To map the state of the existing literature to identify the optimal time frame between the arrival of refugees in a host country and psychosocial assessments. We conducted scoping review using the method of Arksey and O’Malley (2005). A systematic search of 5 databases including PubMed, Psycinfo (OVID), PsycINFO BD APA, Scopus and Web of Sciences) and grey literature identified 2698 references. Thirteen studies published between 2010 and 2021 were considered eligible. A data extraction grid was designed and tested by the research team. It is not so ease to identify the most appropriate time interval to assess the mental health of newly settled refugees. All the studies selected agree on the need to carry out an initial assessment when refugees arrive in their host country. Several authors agree on the need to carry out screening at least twice during the resettlement period. However, what is less clear is the best time to perform the second screening. This scoping review mainly helped in highlighting the lack of probing data on the mental health indicators focused on during the assessment and on the optimal timeline for the assessment of refugees. Further research is needed to determine whether developmental and psychological screening is beneficial, the right time to perform the screening, and the most appropriate collection instruments and interventions.

Integrate collaborative governance and territoriality into management by care and services pathways

L’objectif de l’article est de montrer la nécessité de la reconnaissance de l’intervention de proximité comme pratique professionnelle par une reddition de comptes qui rend visible sa contribution dans la réduction des inégalités de santé et le renforcement du lien social et communautaire sur un territoire donné. À partir d’un devis d’étude de cas multiples qualitatif et participatif de quatre terrains de recherche au Québec, nous proposerons des dimensions qui considèrent l’articulation du « sens » et de la « mesure » pour une reddition de comptes innovante, intégrée et partenariale.

Access and continuity of health and social services for refugees: implementation of an innovative intersectoral primary care intervention in Quebec

Aim: To establish and assess an intersectoral local network focused on the roles of registered nurses and primary healthcare nurse practitioners to ensure the continuity of care and service pathways for refugees in Quebec.Design: Developmental evaluation with a mixed methodology. Methods: The qualitative component will include: (1) a document review; (2) observations of participants during meetings of different governance structures; (3) semistructured interviews with key actors (n = 40; 20/neighbourhood interventions); and (4) focus groups with end users of the services (refugees) (n = 4; 6 to 8 participants per group). The quantitative component will be based on: (1) a data sheet on health and social interventions for refugees users filled in by registered nurses, primary healthcare nurse practitioners and physicians and (2) data analysis of the clinical-administrative database since 2012. This study received funding in June 2019 and Research Ethics Committee approval was granted in July 2020. Discussion: In Quebec, refugee vulnerability is exacerbated by the lack of integration of existing resources and the lack of access to care and continuity of services.To address these issues, an integrated local network for refugees must be developed.Additionally, we will explore the role of registered nurses and their collaboration with primary healthcare nurse practitioners.Impact: This study will provide recommendations on how to optimize the scopes of practice of registered nurses and primary healthcare nurse practitioners, adapt care and services and develop a local intersectoral network to better meet the complex needs of refugees. It will evaluate the use and the appreciation of new services for targeted populations (neighbourhoods and refugees) and aim to improve the accessibility, continuity and user experience of all health services for those populations.

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