Base de donn?es sur les mesures de qualit?

L?utilisation de mesures thérapeutiques et de réadaptation pour que la personne récupère et puisse participer aux activités d?une vie normale sans limitations reliées au problème de santé ou aux incapacités en résultant.
Autres domain(es) : Patients souffrant de problèmes chroniques

Evidence-based services that promote long-term recovery should be important components of any system that serves people with serious mental illnesses. The workgroup recognizes that not all states offer Supported Employment programs, and that not all persons with serious mental illnesses necessarily need such services, however research has demonstrated the effectiveness of these services for many consumers in obtaining and maintaining competitive employment. Supported employment was originally developed by Paul Wehman and colleagues (Wehman, 1986; Wehman & Moon, 1988) to help place and support persons with developmental disorders in competitive jobs in integrated settings. Since about the mid-1980s, SE has been adapted and used for persons with mental illness, integrating ideas from Wehmans original model, ACT, the job coach model and the clubhouse model (Bond, Drake, Mueser, & Becker, 1997). During the past decade, a substantial body of research has emerged showing the clear superiority of SE in obtaining competitive work compared both to no vocational programming and to other forms of vocational programming (e.g., sheltered work, transitional employment). In a recent review,
Bond and colleagues (1997) identified 7 pre-post studies, and 8 controlled studies (of which 6 were randomized) of SE and concluded that across studies, 58% of consumers in SE programs were employed vs. 21% for control subjects. SE consumers also tended to be employed longer and to earn more, and, contrary to fears from detractors, did not report either increased stress or increased use of the hospital.

Lutterman T, Ganju V, Schacht L, Shaw R, Monihan K, et.al. Sixteen State Study on Mental Health Performance Measures. DHHS Publication No. (SMA) 03-3835. Rockville, MD: Center for Mental Health Services, Substance Abuse and Mental Health Services Administration, 2003. Retrieved on Aug 3, 2006 from: http://www.mentalhealth.samhsa.gov/funding/pilotstudy/pilotstudy.asp

I: Des études toujours de haute qualité utilisant des méthodologies de recherche assez rigoureuses ou des études bien contrôlées portant spécifiquement sur les soins de première ligne en santé mentale.

• *Très important, mais en dehors du contrôle des soins de première ligne.
• On a sérieusement besoin de reconnaître les limites des personnes; il y a beaucoup de rechutes quand on exige trop de leur part.

Rang selon les cotes Pertinence 45 Applicabilité 104 Importance générale 41		Rang selon les groupes d'acteurs Universitaires/chercheurs 72 Cliniciens 68 Usagers 50 Décideurs 39 ?		Rang selon les groupes particuliers Premières Nations 69 Régions rurales 82 Acteurs fédéraux 55
Rang selon les provinces et territoires CB AB SK MA ON QC NB NÉ IPE TN YU TNO NU 51 67 96 41 72 45 22 57 112 67 39 2 57				Rang global        64