Tremblay Carolane, Coulombe Valérie, Briand Catherine
Centre for Studies on Rehabilitation, Recovery and Social Inclusion, Centre de recherche de l'Institut universitaire en santé mentale de Montréal, Montréal, QC Canada ; Occupational Therapy Program, School of Rehabilitation, Université de Montréal, Montréal, QC Canada.
Canadian Mental Health Association-Montreal Branch, Montréal, QC Canada.
Int J Ment Health Syst. 2017 Jan 5;11:9. doi: 10.1186/s13033-016-0111-5. eCollection 2017.
Collaboration and partnership are key issues for modern health systems seeking to implement quality integrated care that meets the needs of the population. The -- (Connecting Community organisations-Institutions-Users, CCIU), involving community- and institution-based mental health workers, carers and users, is an innovative normative integrated care group (group for shared values, culture and vision) established by the Canadian Mental Health Association-Montreal Branch. A programme evaluation approach was used to conduct a logic analysis of the CCIU in order to understand the relationships between its resources, activities and outcomes, build a common understanding and, allow for its replication.
Five steps were involved in the creation of a programme logic model. A non-exhaustive literature search for similar initiatives, a review of documents related to the CCIU process and direct observations led to the development of a first model. Then, following a participatory and reflexive process, this model was validated with CCIU participants.
A comprehensive model and a simplified model were created. Participants' experiential knowledge and scientific knowledge helped to identify the essential components of the successful operation of the CCIU.
The CCIU, with its eight essential components, including relations based on equality and mutual respect, corresponds to an essential step in normative integration and integrated care that lead to improved quality services.
对于寻求实施满足民众需求的优质综合护理的现代卫生系统而言，合作与伙伴关系是关键问题。由加拿大心理健康协会蒙特利尔分会设立的“连接社区组织-机构-用户”（CCIU），吸纳了社区和机构层面的心理健康工作者、护理人员及用户，是一个创新型规范综合护理团体（基于共享价值观、文化和愿景的团体）。采用项目评估方法对CCIU进行逻辑分析，以了解其资源、活动与成果之间的关系，达成共识并实现可复制性。
创建项目逻辑模型涉及五个步骤。对类似举措进行非详尽的文献检索、审查与CCIU流程相关的文件并进行直接观察，从而形成了首个模型。随后，经过参与式和反思性过程，该模型由CCIU参与者进行了验证。
创建了一个全面模型和一个简化模型。参与者的经验知识和科学知识有助于确定CCIU成功运作的关键要素。
CCIU及其八个关键要素，包括基于平等和相互尊重的关系，是规范整合和综合护理的重要一步，可带来服务质量的提升。
