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Marie-Josée FLEURY

Marie-Josée Fleury

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Professeure associée

École de santé publique - Département de gestion, d’évaluation et de politique de santé

marie-josee.fleury@umontreal.ca

Courriels

flemar@douglas.mcgill.ca (Travail)

Travail 1 : 514 761-6131 #4344

Biographie

Marie-Josée Fleury est professeure titulaire au Département de psychiatrie de l’Université McGill, professeure associée à l’École de Santé publique de l’Université de Montréal, et chercheuse au Douglas Institut universitaire en santé mentale. Elle a été l’experte-conseil en santé mentale en soutien à l’élaboration du Rapport d’appréciation de la performance de 2012 du Commissaire à la santé et au bien-être (gouvernement du Québec), et  directrice scientifique de l’Institut universitaire sur les dépendances de 2012 à 2016. Ses recherches visent à mieux comprendre les composantes clés de l’amélioration des services à répondre aux besoins des usagers ayant des troubles mentaux, des dépendances et des troubles concomitants ainsi que ceux en situation d’itinérance. Ses axes de recherche couvrent l'analyse des réformes, l’évaluation et l’utilisation des services, l’épidémiologie psychiatrique ainsi que les études de besoin et d’impact sur la clientèle. Elle dirige plusieurs projets de recherche, et compte plus de 200 publications et tout autant de présentations scientifiques.

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Affiliations

Expertises

Public health (health service organization and epidemiology), and evaluation of services, particularly service integration and quality assessment, as well as change implementation, needs assessment, primary care services, service utilization, health systems analysis, performance indicators, and patient outcomes. Methods: quantitative (surveys, administrative databases, outcome studies), qualitative (case study designs, program evaluation), and mixed-method investigations, all involving close partnerships with clinicians and decision-makers. Main target groups: patients with both serious and common mental disorders, substance use disorders and co-occurring disorders; vulnerable populations such as the homeless; and health care practitioners (general practitioners, psychiatrists, multidisciplinary teams), managers and decision-makers. 

Summary of my research program and its impact, especially in the last five years: The overall objective of my research program is to contribute to knowledge on strategies for optimizing organization of the mental health system (including services for addiction and homelessness) in order to improve health system performance, and respond more effectively to patient needs. My original scholarly contributions have focused on three streams within this overall research program: First, I have conducted studies on healthcare organization for the purpose of assessing mental health care reforms related to primary care, community-based and emergency services, and collaborative care, as well as integrated service networks, and multidisciplinary team work. Second, I have spearheaded research projects in the areas of needs assessment and adequacy of care, including patient satisfaction studies, with particular focus on patient clinical profiles and related outcomes (e.g. recovery, quality of life). Third, I have conducted epidemiological studies on mental disorders using surveys and administrative databases, especially on patterns of healthcare utilization among individuals with mental health, addiction and co-occurring disorders. Over the years, I have received multiple grants (including salary awards as recently as July 2014) to support my research program. Results of this work have been published in numerous high-quality journals in my fields of investigation. I have also endeavored to maximize the impact and value of my work by disseminating it through other media, including provincial and national reviews, reports and books. Overall, my scholarly output reflects a balance between the need to maintain high academic standards at the international level, but also to insure that my research has an especially strong empirical impact within the Quebec community, in order to enhance the social relevance of my work.

Key words of research: Public health, evaluation of services, best practices implementation, needs assessment, service utilization, healthcare system analysis, performance indicators, and patient outcomes

Encadrement Tout déplier Tout replier

Postdoctorants
  • En cours: Lia Gentil (Université McGill)
Thèses et mémoires dirigés
  • En cours: UdeM: Béatrice Simo, Nicolas Muntu Keba Kebe Ndibu, Morgane Gabet, Jennifer Dahak; Université Mcgill: Gesthika Kaltsidis

Projets de recherche Tout déplier Tout replier

Exploitation de SIC-SRD et RAMQ – Quebec database on Addiction and co-morbidity (2008-2016) Projet de recherche au Canada / 2019 - 2021

Chercheur principal : Marie-Josée Fleury

Déterminants des troubles mentaux (TM) et de l’utilisation des services, et profils (dont qualité des services) des jeunes usagers ayant des troubles liés à l’utilisation (TLU) du cannabis ou à risque de l’être, avec ou sans troubles concomitants Projet de recherche au Canada / 2019 - 2021

Chercheur principal : Marie-Josée Fleury

Impact de différents modèles de logements permanents avec soutien sur l’intégration sociale et la qualité de vie des personnes en situation d’itinérance Projet de recherche au Canada / 2019 - 2021

Chercheur principal : Marie-Josée Fleury

Études d’innovations et des grands utilisateurs des services et patients en crise suicidaire à l’urgence visant à optimiser l’adéquation des services aux patients ayant des troubles mentaux Projet de recherche au Canada / 2018 - 2020

Les soins partagés: Rôle et impact des psychiatres-répondants sur l’amélioration des soins de santé mentale Projet de recherche au Canada / 2017 - 2020

Chercheur principal : Marie-Josée Fleury

Publications Tout déplier Tout replier

ARTICLES LES PLUS RÉCENTS:

157) Fleury, M.-J., G. Grenier, C. Vallée, L. Ferland, F. Chiocchio, J.-M. Bamvita (2019-in press). Évaluation de la réforme en santé mentale dans trois réseaux intégrés du Quebec: Impact des facteurs structurels et des processus d’équipes sur les usagers. Canadian Community Health Journal (CMHJ).

156) Gentil, L.*, G. Grenier, J.-M. Bamvita, M.-J. Fleury (2019). Satisfaction with health and community services in homeless and formerly homeless populations, Health and Social Care in the Community, 1-12. DOI: 10.1111/hsc.12834

155) Fleury, M.-J., L. Rochette, G. Grenier, C. Huynh, H.-M. Vasiliadis, E. Pelletier, A. Lesage, (2019). Factors associated with emergency department use for mental health reasons among low, moderate, and high users, General Hospital Psychiatry, 60: 111-119. https://doi.org/10.1016/j.genhosppsych.2019.07.006

154) Simo, B.*, J. Caron, J.-M. Bamvita, G. Grenier, M.-J. Fleury (2019). Predictors of number of healthcare professionals consulted by individuals with mental disorders and high psychological distress, International Journal of Environmental Research and Public Health, 16, 3010: 2-17. doi:10.3390/ijerph16173010

153) Fleury, M.-J., G. Grenier, F. Ferland, L. Farand (2019). Reasons for emergency department use among patients with mental disorders. Psychiatric Quarterly, https://doi.org/10.1007/s11126-019-09657-w.

152) Fleury, M.-J., G. Grenier, J.-M. Bamvita (2019). Profiles of service users with severe mental disorders based on adequacy of help. Psychiatric Quarterly, 90: 613-627. https://doi.org/10.1007/s11126-019-09652-1.

151) Fleury, M.-J., G. Grenier, L. Farand (2019). Satisfaction with emergency departments and other mental health services among patients with mental disorders, Healthcare Policy, 14(3): 43-54.

150) Ndibu Muntu Keba Kebe N.*, J.-M. Bamvita, F. Chiocchio, M.-J. Fleury (2019). Profiles of Mental Health Professionals in relation to perceived interprofessional collaboration. Sage Open Medicine, 7: 1-10.

149) Loranger, C.*, J.-M. Bamvita, M.-J. Fleury (2019). Typology of patients with mental health disorders and perceived continuity of care. Journal of Mental Health, DOI: 10.1080/09638237.2019.1581329.

148) Fleury, M.-J., J. Sabetti, J.-M. Bamvita, G. Grenier (2019). Modeling variables associated with personal recovery among service users with mental disorders using

community-based services. International Journal of social psychiatry, 65(2): 123-135, DOI: 10.1177/0020764019831310. 

147) Fleury, M.-J. (2019). System performance measurement: Implications for service planning, J Stud Alcohol Drugs Suppl 18: 152-153.

146) Gentil, L.*, G. Grenier, J.-M. Bamvita, H. Dorvil, M.-J. Fleury (2019). Profiles of quality of life in a homeless population, Frontiers in Psychiatry, 10(10): 1-10, doi: 10.3389/fpsyt.2019.00010.

145) Fleury, M.-J., M. Fortin*, L. Rochette, G. Grenier, C. Huynh, E. Pelletier, H.-M. Vasiliadis (2019). Assessing quality indicators related to mental health emergency room utilization. BMC Emergency Medicine, 19(8): 1-15, https://doi.org/10.1186/s12873-019-0223-8. 

144) Fleury, M.-J., G. Grenier, F. Ferland, L. Farand (2019). Use of emergency rooms for mental health reasons in Quebec: Barriers and facilitators. Administration and Policy in Mental Health, 46: 18-33, https://doi.org/10.1007/s10488-018-0889-3.

143) Ndibu Muntu Keba Kebe, N.*, J.-M. Bamvita, F. Chiocchio, M.-J. Fleury (2019). Variables associated with interprofessional collaboration:  The case of professionals working in Quebec local mental health service networks. Journal of Interprofessional care, 33(1): 76-84, DOI: 10.1080/13561820.2018.1515191. 

142) Fleury, M.-J., J. Sabetti, J.-M. Bamvita (2019). Modelling relationships involving perceived recovery orientation of mental health teams among Quebec mental health professionals. Journal of Behavioral Health Services & Research (JBHSR), 46(3): 434-449. DOI 10.1007/s11414-018-9591-1

141) Fleury, M.-J., M. Fortin*, L. Rochette, G. Grenier, C. Huynh, E. Pelletier, A. Lesage, H.-M. Vailiadis (2018). Utilisation de l’urgence au Quebec chez les patients avec des troubles mentaux, incluant les troubles liés à l’utilisation de substances psychoactives. Revue Santé mentale au Quebec (RSMQ), 43(2): 127-152.

140) Fleury, M.-J., M. Benigeri, A. Delorme, A. Vanasse (2018). Utilisation et enjeux des données clinico-administratives dans le domaine de la santé mentale et de la dépendance, Revue Santé mentale au Quebec (RSMQ), 43(2): 21-38.  

139) Monson, E., S. Kairouz, M.-J. Fleury, J. Caron (2018). Neighborhood perceptions associated with gambling outcomes. Canadian Journal of Addiction, 9(4): 42-49. DOI: 10.1097/CXA.0000000000000035. 

138) Fleury, M.-J., G. Grenier, J.-M. Bamvita, L. Farand (2018). Variables associated with job satisfaction among mental health professionals. PLOS One, 13(10): 1-16, e0205963. https://doi.org/10.1371/journal.pone.0205963.

137) Fleury, M.-J., J. Sabetti, J.-M. Bamvita, G. Grenier, C. Vallée, Z. Cao (2018). Work-related variables associated with perceptions of recovery-oriented teamwork among Quebec mental health professionals. British Journal of Psychiatry Open, 4: 478-485. doi: 10.1192/bjo.2018.66.

136) Drapeau, A., M.-J. Fleury, L. Gentil* (2018). Sociodemographic variation in increasing needs for mental health services among Canadian adults from 2002 to 2012. Psychiatric Quarterly, 1-14. https://doi.org/10.1007/s11126-018-9607-2.

135) Simo B.*, J.-M. Bamvita, J. Caron, M.-J. Fleury (2018). Predictors of service use among individuals with high psychological distress and mental disorders. Psychiatry Research, 269: 579-584, PII: S0165-1781(18)30914-4. DOI: https://doi.org/10.1016/j.psychres.2018.10.019

134) Meng, X., M.-J. Fleury, J.-M. Bamvita, G. Grenier, J. Caron (2018). Changes in percentages of perceived met needs for care over time in a Canadian longitudinal cohort. Psychiatry Research, 269: 579-584.

133) Fleury M.-J., G. Grenier, J.-M. Bamvita, M.-P. Markon*, F. Chiocchio (2018). Variables associated with perceived work role performance among mental healthcare professionals: The importance of team dynamics. European Journal for Person- centered Healthcare, 6(3): 1-11. 

132) Vasiliadis, H.-M., R. Milan, M.-J. Fleury (2018). Patient and health system factors associated with hospital readmission in older adults with psychiatric and physical disorders. General Hospital Psychiatry, 53:44-51.

131) Fleury, M.-J., G. Grenier, C. Vallée, L. Ferland, F. Chiocchio, J.-M. Bamvita (2018). Évaluation du Plan d’action en santé mentale (2005-2015): Intégration et performance des réseaux de services. Revue Santé Mentale au Quebec, XLIII(1): 15-38.

130) Fortin, M.*, C. Zhirong, M.-J. Fleury  (2018). Satisfaction with primary and specialized mental health care among patients with mental disorders. International Journal of Mental Health, 47(2):97-117. https://doi.org/10.1080/00207411.2018.1448661.

129) Fortin, M.*, C. Zhirong, M.-J. Fleury (2018). A typology of satisfaction with mental health services based on Andersen’s Behavioral Model (2018). Social Psychiatry and Psychiatric Epidemiology (SPPE), 53(6): 587-595. https://doi.org/10.1007/s00127-018-1498-x.

128) Lauzier, S., H. Kadachi, J. Moisan, A. Vanasse, A. Lesage, M.-J. Fleury, J. Courteau, J.-P. Grégoire (2018). Neighbourhood material and social deprivation and exposure to antidepressant drug treatment: A cohort study using administrative data.  Canadian Journal of Psychiatry (CJP), 68(10): 701-711. DOI: 10.1177/0706743718760290

127) Meng, X., M.-J. Fleury, Y.-T. Xiang, M. Li, C. D’Arcy (2018). Resilience and protective factors among people with a history of child maltreatment: A systematic review. Social Psychiatry and Psychiatric Epidemiology (SPPE), 53: 453-475. https://doi.org/10.1007/s00127-018-1485-2

126) Simo, B.*, J.-M. Bamvita, J. Caron, M.-J. Fleury (2018). Pattern of health care service utilization by individuals with mental health problems: A predictive cluster analysis. Psychiatric Quarterly, 89: 675-690. https://doi.org/10.1007/s11126-018-9568-5. 

125) Fleury, M.-J., G. Grenier, J.-M. Bamvita (2018). Associated and mediating variables related to quality of life among service users with mental disorders. Quality of Life Research, 27(2): 491-502. ISSN 0962-9343, DOI 10.1007/s11136-017-1717-z.

124) Fleury, M.-J., J.-M. Bamvita, G. Grenier (2018). Comparing perceived adequacy of help received among different classes of individuals with severe mental disorders at five-year follow-up: A longitudinal cluster analysis. Community Mental Health Journal, 54(5): 540-554. DOI 10.1007/s10597-017-0181-0.

123) Huynh, C.*, J. Caron, M. Pelletier, A. Lui, M.-J. Fleury (2018). A developmental perspective in mental health services use among adults with mental disorders. Journal of Behavioral Health Services & Research (JBHSR). 45(3): 389-420, DOI10.1007/s11414-017-9562-y.

122) Fortin, M.*, J.-M. Bamvita, M.-J. Fleury (2018). Patient satisfaction with mental health services based on Andersen’s behavioral model. Canadian Journal of Psychiatry (CJP), 63(2): 103-114. DOI: 10.1177/0706743717737030.

121) Fleury, M.-J., G. Grenier, J.-M. Bamvita, F. Chiocchio (2018). Associated and mediating variables related to job satisfaction among professionals from mental health teams. Psychiatric Quarterly, 89(2): 399-413. DOI 10.1007/s11126-017-9543-6.

120) H. Simoneau,*, E. Kamgang, J. Tremblay, K. Bertrand, S. Brochu, M.-J. Fleury (2018). Efficacy of extensive  intervention models for substance abuse disorders: A systematic review. Drug and Alcohol Review, 2018:37 Suppl 1:S246-S262, DOI: 10.1111/dar.12590 

119) Urbanoski K., S. Veldhuizen, M. Krausz, C. Schutz, J. Somers, M. Kirst, M.-J. Fleury, V. Stergiopoulos, M. Patterson, V. Strehlau, P. Goering (2018). Effects of comorbid substance use disorders on outcomes in a Housing First intervention for homeless people with mental illness. Addiction, 113(1):137-145, DOI:10.1111/add.13928.

118) Fleury, M.-J., G. Grenier, J.-M. Bamvita (2017). Job satisfaction among mental health care professionals: The respective contributions of professional characteristics, team attributes, team processes and team emergent states. Sage Open Medicine, 5: 1-12, DOI: 10.1177/2050312117745222.

117) Fleury, M.-J., G. Grenier, J.-M. Bamvita (2017). A comparative study of job satisfaction among nurses, psychologists/psychotherapists and social workers working in Quebec mental health teams. BMC Nursing, 16(62): 1-12. DOI 10.1186/s12912-017-0255-x.

116) Fleury, M.-J., G. Grenier, J.-M. Bamvita, L. Farand (2017). Relations between mental health team characteristics and work role performance. PLOS One, 12(10): e0185451. https://doi.org/10.1371/journal.pone.0185451

115) Fleury, M.-J., G. Grenier, J.-M. Bamvita, F. Chiocchio (2017). Variables associated with work role performance in multidisciplinary mental health teams overall and in primary care and specialized services teams, respectively. Evaluation & the Health Professions, pp. 1-27. DOI: 10.1177/0163278717734282.

114) Fleury, M.-J., G. Grenier, J.-M. Bamvita, F. Chiocchio (2017). Variables associated with work performance in multidisciplinary mental health teams. Sage Open Medicine, (5): 1-12. DOI: 10.1177/2050312117719093.

113) Markon, M.-P.*, F. Chiocchio, M.-J. Fleury (2017). Modelling the effect of perceived interdependence among mental healthcare professionals on their work role performance. Journal of Interprofessional Care, 31(4): 520-528. DOI: 10.1080/13561820.2017.1305951.

112) Fleury, M.-J., G. Grenier, C. Vallée, D. Aubé, L. Ferland (2017). Implementation of integrated service networks under the Quebec Mental Health Reform: Facilitators and barriers associated with different territorial profiles. International Journal of Integrated Care, 17(1): 3, pp. 1-19. DOI: https://doi.org/10.5334/ijic.2482.

111) Markon, M.-P.*, J.-M. Bamvita, F. Chiocchio, M.-J. Fleury (2017). Profiles of mental health care professionals based on work role performance. Psychiatric Quarterly, 88: 827-838. DOI 10.1007/s11126-017-9500-4.

110) Carrier, J.-D., L. Blais, A.A. Cohen, J. Courteau, P. Roberge, A. Larouche, S. Grignon, M.-J. Fleury, A. Lesage, M.-F. Demers, M-A. Roy, D. St-Laurent, L. Nedelec, A. Delorme, A. Vanasse (2017). Amorcer un traitement antipsychotique en schizophrénie: La situation au Quebec de 1998 à 2006. RSMQ, XLII(1): 85-104. 

109) Whitley, R., J. Wang, M.-J. Fleury, J. Caron (2017). Mental health status, health care utilization and service satisfaction among immigrants in Montreal: An epidemiological comparison. Canadian Journal of Psychiatry, 62(8): 570-579.

108) Fleury, M.-J., G. Grenier, C. Vallée, D. Aubé, L. Farand, J.-M. Bamvita, G. Cyr (2016). Implementation of the Quebec mental health reform (2005-2015). BMC Health Services Research, 16(1): 586.

107) Roux, P.*, C. Passerieux, M.-J. Fleury (2016). Mediation analysis of severity of needs, service performance and outcomes for patients with mental disorders. British Journal of Psychiatry, 2009(6):511-516.      

AUTRES PUBLICATIONS SÉLECTIONNÉES:

Fleury, M.J. in collaboration with A. Delorme (guest editors). (2014). Politiques de santé mentale. (special issue) Revue Santé Mentale au Quebec, 39(1).

Fleury, M.-J., G. Grenier (2012). État de situation sur la santé mentale au Quebec et réponse du système de santé et des services sociaux. Vol. 2, Rapport d’appréciation de la performance du système de santé et des services sociaux 2012. Quebec, Gouvernement du Quebec, 232 pages.

Fleury, M.-J. (guest editor) (2009). Les soins primaires en santé mentale. Revue santé Mentale au Quebec, 34(1).

Fleury, M.-J., M. Tremblay, H. Nguyen, L. Bordeleau (2007). Le système sociosanitaire au Quebec. Régulation, gouvernance et participation. Montreal: Gaëtan Morin Publisher, 513 p.

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Plus de 250 présentations au Québec, Canada et à l'international

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