and Quebec. This article reviews the successes and pitfalls of public participation in Quebec's health system, presents the way in which participation is dealt with in current reform proposals, and draws lessons for people in many countries who have recently been encouraged to jump onto the bandwagon of participation as a strategy to promote the health of populations.

More than being against it: Anti-racism and anti-oppression in mental health services

2012 ◽  
Vol 49 (2) ◽  
pp. 261-282 ◽  
Author(s):  
Simon Corneau ◽  
Vicky Stergiopoulos
Keyword(s):  
Mental Health ◽  
Social Justice ◽  
Mental Health Services ◽  
Health Services ◽  
Literature Review ◽  
Social Services ◽  
Service Provision ◽  
Alternative Healing ◽  
Health And Social Services ◽  
Alliance Building

Anti-racism and anti-oppression frameworks of practice are being increasingly advocated for in efforts to address racism and oppression embedded in mental health and social services, and to help reduce their impact on mental health and clinical outcomes. This literature review summarizes how these two philosophies of practice are conceptualized and the strategies used within these frameworks as they are applied to service provision toward racialized groups. The strategies identified can be grouped in seven main categories: empowerment, education, alliance building, language, alternative healing strategies, advocacy, social justice/activism, and fostering reflexivity. Although anti-racism and anti-oppression frameworks have limitations, they may offer useful approaches to service delivery and would benefit from further study.

scholarly journals Tread Softly (UK, 1985, 51 mins)

1986 ◽  
Vol 10 (10) ◽  
pp. 293
Author(s):  
Elizabeth Garrett
Keyword(s):  
Mental Health ◽  
Health Services ◽  
Social Services ◽  
Local Community ◽  
Psychiatric Hospitals ◽  
Community Services ◽  
Important Distinction ◽  
Training Material ◽  
Health And Social Services ◽  
Educational Films

ESCATA, the enterprising and innovative organisation which specialises in training material for health and social services professionals, does not claim mainly to produce educational films but rather, what it terms ‘video assisted workshops’. This is an important distinction and should be borne in mind when viewing the ‘Tread Softly’ video which looks at the transition from large psychiatric hospitals to local community services and is intended for practitioners, planners, managers and members from both voluntary and statutory mental health services.

scholarly journals Spatial Analysis of the Availability of Health and Social Services for People with Special Needs

2021 ◽  
Vol 4 (1) ◽  
pp. 442-452
Author(s):  
Patrycja Kabiesz ◽  
Joanna Bartnicka
Keyword(s):  
Health Care ◽  
Spatial Analysis ◽  
Health Services ◽  
Social Services ◽  
Human Resource ◽  
Quantitative Research ◽  
Resource Constraints ◽  
Service Availability ◽  
Health And Social Services ◽  
Qualitative And Quantitative

Abstract The health care system should offer and provide a variety of services without undue delay. Due to numerous technical, financial and human resource constraints, not all services can be offered both without restrictions and in equal measure in places of different sizes of residence. As a result of qualitative and quantitative research, a map of accessibility to social and health services was drawn up, taking into consideration the division of the country into voivodeships with different population. Spatial analysis showed great diversity in terms of service availability. Voivodships with the highest accessibility of health and social services are Dolnośląskie, Opolskie and Świętokrzyskie, while the worst situation is in Wielkopolskie. Moreover, the article identifies the main problems that people with limited functionality encounter when using health and social services.

scholarly journals Mental health and human rights: Challenges for health services and communities

2021 ◽  
Vol 17 ◽  
pp. e3488
Author(s):  
Rosana Onocko-Campos ◽  
Larry Davidson ◽  
Manuel Desviat
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Human Rights ◽  
Health Services ◽  
Social Services ◽  
Mental Health Problems ◽  
Community Action ◽  
Present Moment ◽  
Health And Human Rights ◽  
Health And Social Services

The care of people with mental health problems requires health system and service reforms to build up proper mental health care. The challenges of the present moment continue to be immense. The viral pandemic that we are experiencing has exposed the fragility of our health and social services and certified the inequality and precariousness of the living conditions of many people. The collection of articles published in the journal Salud Colectiva as part of the open call for papers “Mental health and human rights: challenges for health services and communities,” includes articles from Spain, Brazil, Mexico, and Chile. These papers present conceptual experiences and reflections on community action plans and programs, contributing toward better knowledge and development of mental health in the region.

Paradigms of Healthcare Systems, Law, and Regulation

2021 ◽  
Author(s):  
Alceste Santuari ◽  
William Sage
Keyword(s):  
Health Services ◽  
Health System ◽  
Social Services ◽  
Market Competition ◽  
Healthcare Systems ◽  
Individual Liberty ◽  
Public Provision ◽  
Charitable Organizations ◽  
Economic Productivity ◽  
The Law

This chapter assesses how the law creates and sustains healthcare systems. It considers six paradigm concepts which are important in the structures of healthcare systems and how the law seeks to support and encourage the effective provision of healthcare to relevant populations. These concepts are quality/accessibility; health citizenship and a “right to health”; individual liberty; market competition; economic productivity; and “health justice” and integrated social services. The chapter then discusses five structures for health system regulation, starting with the simplest: public provision of health services, publicly funded but privately supplied health services, self-regulating health professions, public–private partnerships, and nonprofit and charitable organizations. Finally, it compares European and American approaches to the geographical dimensions of health system law and regulation, discussing paradigms of federalism and localism.

Care management in mental health services in England and Northern Ireland: do integrated organizations promote integrated practice?

2007 ◽  
Vol 12 (4) ◽  
pp. 236-241 ◽  
Author(s):  
Siobhan Reilly ◽  
David Challis ◽  
Michael Donnelly ◽  
Jane Hughes ◽  
Karen Stewart
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Northern Ireland ◽  
Health Services ◽  
Social Services ◽  
Care Management ◽  
Care Staff ◽  
Health Care Staff ◽  
Health And Social Services ◽  
Integrated Practice

Objective: To explore whether integrated structures are associated with more integrated and differentiated forms of care management in mental health services. Method: Cross-sectional postal survey of care management arrangements in local authority social services departments in England ( n = 101) and health and social services Trusts in Northern Ireland (NI) ( n = 11). Results: Some, but not all, indicators showed more evidence of integrated practice in NI mental health and social services. This included: greater involvement of health care staff in care management; greater multidisciplinary working and a more integrated approach to assessment and care planning processes; a more differentiated approach to care management, including greater targeting of care management resources; a closer link between care management and specialist provision; and overall more integrated practice. Conclusions: This study concurs with previous research showing that structurally integrated health and social services in NI are more conducive towards, although insufficient to secure, integrated working. As the nature, type of services and ways of working appear to be broadly similar in England and NI, this may imply that greater structural integration per se may not lead to better service outcomes.

Improving access to refugee-focused health services for people from refugee-like backgrounds in south-eastern Melbourne through the education sector

2021 ◽  
Vol 27 (2) ◽  
pp. 93
Author(s):  
Katrina M. Long ◽  
Shiva Vasi ◽  
Susannah Westbury ◽  
Sandy Shergill ◽  
Chloé Guilbert-Savary ◽  
...  
Keyword(s):  
Health Services ◽  
Social Services ◽  
Education Sector ◽  
Access To Health Services ◽  
Health And Social Services ◽  
South Eastern ◽  
Access To Health ◽  
Service Referral ◽  
Improve Access

People from refugee-like backgrounds living in Australia face substantial health challenges that benefit from access to health and social services. Many people from refugee-like backgrounds have frequent contact with education sector staff, who have the potential to act as conduits to health and social services. The aim of this project was to improve access to refugee-focused health services for people from refugee-like backgrounds in south-eastern Melbourne by codesigning and delivering a 1-day education forum to education sector staff. Evaluation of the forum used mixed-methods analysis of data from pre-post and follow-up surveys (n=11; administered before, immediately after and 1 month after the forum respectively), post-forum interviews (n=4) and one school’s referral records. The forum improved attendees’ refugee-focused health service referral knowledge, confidence and behaviour. This was supported by the qualitative findings of high staff motivation, high forum satisfaction and evidence of outcome sustainability. Education staff are an important complement to an integrated model of health care for recently resettled people from refugee-like backgrounds. These results show that a straightforward local intervention can improve the ability of education staff to act as conduits to health services, increasing access to health services for people from refugee-like backgrounds.

Achille Ardigň e l'innovazione delle politiche socio-sanitarie negli anni '80 e '90

2009 ◽  
pp. 159-163
Author(s):  
Sebastiano Porcu
Keyword(s):  
Social Services ◽  
Health District ◽  
Social Health ◽  
Old People ◽  
Health And Social Services

- Sebastiano Porcu reconstructs some aspects of Achille Ardigň's activity, especially during the 80's and the early 90's, in his roles as advisor to the Consiglio Sanitario Nazionale and the Consiglio Nazionale dell'Economia e del Lavoro, to innovate health and social services and policies in Italy.Keywords: innovation, integration, differentiation, inclusion, old people, social-health district.Parole chiave: innovazione, integrazione, differenziazione, inclusione, anziani, distretto socio-sanitario

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