[fr] Les soins psychologiques de première ligne ont été implémentés en Belgique à partir
de janvier 2019 dans le cadre de la réforme de santé mentale « psy 107 ». Ceux-ci
s’inscrivent dans une tendance plus large de renforcement des soins primaires au
niveau international. L’objectif de cet article est de présenter le profil des psychologues
et orthopédagogues s’étant conventionnés afin d’exercer au sein de ce nouveau
dispositif, leur satisfaction envers ce dernier ainsi que la mise en place de pratiques
collaboratives avec les médecins généralistes. Un questionnaire en ligne a été diffusé
auprès de l’ensemble des psychologues et orthopédagogues conventionnés au sein
d’un réseau adulte (PPL). L’échantillon se compose de 310 professionnels (sur 641
conventionnés), la majorité d’entre eux sont des cliniciens expérimentés avec pour
référence différentes approches épistémologiques. Ils se déclarent satisfaits de cette
activité et de la collaboration avec les médecins généralistes. Plus spécifiquement, les
résultats mettent en évidence que la mise en place de pratiques collaboratives
contribue à une forme d'épanouissement professionnel. En s’appuyant sur les
premières données, une nouvelle convention adoptée le 2 novembre 2021 est en
cours d’opérationnalisation au sein des différents réseaux avec des changements
notables.
Disciplines :
Treatment & clinical psychology
Author, co-author :
Kinard, Annabelle ; Université de Liège - ULiège > Adaptation, Résilience et CHangement (ARCH)
Jansen, Leontien; KU Leuven - Catholic University of Leuven [BE]
Bruffaerts, Ronny; KU Leuven - Catholic University of Leuven [BE]
Glowacz, Fabienne ; Université de Liège - ULiège > Adaptation, Résilience et CHangement (ARCH)
Language :
French
Title :
L’implémentation des soins psychologiques de première ligne en Belgique : Profil et satisfaction des psychologues et orthopédagogues de première ligne
Bakker, D.H., Groenewegen, P.P., Primary care in the Netherlands: current situation and trends. Ital J Publ Health 6 (2009), 128–135.
Bassilios, B., Telford, N., Rickwood, D., Spittal, M.J., Pirkis, J., Complementary primary mental health programs for young people in Australia: access to Allied Psychological Services (ATAPS) and headspace. Int J Mental Health Syst 11 (2017), 1–11.
Beacham, A.O., Herbst, A., Streitwieser, T., Scheu, Sieber, W.J., Primary care medical provider attitudes regarding mental health and behavioral medicine in integrated and non-integrated primary care practice settings. J Clin Psychol Med Settings 19 (2012), 364–375.
Bluestein, D., Cubic, B.A., Psychologists and primary care physicians: a training model for creating collaborative relationships. J Clin Psychol Med Settings 16 (2009), 101–112.
Clark, D.M., Realizing the mass public benefit of evidence-based psychological therapies: the IAPT program. Ann Rev Clin Psychol 14 (2018), 159–183.
Corcoran, M., Byrne, M., Evaluating a primary care psychology service in Ireland: a survey of stakeholders and psychologists. Health Soc Care Commun 25 (2017), 1080–1089.
Cubic, B., Mance, J., Turgesen, J.N., Lamanna, J.D., Interprofessional education: preparing psychologists for success in integrated primary care. J Clin Psychol Med Settings 19 (2012), 84–92.
Derksen, J., Primary care psychologists in the Netherlands: 30 years of experience. professional psychology. Res Pract 40 (2009), 493–501.
Elder, M.Q., Silvers, S.A., The integration of psychology into primary care: personal perspectives and lessons learned. Psychol Serv 6 (2009), 68–73.
Fisher, L., Dickinson, W.P., Psychology and primary care: new collaborations for providing effective care for adults with chronic health conditions. Am Psychol 69 (2014), 355–363.
Gray, R., Sanders, C., A reflection on the impact of COVID-19 on primary care in the United Kingdom. J Interprof Care 34 (2020), 672–678.
Gyani, A., Pumphrey, N., Parker, H., Shafran, R., Investigating the use of NICE guidelines and IAPT services in the treatment of depression. Mental Health Fam Med 9 (2012), 149–160.
Haggerty, J., Burge, F., Gass, D., Pineault, R., Beaulieu, M., Operational definitions of attributes of primary health care: consensus. Ann Fam Med 5 (2007), 336–344.
Hills, D., Joyce, C., Humphreys, J., Validation of a job satisfaction scale in the Australian clinical medical workforce. Eval Health Prof 35 (2012), 47–76.
Jackson, G.L., Review the patient-centered medical home. Ann Int Med 158 (2013), 169–178.
Jacob, B., Macquet, D., Natalis, S., Libbey, J., Eurotext, L., Jacob, B., La réforme des soins en santé mentale en Belgique : exposé d’ un modèle. Inform Psychiatr 9 (2016), 731–745.
Kaitz, J.E., Ray, S., Psychologist and Physician Inter-Professional collaborative experiences in primary care integration. J Clin Psychol Med Settings 28 (2020), 436–446.
Kenaszchuk, C., Conn Gotlib, L., Dainty, K., McCarthy, C., Reeves, S., Zwarenstein, M., Validity and reliability of a multiple-group measurement scale for interprofessional collaboration. BMC Health Serv Res 10 (2010), 1–15.
Kluge, H., Kelley, E., Theodorakis, P.N., Barkley, S., Valderas, J.M., Forty years on from Alma Ata: present and future of primary health care research. Prim Health Care Res Dev 19 (2020), 421–423.
Kringos, D., Boerma, W., Bourgueil, Y., Cartier, T., Dedeu, T., Hasvold, T., et al. The strength of primary care in Europe: an international comparative study. Br J Gen Pract 63 (2013), 742–750.
Lau, R., Stevenson, F., Ong, B.N., Dziedzic, K., Treweek, S., Eldridge, S., et al. Achieving change in primary care — causes of the evidence to practice gap: systematic reviews of reviews. Implement Sci 11 (2016), 1–39.
Marshall, D., Quinn, C., Child, S., Shenton, D., Pooler, J., Forber, S., et al. What IAPT services can learn from those who do not attend. J Mental Health 25 (2016), 410–415.
McDaniel, S.H., DeGruy, F.V., An introduction to primary care and psychology. Am Psychol 69 (2014), 325–331.
McGough, P.M., Bauer, A.M., Collins, L., Dugdale, D.C., Integrating behavioral health into primary care. Pop Health Manage 19 (2016), 81–87.
Mondière, G., Multiplication des dispositifs de remboursement : quid du psychologue ?. J Psychol 389 (2021), 8–10.
Newman, D.A., Missing data: five practical guidelines. Organ Res Methods 17 (2014), 372–411.
Peek, C.J., The National Integration Academy Council. Lexicon for Behavioral Health and Primary Care Integration. 2013, Agency for Health Care Research & Quality.
Peltonen, J., Leino-Kilpi, H., Heikkilä, H., Rautava, P., Tuomela, K., Siekkinen, M., et al. Instruments measuring interprofessional collaboration in healthcare–a scoping review. J Interprof Care 34 (2020), 147–161.
Pomerantz, A.S., Corson, J.A., Detzer, M.J., The challenge of integrated care for mental health: leaving the 50 minute hour and other sacred things. J Clin Psychol Med Settings 16 (2009), 40–46.
Possemato, K., Johnson, E.M., Beehler, G.P., Shepardson, R.L., King, P., Vair, C.L., et al. Patient outcomes associated with primary care behavioral health services: a systematic review. Gen Hosp Psychiatr 53 (2018), 1–11.
Prins, M., Meadows, G., Bobevski, I., Perceived need for mental health care and barriers to care in the Netherlands and Australia. Soc Psychiatr Psychiat Epidemiol 46 (2011), 1033–1044.
Ramanuj, P., Ferenchik, E., Docherty, M., Spaeth-Rublee, B., Pincus, H.A., Evolving models of integrated behavioral health and primary care. Curr Psychiatr Rep 21 (2019), 1–12.
Runyan, C.N., Psychology can be indispensable to health care reform and the patient-centered medical home. Psychol Serv 8 (2011), 53–68.
Seaton, J., Jones, A., Johnston, C., Francis, K., Allied health professionals’ perceptions of interprofessional collaboration in primary health care: an integrative review. J Interprof Care 35 (2021), 217–228.
Sweetman, J., Knapp, P., McMillan, D., Fairhurst, C., Delgadillo, J., Hewitt, C., Risk factors for initial appointment non-attendance at improving access to psychological therapy (IAPT) services: a retrospective analysis. Psychother Res 13 (2022), 1–16.
Verges, Y., Vernhes, S., Vanneste, P., Braun, E., Poutrain, J.C., Dupouy, J., et al. Collaboration entre médecins généralistes et psychologues en libéral. Ann Med Psychol 179 (2021), 757–767.
Vogel, M.E., Kanzler, K.E., Aikens, J.E., Goodie, J.L., Integration of behavioral health and primary care: current knowledge and future directions. J Behav Med 40 (2017), 69–84.
Winefield, H.R., Chur-Hansen, A., Integrating psychologists into primary mental health care in Australia. Fam Syst Health 22 (2004), 294–305.