title: Users' involvement in mental health services: programme logic model of an innovative initiative in integrated care.
abstract: BACKGROUND
  Collaboration and partnership are key issues for modern health systems seeking to implement quality integrated care that meets the needs of the population. TheCarrefour Communautaire-Institutionnel-Usagers(Connecting Community organisations-Institutions-Users, CCIU), involving community- and institution-based mental health workers, carers and users, is an innovative normative integrated care group (group for shared values, culture and vision) established by the Canadian Mental Health Association-Montreal Branch. A programme evaluation approach was used to conduct a logic analysis of the CCIU in order to understand the relationships between its resources, activities and outcomes, build a common understanding and, allow for its replication.
  
  
  METHODS
  Five steps were involved in the creation of a programme logic model. A non-exhaustive literature search for similar initiatives, a review of documents related to the CCIU process and direct observations led to the development of a first model. Then, following a participatory and reflexive process, this model was validated with CCIU participants.
  
  
  RESULTS
  A comprehensive model and a simplified model were created. Participants' experiential knowledge and scientific knowledge helped to identify the essential components of the successful operation of the CCIU.
  
  
  CONCLUSIONS
  The CCIU, with its eight essential components, including relations based on equality and mutual respect, corresponds to an essential step in normative integration and integrated care that lead to improved quality services.
authors.affiliation: Centre for Studies on Rehabilitation, Recovery and Social Inclusion, Centre de recherche de l'Institut universitaire en santé mentale de Montréal, Montréal, QC Canada ; Occupational Therapy Program, School of Rehabilitation, Université de Montréal, Montréal, QC Canada.
authors.forename: Carolane
authors.initials: C
authors.lastname: Tremblay
authors.affiliation: Canadian Mental Health Association-Montreal Branch, Montréal, QC Canada.
authors.forename: Valérie
authors.initials: V
authors.lastname: Coulombe
authors.affiliation: Centre for Studies on Rehabilitation, Recovery and Social Inclusion, Centre de recherche de l'Institut universitaire en santé mentale de Montréal, Montréal, QC Canada ; Occupational Therapy Program, School of Rehabilitation, Université de Montréal, Montréal, QC Canada.
authors.forename: Catherine
authors.initials: C
authors.lastname: Briand
keywords: Carers’ involvement; Integrated care; Mental health services; Partnership; Programme logic model; Shared values; Users’ involvement