scholarly journals Being Pro-Active in Meeting the Needs of Suicide-Bereaved Survivors: results from an audit in Montreal

2020 ◽  
Author(s):  
Fabienne LIGIER ◽  
Jessica Rassy ◽  
Gabrielle Fortin ◽  
Ian van Haaster ◽  
Claude Doyon ◽  
...  
Keyword(s):  
Social Services ◽  
Unmet Needs ◽  
Unmet Need ◽  
Information Support ◽  
Health Concern ◽  
Structured Interviews ◽  
Research Committee ◽  
Health And Social Services ◽  
Ethics Research ◽  
Suicide Bereaved

Abstract Background: Suicide is a major public health concern. In 2017, the suicide rate in Canada was 11 per 100 000 inhabitants. According to literature, 1 in 5 people have experienced a death by suicide during their lifetime. The aim of this study was to describe the met and unmet needs of suicide-bereaved survivors and to provide postvention recommendations. Methods: Further to an exploratory mixed-method audit of 39 suicides that occurred in Montreal (Canada) in 2016, suicide-bereaved survivors (n = 29) participated in semi-structured interviews and completed instruments to discuss and assess potential pathological grief, depression (PHQ-9), and anxiety (GAD-7), as well as health and social services utilization. A panel then reviewed each case and provided recommendations. The mean age of participants was 57.7 years and 23 were women.Results: Although help was offered initially, in most cases by a health professional or service provider (16/29), 22 survivors would have liked to be contacted by telephone in the first two months post suicide. Four categories of individual unmet needs (medical/pharmacological, information, support, and outreach) and one collective unmet need (suicide pre/postvention training and delivery) emerged. Conclusions: Although Quebec provincial services have been developed and offered to suicide-bereaved survivors in the past decade, many dwindled over time and none has been applied systematically. Recommendations for different stakeholders (Ministry of Health and Social Services, coroners, NGOs, and representatives of suicide-bereaved survivors) outlined in this study could be an interesting first step to help develop a suicide pre/postvention strategy.Trial registration: The research protocol was approved by the Scientific Committee of the Montreal Mental Health Institute (November 6, 2018) and the publication of results was approved by its Ethics Research Committee (February 1, 2019), project number 2019-1647.

scholarly journals Being Pro-Active in Meeting the Needs of Suicide-Bereaved Survivors: results from an audit in Montreal

2020 ◽  
Author(s):  
Fabienne LIGIER ◽  
Jessica Rassy ◽  
Gabrielle Fortin ◽  
Ian van Haaster ◽  
Claude Doyon ◽  
...  
Keyword(s):  
Social Services ◽  
Unmet Needs ◽  
Unmet Need ◽  
Information Support ◽  
Health Concern ◽  
Structured Interviews ◽  
Research Committee ◽  
Health And Social Services ◽  
Ethics Research ◽  
Suicide Bereaved

Abstract Background: Suicide is a major public health concern. In 2017, the suicide rate in Canada was 11 per 100 000 inhabitants. According to the literature, 1 in 5 people have experienced a death by suicide during their lifetime. The aim of this study was to describe the met and unmet needs of suicide-bereaved survivors and to formulate postvention recommendations. Methods: Further to an exploratory mixed-method audit of 39 suicides that occurred in Montreal (Canada) in 2016, suicide-bereaved survivors (n = 29) participated in semi-structured interviews and completed instruments to discuss and assess potential pathological grief, depression (PHQ-9), and anxiety (GAD-7), as well as health and social services utilization. A panel then reviewed each case and formulated recommendations. The mean age of participants was 57.7 years and 23 were women.Results: Although help was offered initially, in most cases by a health professional or service provider (16/29), 22 survivors would have liked to be contacted by telephone in the first two months post suicide. Four categories of individual unmet needs (medical/pharmacological, information, support, and outreach) and one collective unmet need (suicide pre/postvention training and delivery) emerged. Conclusions: Although provincial services have been developed and offered to suicide-bereaved survivors in the past decade, many dwindled over time and none has been applied systematically. Recommendations for different stakeholders (Ministry of Health and Social Services, coroners, NGOs, and representatives of suicide-bereaved survivors) outlined in this study could be an interesting first step to help develop a provincial suicide pre/postvention strategy.Trial registration: The research protocol was approved by the Scientific Committee of the Montreal Mental Health Institute (November 6, 2018) and the publication of results was approved by its Ethics Research Committee (February 1, 2019), project number 2019-1647.

scholarly journals Being Pro-Active in Meeting the Needs of Suicide-Bereaved Survivors: results from a systematic audit in Montréal

2020 ◽  
Author(s):  
Fabienne LIGIER ◽  
Jessica Rassy ◽  
Gabrielle Fortin ◽  
Ian van Haaster ◽  
Claude Doyon ◽  
...  
Keyword(s):  
Social Services ◽  
Unmet Needs ◽  
Unmet Need ◽  
Information Support ◽  
Health Concern ◽  
Structured Interviews ◽  
Services Utilization ◽  
Health And Social Services ◽  
Pathological Grief ◽  
Suicide Bereaved

Abstract Background: Suicide is a major public health concern. In 2017, the suicide rate in Canada was 11 per 100 000 inhabitants. According to literature, 1 in 5 people have experienced a death by suicide during their lifetime. The aim of this study was to describe the met and unmet needs of suicide-bereaved survivors and to provide postvention recommendations. Methods: Further to an exploratory mixed-method audit of 39 suicides that occurred in Montreal (Canada) in 2016, suicide-bereaved survivors (n = 29) participated in semi-structured interviews and completed instruments to discuss and assess potential pathological grief, depression (PHQ-9), and anxiety (GAD-7), as well as health and social services utilization. A panel then reviewed each case and provided recommendations. The mean age of participants was 57.7 years and 23 were women.Results: Although help was offered initially, in most cases by a health professional or service provider (16/29), 22 survivors would have liked to be contacted by telephone in the first two months post suicide. Four categories of individual unmet needs (medical/pharmacological, information, support, and outreach) and one collective unmet need (suicide pre/postvention training and delivery) emerged. Conclusions: Although Quebec provincial services have been developed and offered to suicide-bereaved survivors in the past decade, many dwindled over time and none has been applied systematically. Recommendations for different stakeholders (Ministry of Health and Social Services, coroners, NGOs, and representatives of suicide-bereaved survivors) outlined in this study could be an interesting first step to help develop a suicide pre/postvention strategy.

scholarly journals Being pro-active in meeting the needs of suicide-bereaved survivors: results from a systematic audit in Montréal

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Fabienne Ligier ◽  
Jessica Rassy ◽  
Gabrielle Fortin ◽  
Ian van Haaster ◽  
Claude Doyon ◽  
...  
Keyword(s):  
Social Services ◽  
Unmet Needs ◽  
Unmet Need ◽  
Information Support ◽  
Health Concern ◽  
Structured Interviews ◽  
Services Utilization ◽  
Health And Social Services ◽  
Pathological Grief ◽  
Suicide Bereaved

Abstract Background Suicide is a major public health concern. In 2017, the suicide rate in Canada was 11 per 100,000 inhabitants. According to literature, 1 in 5 people have experienced a death by suicide during their lifetime. The aim of this study was to describe the met and unmet needs of suicide-bereaved survivors and to provide postvention recommendations. Methods Further to an exploratory mixed-method audit of 39 suicides that occurred in Montreal (Canada) in 2016, suicide-bereaved survivors (n = 29) participated in semi-structured interviews and completed instruments to discuss and assess potential pathological grief, depression (PHQ-9), and anxiety (GAD-7), as well as health and social services utilization. A panel then reviewed each case and provided recommendations. The mean age of participants was 57.7 years and 23 were women. Results Although help was offered initially, in most cases by a health professional or service provider (16/29), 22 survivors would have liked to be contacted by telephone in the first 2 months post suicide. Four categories of individual unmet needs (medical/pharmacological, information, support, and outreach) and one collective unmet need (suicide pre/postvention training and delivery) emerged. Conclusions Although Quebec provincial services have been developed and offered to suicide-bereaved survivors in the past decade, many dwindled over time and none has been applied systematically. Recommendations for different stakeholders (Ministry of Health and Social Services, coroners, NGOs, and representatives of suicide-bereaved survivors) outlined in this study could be an interesting first step to help develop a suicide pre/postvention strategy.

scholarly journals Being Pro-Active in Meeting the Needs of Suicide-Bereaved Survivors: results from a systematic audit in Montreal

2020 ◽  
Author(s):  
Fabienne LIGIER ◽  
Jessica Rassy ◽  
Gabrielle Fortin ◽  
Ian van Haaster ◽  
Claude Doyon ◽  
...  
Keyword(s):  
Social Services ◽  
Unmet Needs ◽  
Unmet Need ◽  
Information Support ◽  
Health Concern ◽  
Structured Interviews ◽  
Health And Social Services ◽  
The Past ◽  
Pathological Grief ◽  
Suicide Bereaved

Abstract Background Suicide is a major public health concern that affects some 3,500 individuals a year in Canada. According to the literature, each suicide affects an average of six people. The aim of this study was to describe the met and unmet needs of suicide-bereaved survivors and to formulate postvention recommendations. Methods In the context of an exploratory mixed-methods audit of 39 suicides that occurred in Montreal (Canada) in 2016, suicide-bereaved survivors ( n = 29) participated in semi-structured interviews and completed instruments to assess pathological grief, depression (PHQ-9), and anxiety (GAD-7). Results Mean age of participants was 57.7 years; 23 were women. Although help was offered initially, in most cases by a health professional or service provider (16/29), 22 survivors would have liked to be contacted by telephone in the first two months post suicide. Four categories of individual unmet needs (medical/pharmacological, information, support, and outreach) and one collective unmet need (suicide pre/postvention training and delivery) emerged. Conclusions Although there have been provincial initiatives in favor of suicide-bereaved survivors in the past decade, many dwindled over time and none has been applied systematically. Recommendations for different stakeholders (Ministry of Health and Social Services, coroners, NGOs, and representatives of suicide-bereaved survivors) outlined in this study could be an interesting first step to help develop a provincial suicide pre/postvention strategy.

scholarly journals Adolescents with mental disorders while serving time and being subjected to socio-educative measures

2014 ◽  
Vol 19 (3) ◽  
pp. 891-898 ◽  
Author(s):  
Natália Pereira Gonçalves Vilarins
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Disorders ◽  
Mental Health Care ◽  
Participant Observation ◽  
Federal District ◽  
Adolescent Offenders ◽  
Structured Interviews ◽  
Research Committee ◽  
Ethics Research

This article examines how adolescent offenders with mental disorders are treated by socio-educative internment treatment. These adolescents come under the aegis of medicine and justice in a contradictory relationship between full protection, vulnerability of a developing person with a mental disorder and a juvenile delinquency offense. In this respect, the legal punishment prevails to the detriment of health care. After approval of the research project by an Ethics Research Committee, field research was conducted in the Youth Detention Unit of the Pilot Plan of the Brazilian Federal District. Data were collected through research of documents involving 35 medical records of adolescent users of psychotropic drugs in 2010, as well as participant observation and semi-structured interviews with professionals from the Youth Detention Unit and adolescent judiciary. In the review of the care provided to adolescent offenders with mental disorders under the childhood and youth policy and the mental health policy, it was revealed that the mental health care provided in the Youth Detention Unit or in the external mental health care services involved the prescription of medication.

A Postcolonial Discourse Analysis of Community Stakeholders’ Perspectives on Supporting Urban Indigenous Older Adults to Age Well in Ottawa, Canada

2020 ◽  
Vol 11 (1) ◽  
Author(s):  
Lauren A. Brooks-Cleator ◽  
Audrey R. Giles
Keyword(s):  
Older Adults ◽  
Discourse Analysis ◽  
Social Services ◽  
Service Providers ◽  
Indigenous Health ◽  
Adult Population ◽  
Structured Interviews ◽  
Health And Social Services ◽  
Community Stakeholders ◽  
Postcolonial Discourse

The urban Indigenous older adult population in Canada continues to grow; however, there is a lack of understanding of how non-Indigenous health and social services and Indigenous-specific organizations are responding to and addressing the growth of this population. Therefore, in this research, we conducted a postcolonial discourse analysis of semi-structured interviews with six decision-makers (e.g., managers and directors of health and social services organizations) and seven service providers (e.g., program coordinators and social workers) from Indigenous and non-Indigenous health and social service organizations in Ottawa, Canada, to examine how they produce understandings of supporting urban Indigenous older adults to age well. The participants produced three main discourses: (a) non-Indigenous organizations have a responsibility to support Indigenous older adults, (b) culturally specific programs and services are important for supporting Indigenous older adults to age well, and (c) it is difficult for community stakeholders to support Indigenous older adults to age well because this population is hard to reach. The results demonstrate the complexities and tensions that community stakeholders face in supporting Indigenous older adults to age well within a sociopolitical environment informed by reconciliation and a sociodemographic trend of an aging population.

scholarly journals Significados e experiências culturais em amamentação entre mulheres de dois países [Meaning and cultural experiences of breastfeeding among women from two countries] [Significados y experiencias culturales en lactancia entre mujeres de dos países]

2019 ◽  
Vol 27 ◽  
pp. e40605
Author(s):  
Pernelle Paula Laurencine Pastorelli ◽  
Eliane Caldas do Nascimento Oliveira ◽  
Laura Johanson da Silva ◽  
Leila Rangel da Silva ◽  
Maíra Domingues Bernardes Silva
Keyword(s):  
Qualitative Research ◽  
Thematic Analysis ◽  
The Body ◽  
Structured Interviews ◽  
Research Committee ◽  
Body Pain ◽  
Ethics Research ◽  
Cultural Experiences ◽  
Investigación Cualitativa

Objetivo: identificar as experiências culturais relacionadas às decisões maternas para a amamentação entre dois países, visando compreender seus significados. Método: pesquisa qualitativa através de estudo de caso, sendo realizadas nove entrevistas semiestruturadas, com mulheres brasileiras e francesas, no período de abril a dezembro de 2017. Aplicou-se a análise temática de Bardin aos depoimentos. O projeto da pesquisa teve anuência de Comitê de Ética em Pesquisa. Resultados: quatro categorias emergiram da análise dos depoimentos: escolha, cultura e influências; entre benefícios e prazer; idealismo da amamentação; relação com o corpo: dor, pudor e sexualidade. Conclusão: as entrevistadas brasileiras apontam para uma valorização da mulher que amamenta e uma culpabilização daquela que não o faz. E para as francesas a sociedade veicula a ideia de que amamentação significa falta de liberdade. Nos dois lados ainda falta a mulher se apropriar dos seus desejos.ABSTRACTObjective: to identify the cultural experiences related to maternal breastfeeding decisions between two countries, aiming to understand their meanings. Methods: qualitative research through case study. Nine semi-structured interviews were conducted with Brazilian and French women, from April to December 2017. Bardin's thematic analysis was applied to the statements. The study was approved by ethics research committee. Results: four categories emerged: choice, culture and influences; between benefits and pleasure; breastfeeding idealism; relationship with the body: pain, shame and sexuality. Conclusion: in Brazil there is an appreciation of women who breastfeed and a blame for those who do not. In France society conveys the idea that breastfeeding means lack of freedom. In both countries the woman still needs to take ownership of her wishes.RESUMENObjetivo: identificar las experiencias culturales relacionadas con las decisiones de lactancia materna entre dos países, con el objetivo de comprender sus significados. Método: investigación cualitativa a través del estudio de caso. Fueron nueve entrevistas semiestructuradas con mujeres brasileñas y francesas, de abril a diciembre de 2017. El análisis temático de Bardin se aplicó a los datos. La investigación tuvo anuencia del Comité de Ética en Investigación.  Resultados: cuatro categorías emergieron: elección, cultura e influencias; entre beneficios y placer; idealismo de la lactancia materna; relación con el cuerpo: dolor, pudor y sexualidad. Conclusion: en Brasil, hay valorización de la mujer que amamanta y  culpabilización de aquella que no lo hace. En Francia, la sociedad vehicula la idea de que la lactancia significa falta de libertad. En los dos países todavía falta la mujer apropiarse de sus deseos.

scholarly journals Achievements of the Research Committee of the Royal College of Psychiatrists (1971–1985)

1985 ◽  
Vol 9 (11) ◽  
pp. 231-232
Author(s):  
Andrew Sims
Keyword(s):  
Medical Research ◽  
Social Services ◽  
Royal College ◽  
Psychiatric Research ◽  
Voluntary Organizations ◽  
Research Committee ◽  
Standing Committee ◽  
Health And Social Services ◽  
Department Of Health

In the Charter of the College, the Research Committee is established as a Standing Committee of Council; thus research has always been seen to be an essential part of the work of the College. The four main roles of the Research Committee are: (a) to help, advise and encourage the membership of the College in carrying out psychiatric research; (b) to advise the Council on the place of all aspects of research in the College; (c) to maintain a dialogue between the College and major potential grant-giving organizations for research, for example, the Medical Research Committee (MRC), the Department of Health and Social Services (DHSS) (both of which send observers to the Research Committee) and larger relevant voluntary organizations; and (d) in some circumstances to be the agent for carrying out research.

Assessment of the Older Person in the Community

1978 ◽  
Vol 8 (1) ◽  
pp. 1-8 ◽  
Author(s):  
Barry Gurland ◽  
John Copeland ◽  
Lawrence Sharpe ◽  
Michael Kelleher ◽  
Judith Kuriansky ◽  
...  
Keyword(s):  
New York ◽  
Social Services ◽  
The United States ◽  
Older Person ◽  
Structured Interviews ◽  
Metropolitan Regions ◽  
Health And Social Services ◽  
Community Residents ◽  
Assessment Techniques ◽  
Cross National

The Cross-National Geriatric Community study is being conducted by the United States-United Kingdom Cross-National Project. Semi-structured interviews have been completed with over 850 community residents over the age of sixty-five years randomly selected from the metropolitan regions of New York and London. The assessment techniques described in this section may be of interest not only to other research workers conducting geriatric community surveys but also to health professionals concerned with the clinical examination of the older ambulatory patient and the early detection and appropriate referral of the need for health and social services.

scholarly journals Trauma and Violence Informed Care Through Decolonising Interagency Partnerships: A Complexity Case Study of Waminda’s Model of Systemic Decolonisation

2020 ◽  
Vol 17 (20) ◽  
pp. 7363
Author(s):  
Patricia Cullen ◽  
Tamara Mackean ◽  
Faye Worner ◽  
Cleone Wellington ◽  
Hayley Longbottom ◽  
...  
Keyword(s):  
Social Services ◽  
Collective Learning ◽  
Indigenous Research ◽  
Power Structures ◽  
Structured Interviews ◽  
Health And Social Services ◽  
Indigenous Research Methods ◽  
Shared Language ◽  
Emerging Themes

Through the lens of complexity, we present a nested case study describing a decolonisation approach developed and implemented by Waminda South Coast Women’s Health and Welfare Aboriginal Corporation. Using Indigenous research methods, this case study has unfolded across three phases: (1) Yarning interviews with the workforce from four partner health services (n = 24); (2) Yarning circle bringing together key informants from yarning interviews to verify and refine emerging themes (n = 14); (3) Semi-structured interviews with a facilitator of Waminda’s Decolonisation Workshop (n = 1) and participants (n = 10). Synthesis of data has been undertaken in stages through collaborative framework and thematic analysis. Three overarching themes and eight sub-themes emerged that centred on enhancing the capabilities of the workforce and strengthening interagency partnerships through a more meaningful connection and shared decolonisation agenda that centres Aboriginal and Torres Strait Islander families and communities. Health and social services are complex systems that function within the context of colonisation. Waminda’s innovative, model of interagency collaboration enhanced workforce capability through shared language and collective learning around colonisation, racism and Whiteness. This process generated individual, organisational and systemic decolonisation to disable power structures through trauma and violence informed approach to practice.

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