Beaudoin Audrée Jeanne, Gagnon Marilyn, Roy Mathieu, Clapperton Irma, Lambert Annie, Jasmin Emmanuelle, Ducreux Edwige, Desrosiers Annie, Martin Claudine
Institut universitaire de première ligne en santé et services sociaux, CIUSSS de l'Estrie - CHUS, CA.
Faculté de médecine et des sciences de la santé, Université de Sherbrooke, CA.
Int J Integr Care. 2023 Aug 18;23(3):11. doi: 10.5334/ijic.7529. eCollection 2023 Jul-Sep.
There is a need to improve public health interventions to promote youth social and emotional development in close collaboration with schools, families and local communities. A close intersectoral collaboration between the regional public health, schools and school boards was established to co-construct and implement "Positive Intervention (PI)" in the Eastern Townships region (Quebec, Canada). This paper describes its implementation according to the "Integrated Community Care (ICC)" framework.
PI is a collaborative and personalized intervention leaning toward an integrated community social care model. In fact, PI relies on the close proximity between Public Health and their educational counterpart as well as their individual temporality. However, PI offered mainly social services and its relationships with Primary Care services was not yet a priority.
The results show that it is possible to develop and implement an intervention promoting positive mental health in children, with and for local organisations. The level of integration between schools and Public Health services achieved after only 6 months of implementation is encouraging.
More research is needed to thoroughly document the implementation, social validity, and effects of such an intervention by taking in the point of view of all stakeholders.
有必要改进公共卫生干预措施，以便与学校、家庭和当地社区密切合作，促进青少年的社会和情感发展。在加拿大魁北克省东部乡镇地区，区域公共卫生部门、学校和学校董事会之间建立了密切的部门间合作关系，以共同构建和实施“积极干预（PI）”。本文根据“综合社区护理（ICC）”框架描述了其实施情况。
PI是一种倾向于综合社区社会护理模式的协作性个性化干预措施。事实上，PI依赖于公共卫生部门与其教育对口部门之间的紧密联系以及它们各自的时效性。然而，PI主要提供社会服务，其与初级保健服务的关系尚未成为优先事项。
结果表明，有可能为当地组织并与当地组织合作开展和实施促进儿童积极心理健康的干预措施。实施仅6个月后，学校与公共卫生服务之间的整合程度令人鼓舞。
需要开展更多研究，从所有利益相关者的角度全面记录此类干预措施的实施情况、社会效度和效果。
