Consolider les soins en santé mentale au Québec : le plan d’action en santé mentale 2005-2010
Bibliographic record
Abstract
Le Plan d'action en santé mentale 2005-2010 vise la réorganisation des soins en santé mentale au Québec.Prenant ancrage sur une série de réformes récentes affectant tout le système de santé de la province, on y prévoit la consolidation des services médicaux et communautaires dans une démarche populationnelle localisée.Le plan aborde la problématique de la santé mentale de la prévention jusqu'au traitement.L'arrimage des soins offert à tous les niveaux d'intervention a pour but d'optimiser le système.Sa mise en œuvre inégale et ponctuée de rajustements démontre la ampleur du défi que représente le développement de soins de santé mentale complets et efficaces.The 2005-2010 Mental Health Action Plan aims to reorganize mental health services in Québec.Building on previous reforms related to the overall health care system, this plan specifically outlines the collaborative adjustments needed to prevent and treat issues related to mental health.Its central proposition is for the consolidation of medical services and community groups working together under a local needs-based approach.Formal structures were designed to build sustainable partnerships for optimal care at different levels of intervention.The implementation of this plan did not achieve the desired results and needed adjustments in all regions.These results demonstrate the complexity in developing comprehensive mental health care. 1 Consolider les soins en santé mentale au Québec Castagner Giroux Messages-clés • Le Plan d'action en santé mentale 2005-2010 s'inscrit en continuité avec lesorientations entreprises au cours des dernières années, soit d'intégrer les services de santé et sociaux.• Les problématiques ayant comme dénominateur commun la santé mentale sont nombreuses et l'équilibre doit être trouvé entre la médicalisation et l'approche psychosociale.• La mise en place et l'appréciation du plan varient selon les régions, ce qui met en relief la difficulté de créer et d'entretenir des partenariats interdisciplinaires dans un système présentant déjà des lacunes. Key Messages• The 2005-2010 Mental Health Action Plan is part of a series of reforms launched in recent years that aim to integrate the health care system with community services.• Issues under the umbrella term of mental health are numerous; thus, it is crucial to acknowledge the balance between the biomedical and psychosocial perspectives.• The implementation and appreciation of the plan varies regionally.These results portray the complexity of partnership building within a system with pre-existing flaws.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.004 | 0.009 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.002 |
| Science and technology studies | 0.003 | 0.001 |
| Scholarly communication | 0.003 | 0.001 |
| Open science | 0.001 | 0.002 |
| Research integrity | 0.001 | 0.003 |
| Insufficient payload (model declined to judge) | 0.009 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".