Wallot H
Télé-université du Québec, Sainte-Foy.
Can J Psychiatry. 1999 Feb;44(1):48-56. doi: 10.1177/070674379904400106.
Within the framework of the mental health services regional organization, the objectives are to describe and assess a day-care type alternative, informal mental health care service model.
One hundred and twenty-nine subjects were studied in a stratified sample from 3 community organizations in a mostly urban subregion in Quebec. The data were collected in several steps with 3 types of respondents: the user, the clinical team, and the community organization. In addition to the GAS and MRSS scales, a questionnaire was used to establish a sociodemographic profile and a health profile (diagnosis, medication, hospitalizations, outpatient follow-up). The EDBES was also used to assess the need (or lack thereof) for 25 mental health care services and their use during the last month.
Users are mostly individuals with severe and persistent disorders. Community organizations meet 40% of their needs.
The 3 organizations play a key role in mental health care services. Their contribution, however, could be enhanced by increasing subsidies; this would allow for permanent staff and longer office hours and would improve coordination and cooperation with clinical treatment teams.
在心理健康服务区域组织的框架内，目标是描述和评估一种日托型替代方案，即非正式心理健康护理服务模式。
从魁北克一个主要为城市的次区域的3个社区组织中选取了129名受试者进行分层抽样研究。数据通过几个步骤收集，涉及3类受访者：使用者、临床团队和社区组织。除了GAS和MRSS量表外，还使用了一份问卷来建立社会人口统计学概况和健康概况（诊断、用药、住院、门诊随访）。EDBES还用于评估对25种心理健康护理服务的需求（或不存在需求）及其在过去一个月的使用情况。
使用者大多是患有严重和持续性疾病的个体。社区组织满足了他们40%的需求。
这3个组织在心理健康护理服务中发挥着关键作用。然而，通过增加补贴可以提高它们的贡献；这将允许配备长期工作人员并延长办公时间，还将改善与临床治疗团队的协调与合作。
