[Patients experiencing burnout : medico-social needs and resources]. / Patients en situation de burnout : besoins médico-sociaux et ressources.

There is a gap between the current service offer and the needs of people suffering from burnout. Actors in the field, from employers to prescribers, have a role to play in addressing the health needs of the target population, promoting existing services and facilitating their integrative collaboration. This is what a study evaluating the adequacy between the health needs of people experiencing burnout and the services offered to these patients from the point of view of key informants in the canton of Vaud has shown. The first part identified, through empirical research on the Internet, services focused on work organization, therapeutic, social and professional reintegration services. The second part, based on a qualitative focus group method, identified 21 unmet needs.

Il existe un écart entre l'offre de services actuelle et les besoins des personnes en situation de burnout. Les acteurs de terrain, des employeurs aux prescripteurs, ont un rôle à jouer pour répondre aux besoins de santé de la population cible, promouvoir les services existants et faciliter leur collaboration intégrative. C'est ce qu'une étude évaluant l'adéquation entre les besoins de santé des personnes en situation d'épuisement professionnel ou de burnout et les services offerts à ces patients, du point de vue des informateurs clés du canton de Vaud, a démontré. Une première partie a identifié, par une recherche empirique sur internet, les services axés sur l'organisation du travail, les services thérapeutiques, sociaux et de réinsertion professionnelle. La seconde partie, basée sur une méthode qualitative par focus group, a identifié 21 besoins non comblés.

Implementation of a contingency approach for people with co-occurring substance use and psychiatric disorders: Acceptability and feasibility pilot study.

INTRODUCTION: The prevalence of co-occurrent substance use and psychiatric disorders is high. Contingency-based interventions have been shown to be effective in promoting adherence to treatment for people with substance use disorders but are among the least used evidence-based interventions for clients with comorbid psychiatric disorders, related to acceptability issues. OBJECTIVE: The present implementation study aims to evaluate the acceptability and feasibility of a contingency approach in co-occurring disorders specialized treatment services. METHODOLOGY: Focus groups were conducted with health professionals and service users recruited from a specialized co-occurring disorder program (COD). Pre-intervention focus groups were conducted to select preferred modalities to implement the program. Post-intervention focus groups were conducted to document the satisfaction and benefits of the intervention. Throughout the study, program monitoring was conducted systematically to determine the gaps between planned and actual interventions. RESULTS: Both health professionals consulted and service users agreed that the contingency approach could be integrated within usual co-occurring disorders treatment. In general, patients more readily accepted the contingency approach than health professionals. The higher functioning level group reported several benefits from the approach and implementation in its group sessions went as planned. Contingency approach was described by all participants as consistent with general treatment goals and led to patient's awareness about their group attendance. CONCLUSION: This study highlights several challenges related to the implementation of a contingency approach. It also suggests that implementation of this approach could benefit from taking into account the needs and perspectives of service users.

The thin line between protection and conviction: Experiences with child protection services and later criminal convictions among a population of adolescents.

Relying on official data provided by the Québec City Youth Center, Canada, we explore the nature and intensity of officially known criminality for all youth (N = 5399) found guilty under the provisions of the Youth Criminal Justice Act between 2003 and 2012 and assess the relationship between criminality and previous episodes of child maltreatment. This article proposes to further verify the general hypothesis stating that there are empirical links between these two phenomena. The results suggest that those youth victims of specific types of child maltreatment (physical abuse, sexual abuse) seem to be found guilty of criminal acts that are significantly in line with these earlier episodes of maltreatment. These results might help to prevent potential occurrences of such a phenomenon and also contributes to the ongoing development of psychological and criminological theories assessing why and to what extent a child victim of maltreatment might later commit criminal offenses.