Base de donn?es sur les mesures de qualit?

Des services de soins primaires offerts dans des milieux non traditionnels, habituellement plus accessibles pour les populations vulnérables (ex. : soins à domicile, équipes de suivi intensif dans la communauté, infirmières de rue).
Autres domain(es) : Continuité, Accessibilité

Core Program Description:
A Community Supports Program is designed to help individuals and their support networks in managing the demands of daily life and to promote full citizenship in community. Community Supports differs from traditional mental health services through the focus of interventions and by delivery in the individuals community environment. Staff collaborate with individuals and their support network around functional goals, and provide continuous outreach and support across service settings and as needs change. The range of intensity/ frequency of service is based on need, and will vary by individual. Resources available(e.g. housing, human resources), and critical mass, may challenge health districts to create service access through partnerships or to modify model programs to their capabilities.
Community Supports include:
Case management: a collaborative process which assesses, plans
implements, coordinates, monitors and evaluates the options and services
required to meet an individuals health needs, using communication and
available resources to promote quality, cost-effective outcomes. Access is
available long term, and work with individuals primarily happens in natural
community settings. (see appendix for differentiation from outpatient services)
Assertive Community Treatment or Intensive Community Treatment Teams;
Clubhouses; Consumer and Family Initiatives; Accommodation and Equality
Initiatives; Housing, Employment and Education Supports.
Proactive outreach/case finding: interventions that will increase help-seeking
behaviour and find those who are at risk/hard to find/hard to serve.
Components included in the treatment of disruptive behaviour disorders in
children and youth may also include:
-Multi-modal approach (a combination of psychological and educational
treatments that receive empirical support for their effectiveness in addressing
the needs of the behaviourally challenged youth)
-Community-based approach (within the childs home community)
- Early intervention approach (as early as possible within the developmental
sequence of antisocial behaviour)
- Multi-systemic orientation (i.e. takes place across multiple systems including
the family, school, peer group, etc.)
- Consistent use of behavioural techniques across multiple settings
- Comprehensiveness and sustainability over time (long-term intervention for a
long-term problem)
- Maximization of protective factors (e.g. positive family functioning, child and
family resilience).

Nova Scotia Department of Health. Standards for Mental Health Services in Nova Scotia. 2003. Retrieved on July 31, 2006 from: http://www.gov.ns.ca/heal/downloads/Standards.pdf

III: Données de recherche préliminaires uniquement ou données reposant uniquement sur un consensus d?opinion.

• Il pourrait y avoir un besoin de formation pour éviter des orientations inappropriées.
• *Quelqu?un doit encore coordonner les soins et la documentation, sinon il y aura des répétitions inutiles ou des orientations inappropriées de patients.
• La coordination et la documentation devraient être effectuées par des services de soutien. Que les orientations puissent provenir de sources multiples est très important.

Rang selon les cotes Pertinence 55 Applicabilité 86 Importance générale 65		Rang selon les groupes d'acteurs Universitaires/chercheurs 92 Cliniciens 52 Usagers 15 Décideurs 100 ?		Rang selon les groupes particuliers Premières Nations 56 Régions rurales 47 Acteurs fédéraux 85
Rang selon les provinces et territoires CB AB SK MA ON QC NB NÉ IPE TN YU TNO NU 72 54 45 99 50 71 93 89 44 17 69 59 65				Rang global        69