April 1, 2025
Dr. Marie-Josée Fleury has recently published 3 research abstracts from the SMP axis of the RRSPQ and Qualaxia.
Find out more about these recent abstracts below.
Authors : Fleury, M.-J., B. Armoon
Title : Factors associated with quality of life and community integration of residents in permanent supportive housing
Abstract : This study of 308 previously homeless adults living in permanent supportive housing (PSH) – or a supported residential stability approach (SRA) – aimed to identify, using linear regressions, factors associated with their quality of life and community integration. Living in better neighborhoods, having less psychological distress and fewer unmet needs were associated with better quality of life and community integration. Conversely, users with poorer clinical conditions, particularly substance use disorders (SUDs) and personality disorders, and who perceived their physical and mental health as very poor or poor, had poorer quality of life. Having better community integration was associated with better cohesion in the neighborhood of residence, more frequent use of outpatient services and living in concentrated LPS. It is strongly recommended to improve the quality of LPS neighborhoods, to increase support for users to reduce their unmet needs and to reduce their distress.
Authors : Fleury, M.-J., G. Grenier
Title : Profiles of patients with mental disorders who use the ED and reasons for frequent ED use
Abstract : Patients with mental disorders (MD), including substance use disorders (SUDs), are among the heaviest users of the emergency department (ED). A better understanding of the patterns of mental health ED use, and the reasons for frequent ED use, could support interventions that more adequately address the needs of these patients. This study begins by describing the profiles of 11,682 patients who used psychiatric emergency departments, based on Quebec’s clinical-administrative databases. The reasons for the use of the emergency department by 299 heavy users were investigated using clinico-administrative data, then combined with a qualitative/quantitative survey. Four ED user profiles were identified. Patients who frequently and recurrently used psychiatric emergency departments had poorer health, were heavy users of outpatient services and reported more adverse events. Inadequate outpatient care and limited access to such care were the main reasons for these patients’ frequent use of emergency departments.
Authors : Fleury, M.-J., B. Armoon
Title : Unmet needs and profiles of permanent supportive housing residents in relation to quality of life and community integration
Abstract : This study of 308 adults who had experienced homelessness and resided in permanent supportive housing (PSH) aimed to: 1) assess needs, barriers to obtaining care and factors associated with greater unmet needs; and 2) identify profiles of these residents in terms of their quality of life (QOL) and community integration (CI), then associating these profiles with their sociodemographic and clinical characteristics, and their use of services. Of these residents, 56% reported unmet needs, twice as many of which were related to structural rather than motivational barriers. Living in a concentrated LPS, in better neighborhoods, having better QOL and self-esteem, and being more satisfied with housing and ambulatory care were associated with fewer unmet needs. Having mental disorders (MD), substance use disorders (SUD) and more psychological distress resulted in more unmet needs. Although QOL and CI were low overall among LPS residents, of the three profiles identified, Profile 3 (51% of residents) had the highest QOL and CI scores, and included more men with less education and greater satisfaction with services. Improvements in housing support, satisfaction with services and care coordination are recommended.
To consult other similar abstracts, visit Dr. Fleury’s page in the publications / research abstracts section :