Une collaboration recherche-pratique pour améliorer l’organisation des services aux enfants ayant un retard de développement
DOI:
https://doi.org/10.3138/cjpe-2023-0022Keywords:
developmental delay, organization of services, best practices, collaborative and evaluative research, qualitative approachAbstract
The provincial survey on child development and challenges of service accessibility led researchers and stakeholders at an integrated health and social services centre to work together to develop and implement a new trajectory for organizing services provided to children with developmental delays (OSER). This article describes the collaborative research process that led to the implementation and evaluation of this trajectory. The OSER trajectory was developed with stakeholders through a literature review and an ongoing knowledge restitution exercise. Six dimensions were identified for the implementation of the trajectory: monitoring and screening; diagnostic assessment; interventions; support and involvement of parents; interprofessional and intersectoral expertise and collaboration; and administrative and organizational structure. Professionals and clinical managers shared their perceptions of the elements that promote or hinder the OSER trajectory. The triangulation of data collection sources and methods enabled an analysis of the implementation of practices and led to concrete recommendations for the organization of services, in particular the implementation of a childhood diagnostic clinic. This research could serve as a model for other initiatives in health and social services.
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