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Nous en connaissons peu sur la pratique d’intervention de groupe en région, ce qui ouvre un champ de questions qui dépassent de loin la simple description des conditions de travail en intervention. Ce travail souhaite valoriser et rendre « visible » la pratique d’intervention de groupe des professionnelles issues du travail social, dans un contexte québécois, et plus spécifiquement dans un environnement de région ressource, environnement qui pose des défis et des enjeux importants reliés à ce mode d’intervention. À travers une recherche qualitative et un processus de théorisation ancrée, ce mode d’intervention a été exploré auprès de 10 intervenantes. Les principaux résultats nous permettent d’identifier les spécificités régionales de l’intervention de groupe, telles qu’une pratique destinée fondamentalement aux femmes avec des approches choisies pour l’intervention, la confidentialité et la protection de la vie privée des participantes du groupe, le manque de transport en commun, et une pratique de groupe plus présente dans le milieu communautaire. , We know little about the practice of group intervention in remote areas, which leads to an array of questions that go far beyond the mere description of working conditions in this context of practice. This article aims to acknowledge and increase visibility of social work with groups in Quebec, most specifically in remote regions where mostly female social work professionals practice this type of intervention, an environment that poses important challenges related to this type of practice. Through qualitative research and a process of grounded theorizing, this type of intervention was explored using feedback from 10 female participants (social workers). The main results highlight regional specificities, such as a practice fundamentally aimed at women, confidentiality and privacy of group participants, the lack of public transportation, and a group practice more present in the community setting

Plusieurs chercheur.euse.s s’intéressent à la question des conséquences des désastres sur les enfants et les adolescent.e.s. La majorité des études effectuées sont quantitatives et se concentrent sur les symptômes anxieux, dépressifs et post-traumatiques que développent ces jeunes. Peu d’études qualitatives se préoccupent des effets plus systémiques que provoquent ces catastrophes, tels que les conséquences d’une relocalisation dans un nouveau quartier ou les difficultés familiales et la violence envers les enfants qui peuvent s’ensuivre. De plus, peu d’études proposent des pistes d’intervention en travail social. L’objectif principal de cet article vise donc à fournir une recension des écrits récente, francophone et systémique au sujet des conséquences vécues par les jeunes d’âge mineur à la suite d’un désastre. Cela afin de soutenir les intervenant.e.s en travail social en regroupant dans un même article quelques pistes d’intervention individuelle, familiale, de groupe et collective. , Many researchers have focused on the influence of disasters exposure on children and teenagers. Most of the research performed are quantitative studies that center predominantly on posttraumatic stress, depression, and anxiety symptoms developed by youth. Few qualitative research take an interest in a more holistic picture of the impacts of disasters, such as the relocation in new communities or challenged interpersonal family dynamics, which can lead to violence against children. Moreover, few articles discuss implications for social work. The main objective of this article is to offer a recent and francophone literature review with an ecological approach about the impacts of disasters exposure on children and teenagers. Furthermore, to better equip social workers, promising avenues of individual, family focused, group and community-based interventions are discussed.

The article describes a quantitative cross-sectional study of a sample of 674 university students enrolled in social work programmes in four countries: Belgium, Canada, Chile and Switzerland. The study aimed to assess HIV/AIDS knowledge and attitudes among participants. The median HIV-KQ-18 score for the sample was 14.0, which Carey and Schroder classify as indicating borderline low levels of knowledge. Based on the results, the authors argue that social work education and training programmes should more comprehensively address HIV/AIDS within their curricula to better equip future social workers to challenge stigmatising and exclusionary practices rooted in long-standing lack of knowledge and erroneous beliefs about the disease.

Support from caregivers is an important element of mental health recovery. However, the mechanisms by which social support influences the recovery of persons with depressive, anxiety, or bipolar disorders are less understood. In this study, we describe the social support mechanisms that influence mental health recovery. A cross-sectional qualitative study was undertaken in Québec (Canada) with 15 persons in recovery and 15 caregivers—those having played the most significant role in their recovery. A deductive thematic analysis allowed for the identification and description of different mechanisms through a triangulation of perspectives from different actors. Regarding classic social support functions, several of the support mechanisms for mental health recovery were identified (emotional support, companionship, instrumental support, and validation). However, informational support was not mentioned. New mechanisms were also identified: presence, communication, and influence. Social support mechanisms evoke a model containing a hierarchy as well as links among them.

There is increasing evidence that exposure to weather-related hazards like storms and floods adversely affects mental health. However, evidence of treated and untreated mental disorders based on diagnostic criteria for the general population is limited. We analysed the Adult Psychiatric Morbidity Survey, a large probability sample survey of adults in England (n = 7525), that provides the only national data on the prevalence of mental disorders assessed to diagnostic criteria. The most recent survey (2014–2015) asked participants if they had experienced damage to their home (due to wind, rain, snow or flood) in the six months prior to interview, a period that included months of unprecedented population exposure to flooding, particularly in Southern England. One in twenty (4.5%) reported living in a storm- or flood-damaged home in the previous six months. Social advantage (home ownership, higher household income) increased the odds of exposure to storm or flood damage. Exposure predicted having a common mental disorder over and above the effects of other known predictors of poor mental health. With climate change increasing the frequency and severity of storms and flooding, improving community resilience and disaster preparedness is a priority. Evidence on the mental health of exposed populations is key to building this capacity.

Introduction:Public health emergency management involves the timely translation of relevant evidence and effective coordination of diverse actors. In practice, this can be challenging in the absence of a common framework for action among diverse actors.Aim:To apply an Integrated Knowledge Translation (iKT) approach throughout the development of a conceptual framework and performance measurement indicators for public health emergency preparedness (PHEP), to ensure knowledge generated is relevant and useful to the field.Methods:The iKT approach was initiated by identifying a research question based on priorities from the field. The two phases of the study used participatory research methods as well as active engagement with potential end users at key study milestones. The Structured Interview Matrix (SIM) facilitation technique for focus groups and an expert panel using Delphi methodology were used to define the PHEP framework and performance measurement indicators, respectively. An advisory committee was assembled consisting of potential end-users of the research, in senior positions in applied and decision-making roles.Results:iKT was an essential component for this applied public health project, contributing to and enhancing the relevance of the knowledge generated. iKT contributed to the following: broad national engagement and interest in the study, successful recruitment in both phases, and engagement with decision-makers. This multi-dimensional participatory approach successfully generated knowledge that was important to the field demonstrated by relevance to practice and policy in jurisdictions across Canada. Furthermore, the approach fostered building resilience in local and national communities through collaboration.Discussion:The iKT approach was essential to generating knowledge that is relevant and useful to the field, mainly to promote health system preparedness and resilience. Future research to study the implementation of knowledge will be important to continue addressing the knowledge-to-action gap in health emergency management research.

Emergencies and disasters impact population health. Despite the importance of upstream readiness, a persistent challenge for public health practitioners is defining what it means to be prepared. There is a knowledge gap in that existing frameworks lack consideration for complexity relevant to health systems and the emergency context. The objective of this study is to describe the essential elements of a resilient public health system and how the elements interact as a complex adaptive system.

Abstract Objective To examine mental health and community cohesion in women living in Calgary after a natural disaster considering previously collected mental health data. Methods Data from an ongoing longitudinal cohort, the All Our Families study, were used to examine mental health and community cohesion 5 months after a major flood in Calgary, Canada. Participants who had completed a baseline questionnaire before the flood were eligible for inclusion in this study (N=923). Four multivariable logistic regression models were built to examine predictors of post-traumatic stress, depression, anxiety, and community cohesion. Results Elevated anxiety before the flood was associated with 2.49 (95% CI: 1.17, 5.26) increased odds of experiencing high levels of post-traumatic stress, regardless of whether respondents lived in a flood-risk community or not. Women who experienced damage to property, or who provided help to others, were more likely to perceive an increased sense of community cohesion (adjusted ods ratio (AOR): 1.67; 95% CI: 1.09, 2.54 and AOR: 1.68; 95% CI: 1.13, 2.52, respectively). Conclusions Women with underlying mental health conditions may be more vulnerable to the psychological impacts of a natural disaster regardless of their level of exposure. Natural disasters may bring communities together, especially those who were more tangibly impacted. ( Disaster Med Public Health Preparedness . 2018;12:470–477)

This paper investigates the link between development, economic growth, and the economic losses from natural disasters in a general analytical framework, with an illustration on hurricane flood risks in New Orleans. It concludes that, where capital accumulates through increased density of capital at risk in a given area, (i) the probability of disaster occurrence decreases with income; (ii) capital at risk and thus economic losses in case of disaster -- increases faster than economic growth; (iii) increasing risk-taking reinforces economic growth. Economic growth and improved protection transfer risks from frequent low-intensity events to rarer high-impact events. In this context, average annual losses from disasters grow with income, and they grow faster than income at low levels of development and slower than income at high levels of development. These findings are robust to a broad range of modeling choices and parameter values, to the inclusion of risk aversion, and to variations in the decision-making framework (including the introduction of prospect theory's decision weights, biases in risk perception and myopic expectations). They show that risk-taking is both a driver and a consequence of economic development, that risk taking should not be indiscriminately suppressed, and that the world is very likely to experience fewer but more costly disasters in the future.

This review discusses the ways in which countries are affected by natural disasters, depending on their socioeconomic characteristics, their level of development, and their inherent levels of natural disaster risk. We also explore various aspects of ex ante disaster mitigation such as improvements in natural disaster risk information and natural disaster insurance markets, as well as ex post responses to natural disaster in the form of postdisaster aid and long-run growth prospects. By highlighting some of the recent findings in this literature, we synthesize what we know about the economics of natural disasters and identify research areas of interest for future work.

With the advent of the COVID-19 pandemic, in-person social interactions and opportunities for accessing resources that sustain health and well-being have drastically reduced. We therefore designed the pan-Canadian prospective COVID-19: HEalth and Social Inequities across Neighbourhoods (COHESION) cohort to provide a deeper understanding of how the COVID-19 pandemic context affects mental health and well-being, key determinants of health, and health inequities.

Purpose The current pandemic and ongoing climate risks highlight the limited capacity of various systems, including health and social ones, to respond to population-scale and long-term threats. Practices to reduce the impacts on the health and well-being of populations must evolve from a reactive mode to preventive, proactive and concerted actions beginning at individual and community levels. Experiences and lessons learned from the pandemic will help to better prevent and reduce the psychosocial impacts of floods, or other hydroclimatic risks, in a climate change context. Design/methodology/approach The present paper first describes the complexity and the challenges associated with climate change and systemic risks. It also presents some systemic frameworks of mental health determinants, and provides an overview of the different types of psychosocial impacts of disasters. Through various Quebec case studies and using lessons learned from past and recent flood-related events, recommendations are made on how to better integrate individual and community factors in disaster response. Findings Results highlight the fact that people who have been affected by the events are significantly more likely to have mental health problems than those not exposed to flooding. They further demonstrate the adverse and long-term effects of floods on psychological health, notably stemming from indirect stressors at the community and institutional levels. Different strategies are proposed from individual-centered to systemic approaches, in putting forward the advantages from intersectoral and multirisk researches and interventions. Originality/value The establishment of an intersectoral flood network, namely the InterSectoral Flood Network of Québec (RIISQ), is presented as an interesting avenue to foster interdisciplinary collaboration and a systemic view of flood risks. Intersectoral work is proving to be a major issue in the management of systemic risks, and should concern communities, health and mental health professionals, and the various levels of governance. As climate change is called upon to lead to more and more systemic risks, close collaboration between all the areas concerned with the management of the factors of vulnerability and exposure of populations will be necessary to respond effectively to damages and impacts (direct and indirect) linked to new meteorological and compound hazards. This means as well to better integrate the communication managers into the risk management team.