Papers by Louise Fournier
BMC Family Practice, Oct 22, 2015
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Canadian Journal of Public Health-revue Canadienne De Sante Publique, Mar 1, 2003
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Current Psychiatry Reviews, May 1, 2011
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General Hospital Psychiatry, May 1, 2014
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Social Psychiatry and Psychiatric Epidemiology, May 18, 1998
This study examines factors related to the utilization of services for mental health reasons by M... more This study examines factors related to the utilization of services for mental health reasons by Montreal residents. Data were drawn from telephone interviews. A random sample of 893 respondents completed a questionnaire on service utilization and the Diagnostic Interview Schedule Self Administered to assess DSM-III-R psychiatric disorders. Results indicate that 12.8% of the population had used such services in the past year. Medical doctors and psychiatrists, whose services are free of charge under universal health coverage, were consulted, respectively, by 4.1% and 2.0% of respondents. Psychologists, whose services are not free, were seen by 3.4% of respondents. In all, 42.0% of respondents who presented a current diagnosis used services in the past year. The highest proportion of users (48.0%) was found among respondents who presented both current and lifetime diagnoses and among respondents with comorbidity. The choice of caregiver was related also to pattern of disorders: respondents with current and comorbid disorders tended to consult general practitioners, while respondents with lifetime disorders or with lifetime and current disorders favoured specialized care. In line with other studies, self-perception of mental health, gender and marital status were related to utilization; unlike other studies, attitudes and age were not. It is argued that particularities found in this study stem not only from methodological considerations, but also from the configuration of the mental health system in Quebec, where the greater availability of psychologists may facilitate service utilization.
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PLOS ONE, Nov 5, 2018
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BMC Psychiatry, Sep 17, 2012
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BMJ Quality & Safety, Aug 1, 2013
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Psychiatric Services, Jul 1, 2007
This study used Pescosolido&a... more This study used Pescosolido's network episode model to examine mental health service utilization among impoverished people accessing resources for the homeless in Canada's universal health care setting. The sample consisted of 439 people who met DSM-IV criteria for affective or psychotic disorders who were assessed as part of a larger study of resources for homeless or impoverished people in Montreal and Quebec City. Interviews were organized into the framework of four network episode model concepts: sociodemographic characteristics, illness characteristics, illness history, and social network. These blocks of variables were then analyzed in terms of their accuracy in predicting mental health service utilization. Eighty-four percent of the sample were male, the mean+/-SD age was 41+/-12 years, and 36% were homeless at the time of the interview, but nearly half (48%) of the population had been homeless previously. The research shows that each network episode model concept except illness history significantly predicted utilization of mental health services. Female gender, youth, never being homeless (sociodemographic characteristics), presence of antisocial personality disorders within the preceding year, past or current alcohol-related disorders (illness characteristics), hospitalization before the preceding year (illness history), and a larger social support network were related to utilization of mental health services. In the absence of economic barriers to health care, there are other significant barriers to the use of mental health services for people who live in poverty. A better understanding of these factors will help in meeting the service needs of impoverished mentally ill people.
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Child Abuse & Neglect, Feb 1, 2004
This study examines the relationship between two explanatory factors connected to the phenomena o... more This study examines the relationship between two explanatory factors connected to the phenomena of runaways and the homeless among adolescents: behavioral problems of youths and parental violence to which they are subjected. The study demonstrates that these two factors are independently related to the different categories of homeless and runaway adolescents. The data was collected from 130 adolescents (12 to 17 years of age) who were runaways for short periods on a recurring basis. Two subgroups were formed: Group A consisted of 79 adolescents who did not exhibit behavioral problems; Group B consisted of the other 51 who did exhibit them. The two groups had certain similar family characteristics (income levels, parents' occupations, structure and stability of the family). The bivariate analyses reveal significant differences between the two groups of runaways relating to: (1) gender, (2) a diagnosed conduct disorder, (3) affiliations with deviant peers, and (4) experiences of parental violence. The discriminant analysis demonstrates that these four variables clearly differentiate the two groups of runaways and predict the appropriate group membership for 84% of the cases. Therefore, the members of Group B have a higher probability of being diagnosed as having a conduct disorder, being male, and associating with delinquent peers. This group had not experienced a higher level of parental violence. The opposite is true for the members of Group A. Our study demonstrates that parental violence and behavioral problems are variables that are independently related to the defined categories of runaways. Therefore, these variables do not constitute, as some thinkers have claimed, the components of a unique dynamic able to explain the phenomenon of the runaway. Our results vitiate the doubts sometimes expressed by researchers about the importance of parental violence to the phenomenon of adolescent runaways.
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Canadian Psychology, May 1, 2014
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Journal of Social Distress and The Homeless, Jul 1, 2004
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INTRODUCTION: Social support and social relatedness are widely recognized to have a powerful effe... more INTRODUCTION: Social support and social relatedness are widely recognized to have a powerful effect on physical as well as mental health. Many interventions including physical activity (PA) can improve social determinants of mental health. This research aimed to investigate if general social support and social relatedness specific to the physical activity context impacts positively on mental health and negatively on anxiety and depression among youth. METHODS: A total of 1527 students (58% female; mean age = 18.4 years, SD = 2.4) completed questionnaires at baseline; 460 completed follow-up questionnaires 6 months later (Quebec, Canada). Multivariate linear regressions were performed to model the associations between global social support and social relatedness in PA at baseline and mental health, anxiety and depressive symptoms at follow-up controlling for sex, age, perceived socioeconomic status, PA volume and mental health/disorders symptoms at baseline. RESULTS: Global social su...
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The Canadian Journal of Psychiatry, Sep 1, 1997
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The Canadian Journal of Psychiatry, Dec 1, 2007
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ment of coordinated continuums of care in mental health that will bridge the gap in services for ... more ment of coordinated continuums of care in mental health that will bridge the gap in services for Inuit populations. Objective. In order to target ways of improving the services provided in these contexts to individuals in Nunavik with depression or anxiety disorders, this research examines delays and disruptions in the continuum of care and clinical, individual and organizational characteristics possibly associated with their occurrences. Design. A total of 155 episodes of care involving a common mental disorder (CMD), incident or recurring, were documented using the clinical records of 79 frontline health and social services (FHSSs) users, aged 14 years and older, living in a community in Nunavik. Each episode of care was divided into 7 stages: (a) detection; (b) assessment; (c) intervention; (d) planning the first follow-up visit; (e) implementation of the first follow-up visit; (f) planning a second follow-up visit; (g) implementation of the second follow-up visit. Sequential ana...
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Santé mentale au Québec, 2017
Au Québec et ailleurs dans le monde, la préoccupation s’accentue en regard de la santé mentale de... more Au Québec et ailleurs dans le monde, la préoccupation s’accentue en regard de la santé mentale de l’ensemble de la population et de la nécessité de concentrer plus d’énergie sur les interventions préventives et de promotion. Il est alors recommandé que les acteurs de santé publique agissent en tant que chef de file de l’action de promotion de la santé mentale et de prévention des troubles mentaux et établissent les partenariats nécessaires avec les acteurs des secteurs de la santé, des services sociaux et des autres secteurs indispensables à l’action en santé mentale. Les acteurs de santé publique au Canada ne sont toutefois pas encore suffisamment soutenus dans ce rôle. Ils expriment, entre autres besoins, celui d’avoir accès à des cadres structurants qui clarifient leur action en santé mentale. Cet article propose un cadre de référence pour soutenir l’action en santé mentale des populations. Ce cadre identifie les différentes dimensions propres à l’intervention en faveur de l’amél...
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Cities & Health
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15th International Nursing …
Objective: We know very little about the homeless mentally ill, save that they constitute a heter... more Objective: We know very little about the homeless mentally ill, save that they constitute a heterogeneous population, and that it is hard for them to receive services adapted to their situation. The objective of this presentation is to describe a typology of homeless mentally ill persons and the ...
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Papers by Louise Fournier