Santé et Services sociaux Québec.
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Lunch hour conferences 2014

Intervention and integration of peer helpers in the health and social services network : Findings and reflections

January 16, 2014

By: Michel Perreault,
psychologist-researcher, Douglas Mental Health University Institute, associate professor, Psychiatry Department, Université McGill

Hélène Provencher,
professor, Nursing Faculty, Université Laval, researcher, Groupe de recherche sur l'Inclusion sociale, l'Organisation des services et l'Évaluation en santé mentale (GRIOSE-SM), CSSS de la Vieille-Capitale

This conference will address the added value question of the intervention focusing on the contribution of peer helpers in care and services network, particularly in the area of mental health. The major findings from two research projects supported by the MSSS will be presented, one about the peer helpers intervention to facilitate access to clinical treatment for people with anxiety disorders with the support group Phobies-Zéro and the other one addressing the peer helpers integration in teams of support in the community for people with severe mental disorders proposed by the “Peer Helpers Network Program” associated with the Association québécoise pour la réadaptation psychosociale. Peer helpers accompany researchers to witness the benefits and issues related to their work experience.

These approaches may be transferable to many other areas of health and social services. This activity is intended for managers, professionals and other stakeholders from different backgrounds challenged by this issue. A comment from Dr André Delorme, national director of mental health, follows the presentation.

Perspectives for implementation of a patient-based funding in Quebec :
an assessment of access to surgery program and next steps

May 29, 2014

By: Normand Lantagne,
director, Direction des politiques de financement et de l’allocation des ressources, MSSS

Nizar Ghali,
economist, MSSS

The access to surgery program (ASP), introduced in 2004, represents a first attempt of activity-based funding. This program has contributed to the increase in surgical production and improvement of services access. However, adjustments will be necessary in order to converge towards a culture of patient-based funding.

The speakers will present, first of all, an analysis of objectives following the implementation of the ASP. Indeed, the results of a university research have evaluated the impact of this program on the development of certain aspects of services access (waiting times) and care continuity (length of stay).

Thereafter, the speakers will present the main recommendations of the Groupe d’experts pour soutenir l’implantation du financement axé sur le patient. The works of this group were conducted in close collaboration with the ministère de la Santé et des Services sociaux (MSSS), including in surgery. These recommendations bring challenges and opportunities for the health care system development. Finally, the emphasis will be placed on the key role of MSSS in the formulation of guidelines to remember.

The Act respecting end-of-life care and his implementation

Novembre 6, 2014

By: Jean-Pierre Ménard,

Christine Lavoie
Patricia Lavoie
Direction des affaires juridiques
Ministère de la Santé et des Services sociaux

Monique St-Pierre,
Direction des services hospitaliers et des affaires universitaires
Ministère de la Santé et des Services sociaux

The Act respecting end-of-life care, adopted on June 10th 2014, is in line with the unanimous recommendations of the Select Committee on Dying with Dignity and is based on the values of solidarity, compassion and respect for individual wishes. This Act follows three objectives to frame palliative care, to allow medical aid in dying in certain special and exceptional situations, and to establish an advance medical directives regime.

This conference will explain why this Act was created. Indeed, the Act respecting end-of-life care is part of a social and legal context. This environment is characterized by the medicine progress, but also by the state of practices (advance wishes, rights and obligations of the physician toward an end-of-life patient, aggressive treatment, refusal, withholding and withdrawing of treatment...). Thus, the evolution of the legal framework for end-of-life care, including the impact of charters and court’s interpretation, respect for the dignity, personal autonomy and the sanctity of life, prepared, in some way, the action of the Quebec legislature in the existing constitutional framework.

Thereafter, the outline of the Act will be briefly presented, including through a review of two aspects: the end-of-life care and advance medical directives.

Finally, the proposed implementation plan will be discussed. It will address the project structure set up within the MSSS and the health network, the expected deliverables, the timelines, and the issues and challenges that arise.