From 5 to 10 October 2025, Dialog Health accompanied a
FEHAP delegation to Montreal as part of a study mission dedicated to child protection. This immersion into the Quebec system provided opportunities to meet public institutions, healthcare facilities and community organisations working with children, families and women in situations of vulnerability.
Throughout the mission, discussions focused on several
key pillars of the Quebec child protection model:
early prevention starting from pregnancy and early childhood,
close coordination between health, social services and the justice system, and
strong complementarity between public actors and community-based organisations.
The visits also highlighted the importance of
child- and family-centred approaches,
trauma-informed practices, and the critical role of
respite services, emergency and long-term housing, and sustained support pathways in preventing breakdowns in care. Particular attention was given to
responses to intrafamilial violence, especially
domestic violence, and to adapting services to the
cultural and social realities of the populations supported.
The mission began with an
institutional meeting at the Ministère de la Santé et des Services Sociaux du Québec. Discussions addressed the organisation of the Quebec system, characterised by
strong structural integration between health and social services, the
central role of Youth Protection Services (DPJ), and
recent reforms aimed at strengthening territorial coordination through the CIUSSS. This initial visit provided the
overall framework for the field-based initiatives observed during the mission.
Located in
eastern Montreal,
Répit Providence is a
community organisation dedicated to early prevention. The delegation discovered a
respite care home offering
free accommodation for children aged 0 to 5, designed to
prevent parental burnout and avoid child placement. Its approach is based on
non-judgmental support,
close collaboration with social services and
strong community involvement.
La Maison Bleue provides
integrated perinatal and psychosocial support for
pregnant women and families facing significant vulnerability. The visit showcased a model combining
medical follow-up, social support, legal assistance and collective activities in
deliberately non-institutional settings, with the aim of
reducing social inequalities from pregnancy through to the child’s fifth year.
The delegation also visited the
Centre de protection de l’enfance et de la jeunesse de l’Église(CIUSSS du Centre-Sud-de-l’Île-de-Montréal), a
cornerstone of Montreal’s child protection system. The site brings together
residential care, educational support, psychosocial services and integrated schooling. Discussions focused on
managing complex situations,
trauma-informed approaches,
preventing institutionalisation and
crisis management mechanisms.
At the
Hôpital pour enfants de Montréal, the delegation met
specialised teams in child and adolescent psychiatry, traumatology and child protection. Exchanges highlighted the
close coordination between hospital care, youth protection services, police and the justice system, as well as
protocols dedicated to children who are victims of violence, particularly
sexual abuse. The hospital plays a
central role in assessment, coordination and limiting hospital stays in favour of outpatient care.
The
Centre de pédiatrie sociale de Saint-Laurent embodies a
comprehensive, community-based approach to social paediatrics. The delegation explored a model built on
outreach work,
flexible access,
mediation through activities and
strong interdisciplinary collaboration. Each year, the centre supports
several thousand children from vulnerable backgrounds, working closely with
schools, social services and youth protection services.
La Dauphinelle supports
women experiencing domestic violence, with or without children, through a
two-stage pathway:
emergency shelter followed by
longer-term housing. The visit highlighted a
comprehensive approachintegrating
safety, psychosocial support, legal assistance and educational support for children, who are
recognised as victims in their own right.
Specialising in support for
migrant women, the
Le Bouclier d’Athéna develops an
intercultural and multilingual approachto addressing domestic violence. The delegation learned about the
central role of cultural mediators,
institutional advocacy efforts, and
housing and empowerment programmes designed to support women over the
long term.
Through these visits, the
FEHAP study mission to Montreal offered insight into a
structured ecosystem in which
public institutions, hospitals and community organisations work in a coordinated manner. All the organisations visited illustrate an approach centred on the
best interests of the child, the
prevention of care disruptions,
trauma-informed practices and the
mobilisation of territorial resources.
This mission fully aligns with
Dialog Health’s mission: to
facilitate international exchange,
showcase inspiring organisations and
contribute to strategic reflection among professionals in
the health and social care sectors.