Danielle Doucet’s research while affiliated with University of New Brunswick and other places

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Publications (10)


Front page
Development of a community-based training for peer support workers in youth mental health settings: An exploratory pilot study
  • Article
  • Full-text available

June 2023

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289 Reads

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1 Citation

Canadian Journal of Family and Youth / Le Journal Canadien de Famille et de la Jeunesse

Laure Bourdon

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Danielle Doucet

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Integrating peer support workers (PSWs) into mental health community programs for young people has the potential to increase their access to mental health services. However, very little research has focused on the development of training that is relevant for and readily accessible to youth and employees seeking to acquire an overview of peer support fundamentals as applicable to youth mental health in community settings. This pilot study aimed to document the implementation fidelity of a newly developed youth mental health peer support training and its impacts on participants’ understanding and perceived ability to provide peer support in community-based youth mental health settings. A multiple-informant approach was used to develop the training which is mapped onto the existing theoretical framework for peer support (Mead, Hilton, & Curtis, 2001). A descriptive quantitative and qualitative research design was used and data were collected using self-reported measures. Five participants completed the 16-hour training, which was offered online through videoconferencing. Results showed that, overall, components of the training were implemented with a high level of fidelity to the theoretical framework. Furthermore, participants reported that the training has had a positive impact on their level of preparedness and ability to provide peer support. Despite the limited sample size, this study suggests that the training developed has practical value as an introductory training tool for youth mental health PSWs. Moreover, this study is the first to provide evidence that the theoretical framework selected is relevant to inform such training.

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Accès Santé Jeunesse: Évaluation d'une approche communautaire pour l'accompagnement en santé mentale des jeunes francophones en région rurale au Nouveau-Brunswick

May 2023

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19 Reads

Accès Santé Jeunesse (ASJ) est une initiative communautaire développée pour favoriser le bien-être psychologique des jeunes dans le nord-est du Nouveau-Brunswick. L’initiative propose un aiguillage vers différentes ressources, un accompagnement individualisé et un programme d’activités pour les jeunes. Notre étude visait à documenter la mise en œuvre et les impacts de l’initiative à l’aide du modèle RE-AIM. Cette étude utilise une méthodologie mixte. Les résultats présentés portent sur le volet qualitatif. Onze intervenantes et intervenants ont été interviewés à deux reprises entre avril 2022 et juillet 2022. Les entrevues ont été transcrites puis analysées selon une approche thématique. Les résultats montrent que l’approche utilisée (mobilité, rapidité, disponibilité) par les intervenant.es rend facile l’accès à l’initiative ASJ pour les jeunes. Selon les entretiens, ASJ est bien reçu par les jeunes, il permet de briser l’isolement et de démystifier la santé mentale. Pendant l’état d’urgence de la COVID-19, des interventions adaptées à distance ont été offertes. Les personnes interviewées mentionnent certaines améliorations possibles, notamment en ce qui concerne les ressources humaines, la promotion de l’initiative et la collaboration avec les partenaires. ASJ a démontré sa capacité à rejoindre et répondre aux besoins des jeunes. Des ressources financières seront nécessaires afin d’assurer la continuité et la viabilité de l’initiative à plus long terme.


Mothers' experiences and challenges in times of COVID-19: A community-based qualitative pediatric study

November 2022

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36 Reads

Background/rationale: Having a child with complex medical needs can impact mothers’ quality of life and families’ functioning. The aim of this study was to explore the social and health-related challenges faced by mothers and their children, and to identify areas of improvement in medical services they received. Methods: Eight mothers, recruited through the Community Social Pediatrics Center (CPS) in Southeastern New Brunswick, were interviewed (July 2020-January 2021). Interviews were then transcribed and analyzed using the thematic analysis method. Results: Multiple challenges were raised at an individual-level (e.g., behavioural, developmental, and social/relational) and family-level (e.g., management of the child’s challenges, mental load, access to resources), which negatively influenced mothers’ emotional well-being and their parenting capacity. Other than the CSP, mothers had limited awareness and access to services to help them deal with their children’s challenges. Conclusions: The lack of knowledge regarding programs and services, often led mothers to take full responsibility of their child’s care. Services should recognize and promote the positive impacts that family-centred care models, such as CSP centre, can have on a family’s well-being. Action/Impact: Future studies should seek a deeper understanding of the psychological and emotional impacts of parents caring for a child with complex medical needs.


scores for the implementation fidelity of each domain related to the CSPA.
Community Social Paediatrics Approach, an Innovative Healthcare Intervention: Implementation Fidelity in Atlantic Canada

October 2022

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96 Reads

The Community Social Paediatrics approach (CSPA) is a comprehensive and personalized approach to care that is becoming more widely used throughout Canada. However, data on its implementation fidelity remain scarce. The purpose of this research was to assess the implementation fidelity of a CSPA established in 2017 in Canada. Data were collected through focus group interviews with the CSPA team using an implementation fidelity grid based on the Dr. Julien Foundation standard accreditation criteria. Results showed that on one hand, administrative and financial management and governance were among those domains with lower ratings. On the other hand, assessment/orientation and follow-up/support had high levels of fidelity of implementation. This research helps to better understand which factors are contributing to varying levels of fidelity of implementation. To reach an increased level of fidelity of implementation, it is recommended that adequate resources be in place.


Social Network in times of COVID-19 : A descriptive study in families receiving community pediatrics services

June 2022

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11 Reads

Background/rationale: Families having children with disabilities have been facing additional challenges since the beginning of the pandemic. The objective of the study was to document social network in families receiving Community Social Pediatrics (CSP) services in Southwestern New Brunswick. Methods: Parents were recruited and invited to fill on the phone the “Grille d’évaluation du réseau social, parent-version” between August 2020 and 2021. Parents were asked to indicate which people they would turn to in different social situations. Results: Mothers (N=17) were more likely to turn to their partner (59%), parents (65%) or health professionals (doctors: 47%; therapist: 29%) when they needed help for their children (average number of supportive people = 2.76; SD=1.44) whereas they were more likely to turn to their partner (47%), parents (41%) or friends (41%) when they needed to talk to someone (M=1.94; SD=1.03). They mostly turned to their parents (47%) for money, to their partner (47%) or children (41%) for household chores, and to their partner (47%) or friends (53%) for leisure. Conclusions: Participants had a limited social network and extrafamilial resources to support them when needed. Action/Impact: Future research is required to evaluate if services can help families to improve their social network and its potential impact on parents’ physical and mental health.


Development and pilot testing of a community-based training for peer support workers (PSW) in youth mental health

February 2022

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136 Reads

Seeking mental health care through the conventional health system is intimidating and challenging for many young people and their families. A promising avenue to better address mental health needs is the integration of peer support workers (PSWs) in mental health community services for young people. However, there is a need for more training resources for PSWs working with youth having mental health challenges. Our poster will showcase a new training for PSWs, its implementation fidelity, and its impacts on participants’ perceived understanding and ability to provide peer support in community-based youth mental health settings. The PSW training was developed in partnership with youth, community partners, and researchers. Youth and community partners helped gather credible sources that informed the development of the training. Two youths also piloted the measures prior to data collection, while other youths who were engaged in ACCESS Open Minds New Brunswick Youth Councils were invited to participate in the pilot study. The aim of the present study was to develop and pilot test a new online training for PSWs working in youth mental health community settings. More specifically, the objectives of this pilot study were to 1) document the implementation fidelity of the delivery of the PSW training relative to its underlying theoretical framework, and 2) document its impacts on participants’ perceived understanding and ability to provide peer support for youth mental health. Therefore, it is our hope that participants attending our poster presentation will be able, at the end of our presentation, to better 1) recognize the importance of PSW's role within community-based youth mental services and the relevance of PSW training, and 2) describe current gaps regarding training for PSWs working in youth mental health settings and future projects/studies needed in this area.


Implementation Fidelity of the Community Social Pediatrics initiative in the Southeast Region of New Brunswick

October 2020

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37 Reads

The Community Social Pediatrics (CSP) model and centers were developed over the past decades by Dr. Gilles Julien and collaborators, to promote an integrated social medicine approach in communities. In 2017, a CSP center was established in the Southeast region of New Brunswick (NB). The center’s interdisciplinary team encompasses a pediatrician, two social workers and a director of operations who focus on capitalizing on the child’s strengths and his family’s and community’s resources to offer a unique provincial healthcare delivery system. CSP research is in its early stages and more data will be collected to better understand its implementation and fidelity within the present healthcare system and model of care in NB. Research on the implementation fidelity of the model can contribute to identify gaps between practice and the intended model, to promote the application of the model into care, and to document factors that enable or hinder its implementation. The aim of this research was to evaluate the fidelity of the CSP implementation in the Southeast region of NB. The research team developed an implementation fidelity grid based on the accreditation criteria proposed by the Dr. Julien Foundation. Eight domains of evaluation were included: 1) Access to service, 2) Assessment/orientation, 3) Follow-up/support, 4) Innovation/change in practices, 5) Children’s rights/advocacy, 6) Human capital, 7) Administrative and financial management, and 8) Governance. Each domain comprises several criteria. The implementation fidelity of each criterion was evaluated on a scale from 1 (lower level of implementation fidelity attained) to 4 (highest level of implementation fidelity attained) during the Spring 2019, by collecting qualitative data through a group interview with four CSP team members. The data collected was then transcribed and analyzed with intercoder reliability using a thematic analysis approach. The results showed disparity across domains. On one hand, Domain 7 (M: 1.24/4; Administrative and financial management) and Domain 8 (M: 1.96/4; Governance) were among those with lower ratings and had under 50% of fidelity of implementation. On the other hand, Domain 2 (M: 3.48/4; Assessment/orientation) and Domain 3 (M: 3.24/4; Follow-up/support) had over 80% of fidelity of implementation. This current research helps to better understand which factors are contributing to varying levels of fidelity of the CSP implementation. Indeed, the limits in terms of human resources, community support, and financial resources represent one of the biggest barriers to the implementation fidelity of the CSP and could reflect the early stage of implementation. However, despite theses challenges, the clinical team was engaged and able to develop a work method focused on the strengths and needs of the child and his family within the community. Adopting an integrated, interdisciplinary and community-based approach, they were able to develop and maintain trust with the families.


L’alpha de Cronbach est l’un des pires estimateurs de la consistance interne : une étude de simulation

March 2020

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1,753 Reads

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34 Citations

Revue des sciences de l éducation

L’alpha de Cronbach est l’indice de consistance interne le plus répandu en sciences de l’éducation. Le but de cet article est d’évaluer la performance de six estimateurs de consistance interne à partir d’une étude de simulation. La simulation porte sur l’alpha de Cronbach, le lambda-2, le lambda-4 et le lambda-6 de Guttman, la plus grande limite inférieure et l’oméga. Quarante-cinq scénarios ont été définis par la taille de l’échantillon, le nombre d’items et la valeur des coefficients de saturation factorielle. Les résultats suggèrent que, dans le cas où l’instrument compte cinq items, l’estimateur à privilégier serait l’oméga. Dans les autres cas, ce serait la grande limite inférieure. L’alpha et le lambda-2 sont systématiquement les deux estimateurs qui sous-estiment le plus la valeur de la consistance interne et devraient être évités. Le lambda-6 serait le meilleur estimateur offert par SPSS. Dans l’ensemble, cette étude offre un rationnel empirique pour un changement de pratique dans les recherches en éducation.


Fig. 1
Figure 1 -Thèmes et sous-thèmes de la perception et du vécu par les jeunes de la stigmatisation en santé mentale (la flèche bidirectionnelle indique que le cheminement est un continuum d'expériences associées à chacun des sous-thèmes)
Experiences of stigma related to mental illness among youth in three New Brunswick communities [Expériences de la stigmatisation en lien avec la santé mentale chez des jeunes de trois communautés au Nouveau-Brunswick]

February 2020

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204 Reads

Reflets Revue d’intervention sociale et communautaire

This study aims to understand how youth who receive mental health (MH) services perceive stigma related to mental illness and how this was experienced during their trajectory toward care and recovery. Discussion groups were carried out with 25 youths in three New Brunswick communities (remote Indigenous, rural Francophone and urban Anglophone) in Canada. Thematic analysis reveals that youth’s experiences of stigma reflect various forms of discrediting as well as differential, dehumanising treatment, which lead them to look for stigma-free alternatives that better meet their needs. This shows that youth actively select their options for MH support depending on the stigma they perceive. Results also show important socio-cultural nuances with regards to youth’s experiences and to the strategies and factors that enable or mitigate stigma. Their accounts hold valuable lessons for destigmatizing mental illness and the access to youth MH services for different cultural groups. Keywords: mental health, social and structural stigma, youth, pathways to care, resiliency, cultural aspects, Indigenous realities, linguistic minority, safe spaces.


Transforming child and youth mental health care: ACCESS Open Minds New Brunswick in the rural Francophone region of the Acadian Peninsula

June 2019

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275 Reads

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8 Citations

Early Intervention in Psychiatry

Aim: This paper describes how the transformation of youth mental health services in the rural Francophone region of the Acadian Peninsula in New Brunswick, Canada, is meeting the five objectives of ACCESS Open Minds / Esprits ouverts. Methods: Implementation of the ACCESS Open Minds framework of care in the Acadian Peninsula of New Brunswick began in 2016 at a well-established volunteer centre and community-based mental health organization. Through focus groups with youth aged 14 to 22 (n = 13), community mapping was used to describe the youth-related mental health service transformation, followed by thematic analysis, validation by member checking and triangulation. Results: Preliminary results show a generally successful implementation of the ACCESS Open Minds model, as evidenced by the transformation of mental health service provision, the enhancement of capacity in human resources and the participation of youth. Transformation was evidenced across the five objectives of mental healthcare of ACCESS Open Minds, albeit to variable extents. Several facilitating factors and challenges are identified based on youths' accounts. Conclusions: It is possible to successfully implement the ACCESS Open Minds model among francophones living in a minority setting and despite the constraints of a rural area. Most key components of the framework were implemented with high program fidelity. The rural context presents unique challenges that require creative and effective use of resources, while offering opportunities that arise from a culture of resourcefulness and collaboration.

Citations (3)


... Table 3 summarizes the metrics commonly used to evaluate community-based mental health programs, emphasizing their relevance in guiding program refinement and advocacy efforts. Robust evaluation processes are critical for demonstrating tangible benefits, securing stakeholder support, and scaling successful interventions to new communities [46]. These evaluations form the backbone of informed decision-making and continuous improvement in mental health advocacy. ...

Reference:

Addressing Mental Health Stigma: Community-Based Strategies to Promote Awareness and Early Intervention
Development of a community-based training for peer support workers in youth mental health settings: An exploratory pilot study

Canadian Journal of Family and Youth / Le Journal Canadien de Famille et de la Jeunesse

... Ainsi, le choix a été fait de supprimer les items qui influençaient négativement les alphas. Considérant tout d'abord que le PERMA a fait l'objet d'autres validations, ensuite que certains acceptent à la grande limite des coefficients supérieurs à 0,5, enfin que l'emploi de l'indice alpha, bien qu'extrêmement répandu, fait l'objet de nombreux débats, notamment sur la sensibilité aux échelles composées de peu d'items, il a été décidé de garder l'échelle, tout en faisant preuve d'une très grande prudence quant aux analyses qui en découleront (Bourque et al., 2019;Laveault, 2012). ...

L’alpha de Cronbach est l’un des pires estimateurs de la consistance interne : une étude de simulation

Revue des sciences de l éducation

... In contrast, service providers in rural Canada described how they established partnerships with local young adult services to ensure the mental health care of young people turning 18 can be smoothly handed over to adult services (Dubé et al., 2019;Reaume-Zimmer et al., 2019). In another rural area where there were no local adult mental health services, the adolescent mental health service ensured continuity of services by networking with out-of-area specialized services and hospitals (Etter et al., 2019). ...

Transforming child and youth mental health care: ACCESS Open Minds New Brunswick in the rural Francophone region of the Acadian Peninsula

Early Intervention in Psychiatry