Original Title: État des pratiques - Élaboration de portraits à l’appui de l’adaptation continue des services jeunesse par réseau local de services

Authors' objectives: The integrated health and social services centres (CISSS) and integrated university health and social services centres (CIUSSS) have a duty to provide services adapted to the needs of the population. To support them in carrying out this duty, they need to have quality information and to be able to engage their partners in an ongoing improvement approach to services. This is the context in which INESSS and CIUSSS de l'Estrie – CHUS combined their expertise to create a support tool (portraits) for the reflective practice of local actors. Based on the priorities established by CIUSSS de l'Estrie – CHUS and in accordance with their Action Plan for Youth and Their Family (PAJEF), the work focused on young people between the ages of 0 and 21.

Authors' results and conclusions: RESULTS: The youth portrait of each local service network (LSN) includes 57 indicators and four profiles. The demographic profile describes the composition of the territory’s youth population. The population profile provides information on the health determinants and developmental markers of young people aged 0 to 21. The clinical profile outlines the main health problems of this clientele, as indicated by diagnostic criteria. Finally, the service use profile describes the primary and secondary medical and psychosocial services that young people received. For each indicator, the quantitative data for the LSN territory is presented first, followed by data for the region as a whole and for the entire province. A scatter diagram shows the position of the LSN in relation to the other LSNs in the region and in Quebec, as well as the provincial average. Cross-analysis of the indicators for the four profiles enables us to gauge the extent to which the services on offer match the needs of the youth population, and to identify areas for improvement. The portrait is completed by an interpretive grid, i.e., a table summarizing the results of an exploratory literature review on the relationship between health determinants and markers of youth development. CONCLUSION: The portraits developed are the first step in a pilot project supporting reflective practice and improved youth services. In their current form, these portraits have the advantage of bringing together in a single medium health and service indicators that are often inaccessible, scattered or non-existent. They allow the LSN partners to collectively undertake a cross-analysis of this data, share their interpretations of the situation and, ultimately, develop a common and global vision of the needs of young people, of existing services and of required improvements. Follow-ups are planned to formalize recommendations on best practices and to improve the indicators and the analysis thereof as well as the processes for facilitating reflective exchanges among stakeholders.

Authors' methods: The methodological approach to developing the youth portraits was based on a comprehensive and dynamic understanding of health and its determinants [WHO, 2013; MSSS, 2012b; Bronfenbrenner, 2010], population-based planning of services [Pineault and Daveluy, 2020; Pineault and Lessard, 1984] and recognized criteria of good indicators [Contandriopoulos et al., 2017; Thiebaut, 2013; MSSS, 2012a; Champagne et al., 2005]. Nine portraits were produced. While each profile had its own methodology, the common approach can be summarized in four steps: 1) identification; 2) selection; 3) analysis and prioritization; and 4) stakeholder consultation for validation. The process began with exploratory reviews of the scientific and grey literature. Here the goal was to retrieve relevant information to identify the supporting empirical dimensions that underpin the theoretical approach of the process, and to list existing data relating to the health of young people and the services they use. The three steps following this identification entailed iterative loops between the project team and the expert committee. Once the indicators were defined and selected, the project team extracted and processed the data and formatted the results according to the agreed-upon template. Data entry checks and a first level of analysis were then performed. For exploratory purposes, deliberative workshops offering facilitated support were held to explore the use of the youth portraits by all LSN intersectoral actors.

Project Status: Completed

URL for project: https://www.inesss.qc.ca/publications/repertoire-des-publications/publication/elaboration-de-portraits-a-lappui-de-ladaptation-continue-des-services-jeunesse-par-reseau-local-de-services.html

Year Published: 2023

URL for published report: https://www.inesss.qc.ca/publications/repertoire-des-publications/publication/elaboration-de-portraits-a-lappui-de-ladaptation-continue-des-services-jeunesse-par-reseau-local-de-services.html

English language abstract: An English language summary is available

Publication Type: Other

Country: Canada

Province: Quebec

Organisation Name: Institut national d'excellence en sante et en services sociaux

Contact Address: L'Institut national d'excellence en sante et en services sociaux (INESSS) , 2021, avenue Union, bureau 10.083, Montreal, Quebec, Canada, H3A 2S9;Tel: 1+514-873-2563, Fax: 1+514-873-1369

Contact Name: demande@inesss.qc.ca

Contact Email: demande@inesss.qc.ca

Copyright: L'Institut national d'excellence en sante et en services sociaux (INESSS)