Seven Oaks — Un nouveau regard sur les soins tertiaires

Newton, Thomas; Schieldrop, Peter

doi:10.7202/011160ar

Cited by 3 publications

(4 citation statements)

References 6 publications

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“…L'implication du patient dans l'élaboration d'un plan proactif (p. ex. Registered Nurses Association of Ontario, 2012) et les conseils d'unité (Newton et Schieldrop, 2005) qui ont été implémentés à l'INPL Philippe-Pinel, sont des exemples de prévention de l'agression qui tiennent compte de l'importance de la communication entre les patients et les intervenants (voir modèle du patient-partenaire dans la Planification stratégique 2016-2020, IPPM, 2016).…”

Section: Pistes De Préventionunclassified

Agression en milieu psychiatrique fermé : identification des déclencheurs qui précèdent les agressions contre les intervenants

Groleau

Guerreiro

2019

psyedu

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Cette étude vise l’identification des déclencheurs qui précèdent les agressions survenues dans un hôpital psychiatrique fermé. Une analyse de contenu de 140 rapports d’incident visant l’identification du déclencheur qui précédait immédiatement les événements d’agression survenus entre 2012 et 2017 a été effectuée. Avec un accord interjuge de 0,87, les résultats concordent avec ceux retrouvés dans des études précédentes. Plus de 37 % des agressions surviennent à la suite d’une intervention verbale d’un intervenant, alors qu’un peu plus de 54 % ont lieu à la suite d’un contact physique entre un intervenant et un patient. Moins de 9 % des agressions subies par le personnel sont liées à des événements où il a été impossible d’observer un déclencheur. Ces résultats sont discutés dans le cadre d’une approche interactionnelle sur l’agression en psychiatrie légale et ils permettent de proposer des pistes pour réduire le risque d’agression.

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Section: Pistes De Préventionunclassified

Agression en milieu psychiatrique fermé : identification des déclencheurs qui précèdent les agressions contre les intervenants

Groleau

Guerreiro

2019

psyedu

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“…In Canada, only one such tertiary psychiatric residential facility (TPRF) has been described in the literature of the past decade (HC/SC, 1997;Newton & Schieldrop, 2005). The Seven Oaks facility in Victoria, BC, was cited as a "best practice" in mental health reform in a seminal document published by Health Canada's Federal/ Provincial/Territorial Advisory Network on Mental Health (Wasylenki et al, 2000;HC/SC, 1997).…”

Section: Experiences With Tertiary Psychiatric Residential Facilitiesmentioning

confidence: 99%

“…The original developers of the Seven Oaks program in BC stressed the need to balance intensive treatment, psychosocial rehabilitation, and security with autonomy and a recovery orientation. Careful attention is paid to on-site staff development with continuing education in psychosocial rehabilitation (Newton & Schieldrop, 2005). In Australia, the CCUs aim to provide integrated psychiatric care and disability support in a normal domestic environ-Epidemiologia e Psichiatria Sociale, 17, 1, 2008 ment, particularly for people who otherwise would have been treated in long-term hospital wards.…”

Section: Programmingmentioning

confidence: 99%

“…These programs would be best provided within relatively small units and should be academically affiliated, communitybased, consumer-oriented and subject to evaluation (Starkey & Leadholm, 1997). Such regional facilities have emerged in the Canadian province of British Columbia (HC/SC, 1997;Newton & Schieldrop, 2005), where they are referred to as tertiary psychiatric residential facilities (TPRF).…”

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confidence: 99%

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Regionalised Tertiary Psychiatric Residential Facilities

Lesage

Groden

Goldner

et al. 2008

Epidemiol Psichiatr Soc

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SummaryAims– Psychiatric hospitals remain the main venue for long-term mental health care and, despite widespread closures and downsizing, no country that built asylums in the last century has done away with them entirely – with the recent exception of Italy. Differentiated community-based residential alternatives have been developed over the past decades, with staffing levels that range from full-time professional, to daytime only, to part-time/on-call.Methods– This paper reviews the characteristics of community-based psychiatric residential care facilities as an alternative to long-term care in psychiatric hospitals. It describes five factors decision makers should consider: 1. number of residential places needed; 2. staffing levels; 3. physical setting; 4. programming; and 5. governance and financing.Results– In Italy, facilities with full-time professional staff have been developed since the mid-1990s to accommodate the last cohorts of patients discharged from psychiatric hospitals. In the United Kingdom, experiments withhostel wardssince the 1980s have shown that home-like, small-scale facilities with intensive treatment and rehabilitation programming can be effective for the most difficult-to-place patients. More recently in Australia,Community Care Units(CCUs) have been applying this concept. In the Canadian province of British Columbia (BC),Tertiary Psychiatric Residential Facilities (TPRFs)have been developed as part of an effort to regionalise health and social services and downsize and ultimately close its only psychiatric hospital.Conclusions– This type of service must be further developed in addition to the need for forensic, acute-care and intermediate-level beds, as well as for community-based care such as assertive community treatment and intensive case management. All these types of services, together with long-term community-based residential care, constitute the elements of a balanced mental health care system. As part of a region's balanced mental health care plan, these Tertiary Psychiatric Care Facilities have the potential to act as hubs of expertise not only for treatment, rehabilitation, community integration and ser-vice co-ordination for the severely mentally ill, but also for research and training.Declaration of Interest: None.

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