Co-Investigator: J. Dion & M. Hébert
Funding Source: Fonds québécois de la recherche sur la société et la culture (FQRSC) & ministère de la Santé et des Services sociaux (MSSS)
A number of recent governmental initiatives have structured intervention work with sexual abuse (SA) victims across the province of Québec. In this movement, the designated centres (DCs) concept has been developed to respond to the lack of services’ accessibility for SA victims in many regions of the province. The implementation of the DCs had multiple goals: to offer complete services of quality to SA victims across all of Quebec’s regions; to standardize intervention work; and to ensure better training for the workers involved.
Since 2002, 65 DCs have been implemented in 15 regions of the province. The DCs in each region have been identified while considering the distinctiveness of each region and its population, including the range of the territory, existing services, and cultural communities living within the territory of the region. Following this analysis, some regions were given many DCs (i.e. 8 DC in Bas-St-Laurent; 8 DC in Gaspésie-Île-de-la-Madeleine), while services were concentrated in a more limited number of DCs in other regions (i.e. 1 DC in the Eastern Townships; 1 DC in Laval).
However, following their implementation, many components of the DCs should now be evaluated: (1) how are services organized? Which factors are associated with putting in place services? What are the particular challenges experienced by the DCs in the different regions? (2) Are the services in place effective in responding to the needs of the full range of SA victims (child, teenager, adult, women, men, French-speaking, English-speaking, allophone, First Nations community members)? (3) How are the tools developed for the DCs, i.e. the medico-legal and medico-social toolkits, used? What are the workers’ perceptions of these tools?
The present research project, based on the principles of program evaluation, will bring specific answers to these questions in order to describe the current implementation of services in the 65 DCs. The data that will be collected will assist in the proposition of courses of action to improve the service offer for SA victims and to give directions to social policies in that domain.