De l'innovation au changement - Gouvernement du Québec

Projet 31
Setup of an Integrated System for Persons Suffering from Major Psychistric Problems
Ssystème intégré, troubles mentaux sévères et retard mental, région du Nunavik
1. CLIENTÈLE VISÉE Personnes souffrant de troubles sévères et persistants de santé mentale et les personnes avec un retard mental provenant des 14 villages
situés le long de la côte de la Baie d’Hudson et de la côte de la Baie d’Ungava, au Nunavik; 2 000 km de territoire.
2. BUDGET ALLOUÉ 488 238$ $
Type de projet : intervention, évaluation (pilote)
3. CONTEXTE D’ÉMERGENCE
3.1 Pourquoi le changement The Nunavik population is dispersed among 14 villages located along the Hudson Bay and Ungava Bay coasts. The fact that there are no
road links between the communities and the rest of the province (the only means of transportation is by air) leads to problems involving
population dispersion and vast distances. The geographic context is therefore an important element in any organization’s operating costs,
first because each community, no matter the size of its population, has to be provided with basic services and, second, because transfers
to Montréal are required for certain health and social services. In spite of efforts to patriate specialized medical services to the North, the
region annually transfers some 1 600 patients with escorts to Montréal. Transfers cost the region an average of $2 500 each, for a total of
about $4 million per year.
In 1994-1995, the Hudson coast had 18 serious mental health cases. With the ambulatory trend, transferring patients suffering from
chronic problems to Montréal has become more and more difficult, aggravating the situation in the communities. Apart from the two health
centres and some foster families ensuring relief, no other resource is available for this clientele. Moreover, the problems are amplified due
to the lack of resources in both intermediate residences and family and community support. Thus, families and communities are forced to
await the patients’ total disorientation before receiving access to the sole resource available: the hospital. .
3.2 Principales caractéristiques This pilot project aimed at providing persons with major psychiatric problems a structured, therapeutic milieu for acquiring life and work
skills, helping them restore and consolidate personal and social skills, helping them reintegrate into the community through remunerated or
volunteer work, providing relief for families and the community and providing telephone support 24 hours per day, seven days per week for
individuals, families and the community.
The centre provides 24-hour-a-day residential care and external services to adults who have been diagnosed with major psychiatric
problems or intellectual impairment. The personnel members work with the clients and their families to help identify, understand and
resolve their problems. Services provided at the centre include vocational training, behaviour management and training in the activities of
daily living. Enhancing clients’ knowledge and practice of traditional skills is a priority.
The reintegration centre is committed to a bio-psycho-social model of intervention that takes into account all aspects of the client’s life.
Short-term and long-term placement: The residential program gives clients an opportunity to learn personal care, household management,
money management, shopping and meal preparation as well as a chance to participate in leisure activities that provide an opening for
enhancement of social skills.
Objectif général du projet : assurer l’accessibilité et la continuité des soins tout en favorisant l'intégration des personnes dans leur
communauté
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