De l'innovation au changement - Gouvernement du Québec

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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
Objectifs particuliers : 1) mise en place d'une résidence multivocationnelle pour fournir un milieu thérapeutique structuré afin d’acquérir des
habiletés de vie et de travail ; restaurer et consolider les compétences personnelles et sociales ; réintégrer la personne dans la
communauté par le travail rémunéré ou bénévole; fournir une aide téléphonique 24 heures et sept jours pour les personnes, les familles et
les intervenants ; 2) la mise en place d'une équipe volante spécialisée visant les actions suivantes : supporter et favoriser par différentes
activités, l'intégration de la personne dans son milieu de vie ; offrir un programme d'intervention auprès des familles et des communautés ;
assurer le lien avec les différents partenaires ; mettre en place un programme de formation pour les intervenants de première ligne ;
promouvoir le développement d'activités de promotion en fonction des problèmes identifiés par les communautés
Short-term crisis intervention: Individuals who are in acute crisis may be admitted to the centre when beds are available, for a maximum of
one week.
Respite care: The centre provides short-term respite care (three months).
Day Program: External participants in the day program can take advantage of the same therapeutic program as residents
Community follow-up/support: This part of the centre’s work has two aspects. It is the philosophy of the reintegration centre that treatment
does not end with discharge from the program. After discharge, staff follows up on clients in their communities of origin.
Staff members: The reintegration centre has a team of two full-time psychoeducators, four part-time educators, six on-call educators, two
night guards and a coordinator.
3.3 Objectifs de l’évaluation Objectives: 1) evaluate the difference between the projects’ planned intervention, that is, the setup of a multiple-vocation centre and a
mobile team, and the actual intervention applied; 2) analyze short-term results of programs offered, in terms of desired effects on the target
population (satisfaction with programs offered, increase in autonomy, degree of social reintegration and maintenance in the natural living
environment).
4. PROCESSUS DE MISE EN ŒUVRE
4.1 Modalités de mise en oeuvre Aucune information à ce sujet.
4.2 Enjeux ou défis posés par
l’innovation
4.3 Conditions favorables ou facilitantes Aucune information à ce sujet
The manpower plan included in the initial agreement with Health Canada mentioned only the type of resources to hire for the project. One
of the biggest challenges during the process was related to the manpower.
4.4 Obstacles The scarcity of physical resources in the North. In fact, the only premises available for these services in Inukjuak turned out to be much too
small, even at the project’s start, no more than three residents could be admitted at a time.
A cash-flow advance of $45,810.00 was sent to the NRBHSS, then to Inuulitsivik (responsible for the implementation of the project) to start
the activities. Inuulitsivik had to wait until the end of November 2000 to receive a second instalment of $47,335.00. At that time, it had
incurred expenses of more than $400,000.00. The health centre had to finance the project even though it was in deficit.
There were many problems related to the recruitment and retention of local staff. From January to March 2000, three coordinators were
hired. The first coordinator was asked to leave after a month. A second coordinator was hired temporarily while efforts were made to
recruit the present coordinator. By the end of June 2000, the centre was still recruiting to build a bank for replacement. The employees
who were there from the beginning had difficulty working full time since they had other career projects or family commitments.