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[Difficulties and opportunities of psychiatric training in an urban setting: the example of Montréal].

https://arctichealth.org/en/permalink/ahliterature120490
Source
Sante Ment Que. 2011;36(2):15-31
Publication Type
Article
Date
2011
Author
Lison Gagné
Clairélaine Ouellet-Plamondon
Simon Dubreucq
Author Affiliation
Université de Montréal.
Source
Sante Ment Que. 2011;36(2):15-31
Date
2011
Language
French
Publication Type
Article
Keywords
Humans
Internship and Residency
Psychiatry - education
Quebec
Urban Health Services
Urban Population
Abstract
In this article, the authors discuss the difficulties and opportunities of psychiatric training in an urban setting. Based on the example of Montréal, they ponder the interest and the relevance of this contextual framework for the training of future psychiatrists and other mental health professionals, regardless of the nature and location of their practice after their residency. The authors examine the advantages of this teaching environment and how to overcome its limits.
PubMed ID
22997644 View in PubMed
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[Young urban adults suffering from psychosis: the importance of close team work].

https://arctichealth.org/en/permalink/ahliterature120489
Source
Sante Ment Que. 2011;36(2):33-51
Publication Type
Article
Date
2011
Author
Clairélaine Ouellet-Plamondon
Amal Abdel-Baki
Author Affiliation
Université de Montréal.
Source
Sante Ment Que. 2011;36(2):33-51
Date
2011
Language
French
Publication Type
Article
Keywords
Adolescent
Community Mental Health Centers
Community Mental Health Services - organization & administration
Homeless Youth
Humans
Needs Assessment
Psychotic Disorders - epidemiology - therapy
Quebec
Urban Population
Young Adult
Abstract
Untreated psychosis causes a lot of suffering and its impact echoes on different aspects of the affected individual's functioning. In city centers, youths presenting early psychosis face additional challenges because many of them live in precarious, unstable conditions and are isolated. Reorganisation of mental health care access and delivery is necessary to avoid delay for psychosis identification and treatment initiation. This article describes possible solutions which have been applied at Clinique JAP, a specialized early psychosis intervention clinic at the CHUM, which offers integrated services to optimize outcome. To increase engagement and adherence to treatment, treatment setting must include a welcoming and youth-friendly atmosphere, individualized and flexible interventions, and nourishing optimistic but realistic hope. Intensive interventions by a specialized interdisciplinary team, in collaboration with community organizations, must be offered in a proactive way to reduce delay in treatment and therefore avoid disastrous consequences of psychosis.
PubMed ID
22997645 View in PubMed
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