131 results
Search Results
2. A Response to the CPA Position Paper on Training in Cultural Psychiatry in February 2021.
- Author
-
Persad, Emmanuel and Oyewumi, L. Kola
- Subjects
PSYCHIATRY ,CULTURE ,PSYCHOLOGY ,PSYCHOTHERAPY - Published
- 2022
- Full Text
- View/download PDF
3. Trends in Post-Secondary Student Stress: A Pan-Canadian Study.
- Author
-
Linden, Brooke, Stuart, Heather, and Ecclestone, Amy
- Subjects
MENTAL health of students ,COVID-19 pandemic ,PSYCHOLOGICAL stress ,PSYCHOLOGICAL distress ,SCHOOL year - Abstract
Copyright of Canadian Journal of Psychiatry is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2023
- Full Text
- View/download PDF
4. Elements of Care--Indirect Services in Psychiatry.
- Author
-
Gaind, Karandeep Sonu, Aydin, Cristina, Gonzalez-Pino, Fernando, Hoyt, Linda, Jay, Rob, Khullar, Atul, Kronfli, Risk N., Natarajan, Dhanapal, and Wiseman, Stephen R.
- Subjects
CARE of people ,PEOPLE with mental illness ,MENTAL health ,MEDICAL care research ,CAREGIVERS ,MENTAL illness treatment ,PSYCHIATRY ,TERMS & phrases ,MENTAL health services administration - Abstract
The article presents a paper, a part of a planned series of Elements of Care papers, focusing on identifying common elements which are important for providing appropriate psychiatric care in different models of care in Canada. It focuses on direct patient care or service for payment in traditional care model and also discusses indirect services involved in such models, like diagnostic assessment or patient management. It also focuses on involvement of family or caregivers in indirect services.
- Published
- 2015
5. Quality Review in Psychiatry.
- Author
-
Reiss, Jeffrey P., Jarmain, Sarah, and Vasudev, Kamini
- Subjects
PSYCHIATRY ,BOARDS of directors ,PROFESSIONAL standards ,PROFESSIONAL standards review organizations (Medicine) ,INFORMATION resources ,SOCIETIES ,AUDITING standards ,QUALITY assurance standards ,MEDICAL protocols ,MEDICAL societies - Abstract
This position paper has been substantially revised by the Canadian Psychiatric Association's Professional Standards and Practice Committee and approved for republication by the CPA's Board of Directors on August 31, 2016. The original position paper1 was developed by the Professional Standards and Practice Council and approved by the Board of Directors on April 9, 1994. [ABSTRACT FROM AUTHOR]
- Published
- 2018
- Full Text
- View/download PDF
6. Paving the Way to Change for Youth at the Gap between Child and Adolescent and Adult Mental Health Services.
- Author
-
Abidi, Sabina
- Subjects
MENTAL health of youth ,YOUTH ,MENTAL health services for youth ,MENTAL health services ,CARE of youth with mental illness ,HEALTH services accessibility ,HEALTH ,MENTAL illness treatment ,CONTINUUM of care - Abstract
By 2020 mental illness will be one of the 5 most common illnesses causing morbidity, mortality and disability among youth. At least 20% of Canadian youth have a psychiatric disorder the impact of which can dramatically alter their life trajectory. Focus on the factors contributing to this problem is crucial. Lack of coordination between child and adolescent mental health systems (CAMHS) and adult mental health systems (AMHS) and consequent disruption of care during this vulnerable time of transition is one such factor. Reasons for and the impact of this divide are multilayered, many of which are embedded in outdated, poorly informed approaches to care for this population in transition. This paper considers the etiology behind these reasons as potential foci for change. The paper also briefly outlines recent initiatives ongoing in Canada and internationally that reflect appreciation of these factors in the attempt to minimize the gap in service provision for youth in transition. The need to continue with research and program development endeavours for youth with mental illness whereby access to services and readiness for transition is no longer determined by age is strongly supported. [ABSTRACT FROM AUTHOR]
- Published
- 2017
- Full Text
- View/download PDF
7. Mental Health Reform at a Systems Level: Widening the Lens on Recovery-Oriented Care.
- Author
-
Kidd, Sean A., McKenzie, Kwame J., and Virdee, Gursharan
- Subjects
MENTAL health ,MENTAL illness treatment ,INPATIENT care ,SYSTEMATIC reviews - Abstract
Copyright of Canadian Journal of Psychiatry is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2014
- Full Text
- View/download PDF
8. Canadian Studies on the Effectiveness of Community Treatment Orders.
- Author
-
Kisely, Steve
- Subjects
PATIENT compliance ,PUBLIC health ,HEALTH services accessibility ,META-analysis ,COMORBIDITY - Abstract
Copyright of Canadian Journal of Psychiatry is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2016
- Full Text
- View/download PDF
9. Freedom of and From Religion.
- Author
-
Chaimowitz, Gary, Urness, Doug, Mathew, Biju, Dornik, Julia, and Freeland, Alison
- Subjects
PSYCHIATRISTS ,PSYCHIATRY laws ,PSYCHIATRY ,LIBERTY ,RELIGION ,GOVERNMENT policy - Abstract
The article offers information related to the position paper developed by the Canadian Psychiatric Association Committee related to psychiatric professional standards and practice, approved by the CPA's board of directors on September 12, 2014. Topics discussed include fundamental freedom of conscience and religion for Canadians under the Canadian Charter of Rights and Freedoms, health care conflicts and cultural sensitivity.
- Published
- 2014
10. Patient Safety and Mental Health—A Growing Quality Gap in Canada.
- Author
-
Waddell, Andrea E. and Gratzer, David
- Subjects
PATIENT safety ,MENTAL health ,PEOPLE with mental illness ,PSYCHIATRIC research ,RISK of violence - Abstract
Patient safety research in mental health has focused mainly on suicide and violence risk at the expense of other domains of safety. In Canada, we lack a national strategy or research agenda for this important area. This piece calls on psychiatrists to consider the scope of missed opportunities in patient safety in current practice and presents how to begin to consider the safety of our patients in a systematic manner. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
11. Early Adolescent Substance Use and Mental Health Problems and Service Utilisation in a School-based Sample: L'utilisation de substances précoce chez les adolescents et les problèmes de santé mentale et l'utilisation des services dans un échantillon scolaire
- Author
-
Brownlie, Elizabeth, Beitchman, Joseph H., Chaim, Gloria, Wolfe, David A., Rush, Brian, and Henderson, Joanna
- Subjects
SCHOOL psychologists ,CRISIS intervention (Mental health services) ,MENTAL health services use - Abstract
Objective: This paper reports on substance use, mental health problems, and mental health service utilisation in an early adolescent school-based sample.Method: Participants were 1,360 grade 7 and 8 students from 4 regions of Ontario, Canada. Students completed an in-class survey on mental health and substance use. The sampling strategy and survey items on demographics, substance use, service utilisation, and distress were adapted from the Ontario Student Drug Use and Health Survey. Internalising and externalising mental health problems were assessed using the Global Assessment of Individual Needs - Short Screener. Distress was defined as fair or poor self-rated mental health.Results: Rates of internalising and/or externalising problems above the threshold exceeded 30%; yet, fewer than half had received mental health services in the past 12 mo. Substance use was associated with increased odds of internalising and externalising problems above the threshold and distress. Youth using cannabis had 10-times the odds of exceeding the threshold for internalising or externalising problems. The use of substances other than alcohol or cannabis was associated with increased odds of fair or poor self-rated mental health among grade 8 students. Of the youth who confirmed at least a substance use problem, most also reported mental health problems; this association was stronger among girls than boys.Conclusions: Early adolescent substance use was associated with concurrent self-reported mental health problems in a non-clinical sample. The low levels of service utilisation reported highlight the need for improved access to early identification and intervention to prevent the development of concurrent disorders. [ABSTRACT FROM AUTHOR]- Published
- 2019
- Full Text
- View/download PDF
12. Recovery and Severe Mental Illness: Description and Analysis.
- Author
-
Drake, Robert E. and Whitley, Rob
- Subjects
MENTAL illness ,AUTONOMY (Psychology) ,SENSES ,MENTAL health - Abstract
Copyright of Canadian Journal of Psychiatry is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2014
- Full Text
- View/download PDF
13. Thematic Issue on Child and Adolescent Psychiatry.
- Author
-
Smith, Derryck H.
- Subjects
PSYCHOLOGICAL distress ,PARENT-teenager relationships ,BULLYING & psychology ,ADOLESCENT psychiatry ,ANTIPSYCHOTIC agents ,ATTENTION-deficit hyperactivity disorder ,BULLYING ,CHILD psychiatry ,MENTAL depression ,PSYCHOLOGICAL stress ,CRIME victims ,PSYCHOLOGY of crime victims ,FAMILY relations ,PSYCHOLOGICAL factors ,METABOLIC syndrome ,PSYCHOLOGY - Abstract
An introduction to the journal is presented which discusses various papers published within the issue, including one on adolescent distress following a separation period from their fathers, one on the effects of bullying on adolescent victims, and another on the prevalence of attention-deficit hyperactivity disorder (ADHD) in young adults.
- Published
- 2015
- Full Text
- View/download PDF
14. What Is the Place of Clozapine in the Treatment of Early Psychosis in Canada?
- Author
-
Williams, Richard, Malla, Ashok, Roy, Marc-Andre, Joober, Ridha, Manchanda, Rahul, Tibbo, Phil, Banks, Nicola, and Agid, Ofer
- Subjects
PSYCHOSES ,PSYCHIATRIC treatment ,EARLY medical intervention ,CLOZAPINE ,ANTIPSYCHOTIC agents ,DRUG resistance ,THERAPEUTICS ,DRUG therapy for psychoses - Abstract
Copyright of Canadian Journal of Psychiatry is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2017
- Full Text
- View/download PDF
15. Choosing Wisely? Let's Start with Working Wisely.
- Author
-
Kurdyak, Paul, Wiesenfeld, Lesley, and Sockalingam, Sanjeev
- Subjects
EVIDENCE-based medicine ,PATIENT compliance ,PUBLIC health ,HEALTH services accessibility - Abstract
Copyright of Canadian Journal of Psychiatry is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2016
- Full Text
- View/download PDF
16. The Supreme Court of Canada Ruling on Physician-Assisted Death: Implications for Psychiatry in Canada.
- Author
-
Duffy, Olivia Anne
- Subjects
PSYCHIATRY ,APPELLATE courts ,ASSISTED suicide ,PATIENT-centered care ,RATIONAL suicide ,GOVERNMENT policy ,ASSISTED suicide laws ,MEDICAL laws ,TERMINAL care laws ,PSYCHIATRY laws ,CAPACITY (Law) ,JURISPRUDENCE ,PHILOSOPHY ,PSYCHOLOGICAL stress ,OCCUPATIONAL roles ,LAW ,LEGISLATION - Abstract
Copyright of Canadian Journal of Psychiatry is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2015
- Full Text
- View/download PDF
17. The National Trajectory Project of Individuals Found Not Criminally Responsible on Account of Mental Disorder in Canada. Part 1: Context and Methods.
- Author
-
Crocker, Anne G., Nicholls, Tonia L., Seto, Michael C., Roman, Times New, Côté, Gilles, Charette, Yanick, and Caulet, Malijai
- Subjects
LEGAL status of criminals with mental illness ,CRIMINAL justice system ,CRIMINAL procedure ,MENTAL health services ,VERDICTS ,CRIMINAL intent - Abstract
Copyright of Canadian Journal of Psychiatry is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2015
- Full Text
- View/download PDF
18. Key Ingredients of Anti-Stigma Programs for Health Care Providers: A Data Synthesis of Evaluative Studies.
- Author
-
Knaak, Stephanie, Modgill, Geeta, and Patten, Scott B.
- Subjects
SOCIAL stigma ,PEOPLE with mental illness ,MEDICAL care ,HEALTH programs ,MENTAL health education ,HEALTH care intervention (Social services) ,PREVENTION - Abstract
Copyright of Canadian Journal of Psychiatry is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2014
- Full Text
- View/download PDF
19. The 2014 Ontario Child Health Study-Methodology.
- Author
-
Boyle, Michael H., Georgiades, Katholiki, Duncan, Laura, Comeau, Jinette, Wang, Li, and 2014 Ontario Child Health Study Team
- Subjects
CHILD psychiatry ,CHILDREN'S health ,TAX benefits ,CLUSTER sampling - Abstract
Objective: To describe the methodology of the 2014 Ontario Child Health Study (OCHS): a province-wide, cross-sectional, epidemiologic study of child health and mental disorder among 4- to 17-year-olds living in household dwellings.Method: Implemented by Statistics Canada, the 2014 OCHS was led by academic researchers at the Offord Centre for Child Studies (McMaster University). Eligible households included families with children aged 4 to 17 years, who were listed on the 2014 Canadian Child Tax Benefit File. The survey design included area and household stratification by income and 3-stage cluster sampling of areas and households to yield a probability sample of families.Results: The 2014 OCHS included 6,537 responding households (50.8%) with 10,802 children aged 4 to 17 years. Lower income families living in low-income neighbourhoods were less likely to participate. In addition to measures of childhood mental disorder assessed by the Mini International Neuropsychiatric Interview for Children and Adolescents (MINI-KID) and OCHS Emotional Behavioural Scales (OCHS-EBS), the survey contains measures of neighbourhoods, schools, families and children, and includes administrative data held by the Ministries of Education and Health and Long-Term Care.Conclusions: The complex survey design and differential non-response of the 2014 OCHS required the use of sampling weights and adjustment for design effects. The study is available throughout Canada in the Statistics Canada Research Data Centres (RDCs). We urge external investigators to access the study through the RDCs or to contact us directly to collaborate on future secondary analysis studies based on the OCHS. [ABSTRACT FROM AUTHOR]- Published
- 2019
- Full Text
- View/download PDF
20. Mental Disorders Among Mothers of Children Born Preterm: A Population-Based Cohort Study in Canada.
- Author
-
Louis, Deepak, Akil, Hammam, Bolton, James M., Bacchini, Fabiana, Netzel, Karen, Oberoi, Sapna, Pylypjuk, Christy, Flaten, Lisa, Cheung, Kristene, Lix, Lisa M., Ruth, Chelsea, and Garland, Allan
- Subjects
MENTAL illness ,PREMATURE infants ,PSYCHOSES ,COHORT analysis ,PREMATURE labor - Abstract
Copyright of Canadian Journal of Psychiatry is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2023
- Full Text
- View/download PDF
21. Collaborative Mental Health Care in Canada: Challenges, Opportunities and New Directions.
- Author
-
Kates, Nick, Sunderji, Nadiya, Ng, Victor, Patriquin, Maria, Alloo, Javed, Mirwaldt, Patricia, Burrell, Erin, Gervais, Michel, and Siddiqui, Sanam
- Subjects
MENTAL health services ,MEDICAL personnel ,MENTAL health personnel ,MEDICAL records ,PSYCHOTHERAPY ,COMMUNITY mental health services ,PSYCHIATRIC nursing ,COMMUNICATIVE disorders ,LOW vision - Abstract
The second is the building of stronger partnerships between all mental health and addictions services and their primary care colleagues, to both improve access to care and support and assist primary care to deliver effective mental health care. The Impact and Benefits of Collaborative Care The preponderance of research evidence for CMHC is based on studies of the model developed by Katon and colleagues over the past 25 years.[13],[29] This emphasizes: (a) team-based care, (b) measurement-based care and treatment-to-target, (c) evidence-informed treatment algorithms, and (d) population-oriented care using patient registries and proactive outreach. The first sees family physicians and other primary care professionals playing a growing role in delivering mental health care, even without the addition of new resources, by increasing the skills and capacity of the primary care sector to deliver "primary mental health care", supported by the local mental health system. Integration of Physical Health Care into Mental Health Settings In many parts of Canada, individuals living with a mental health and addiction problem, particularly those with severe and persistent mental illnesses, face difficulties in accessing regular, comprehensive, and continuing care. The third element is the integration of mental health-care providers within primary care settings to improve access to high-quality mental health and addiction assessment and treatment and enhance the patient experience. [Extracted from the article]
- Published
- 2023
- Full Text
- View/download PDF
22. Trends in Involuntary Psychiatric Hospitalization in British Columbia: Descriptive Analysis of Population-Based Linked Administrative Data from 2008 to 2018.
- Author
-
Loyal, Jackson P., Lavergne, M. Ruth, Shirmaleki, Mehdi, Fischer, Benedikt, Kaoser, Ridhwana, Makolewksi, Jack, and Small, Will
- Subjects
INVOLUNTARY hospitalization ,MENTAL health services ,INFORMED consent (Medical law) ,SUBSTANCE abuse ,INVOLUNTARY treatment ,PSYCHIATRIC hospital care - Abstract
Copyright of Canadian Journal of Psychiatry is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2023
- Full Text
- View/download PDF
23. Valuable New Insights Into Access to Mental Health Care Services.
- Author
-
Bland, Roger
- Subjects
MENTAL health services ,HOMELESS persons with mental illness ,RESTRAINT of patients ,HEALTH services accessibility - Abstract
An introduction is presented that discusses issue articles on topics such as the incomes of homeless people with mental illnesses in Canada, patient experiences of restraints in hospitals, and psychiatric services in Canadian cities.
- Published
- 2015
- Full Text
- View/download PDF
24. Introducing Recovery.
- Author
-
Whitley, Rob
- Subjects
MENTAL health services ,MENTAL illness ,PEOPLE with mental illness - Abstract
An introduction is presented in which the editor discusses various reports within the issue on topics including mental health services and clinicians in Canada, concept of recovery in mental illness and recovery in patients with severe mental illness (SMI).
- Published
- 2014
- Full Text
- View/download PDF
25. The Road to Mental Readiness for First Responders: A Meta-Analysis of Program Outcomes.
- Author
-
Szeto, Andrew, Dobson, Keith S., and Knaak, Stephanie
- Subjects
FIRST responders ,META-analysis ,PREPAREDNESS ,MENTAL health ,SOCIAL stigma - Abstract
Objectives: First-responder mental health, especially in Canada, has been a topic of increasing interest given the high incidence of poor mental health, mental illness, and suicide among this cohort. Although research generally suggests that resiliency and stigma reduction programs can directly and indirectly affect mental health, little research has examined this type of training in first responders. The current paper examines the efficacy of the Road to Mental Readiness for First Responders program (R2MR), a resiliency and anti-stigma program.Methods: The program was tested using a pre-post design with a 3-month follow-up in 5 first-responder groups across 16 sites.Results: A meta-analytic approach was used to estimate the overall effects of the program on resiliency and stigma reduction. Our results indicate that R2MR was effective at increasing participants' perceptions of resiliency and decreasing stigmatizing attitudes at the pre-post review, which was mostly maintained at the 3-month follow-up.Conclusions: Both quantitative and qualitative data suggest that the program helped to shift workplace culture and increase support for others. [ABSTRACT FROM AUTHOR]- Published
- 2019
- Full Text
- View/download PDF
26. Training in Substance-Related and Addictive Disorders, Part 1: Overview of Clinical Practice and General Recommendations.
- Author
-
Fleury, Gilles, Milin, Robert, Crockford, David, Buckley, Leslie, Charney, Dara, George, Tony P., and el-Guebaly, Nady
- Subjects
SUBSTANCE abuse treatment ,SUBSTANCE abuse diagnosis ,AGE distribution ,GAMBLING ,COMPULSIVE behavior ,NATIVE Americans ,MEDICAL protocols ,PSYCHIATRY ,SEX distribution ,SUBSTANCE abuse ,STANDARDS ,DIAGNOSIS ,THERAPEUTICS - Published
- 2015
27. Training in Substance-Related and Addictive Disorders, Part 2: Updated Curriculum Guidelines.
- Author
-
Crockford, David, Fleury, Gilles, Milin, Robert, Buckley, Leslie, Charney, Dara, George, Tony P., and el-Guebaly, Nady
- Subjects
EDUCATIONAL standards ,SUBSTANCE abuse treatment ,CURRICULUM ,INTERNSHIP programs ,PSYCHIATRY ,SUBSTANCE abuse ,STANDARDS - Published
- 2015
28. Utilization, Patient Characteristics, and Longitudinal Improvements among Patients from a Provincially Funded Transdiagnostic Internet-delivered Cognitive Behavioural Therapy Program: Observational Study of Trends over 6 Years.
- Author
-
Hadjistavropoulos, Heather D., Peynenburg, Vanessa, Thiessen, David L., Nugent, Marcie, Karin, Eyal, Staples, Lauren, Dear, Blake F., and Titov, Nickolai
- Subjects
MENTAL depression ,ANXIETY ,INTERNET ,TELEPHONE interviewing - Abstract
Copyright of Canadian Journal of Psychiatry is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2022
- Full Text
- View/download PDF
29. Looking beyond Administrative Health Care Data: The Role of Socioeconomic Status in Predicting Future High-cost Patients with Mental Health and Addiction.
- Author
-
de Oliveira, Claire, Mondor, Luke, Wodchis, Walter P., and Rosella, Laura C.
- Subjects
HEALTH & social status ,MENTAL illness ,ADDICTIONS ,MEDICAL care costs ,PUBLIC health ,HEALTH surveys - Abstract
Copyright of Canadian Journal of Psychiatry is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2022
- Full Text
- View/download PDF
30. Medical Assistance in Dying for Patients with Borderline Personality Disorder: Considerations and Concerns.
- Author
-
Brodeur, Jonah, Links, Paul S., Boursiquot, Philippe-Edouard, and Snelgrove, Natasha
- Subjects
ASSISTED suicide ,MENTAL illness ,BORDERLINE personality disorder ,PERSONALITY disorders - Abstract
The article highlights considerations within the debate of whether medical assistance in dying (MAiD) can be appropriate for mental illness such as borderline personality disorder (BPD) and guides the assessment of patients with BPD for eligibility should MAiD for mental illness become available in Canada. Topics include BPD among patients requesting MAiD, criteria for Canadian MAiD, and concerns regarding the provision of MAiD to those with BPD.
- Published
- 2022
- Full Text
- View/download PDF
31. Stigma in Canada: Results From a Rapid Response Survey.
- Author
-
Stuart, Heather, Patten, Scott B., Koller, Michelle, Modgill, Geeta, and Liinamaa, Tilna
- Subjects
- *
MENTAL health , *SOCIAL stigma , *DEPRESSED persons , *DISCRIMINATION against people with mental illness , *SOCIAL conditions of people with mental illness , *EMPLOYMENT discrimination , *SOCIAL history - Abstract
Objective: Our paper presents findings from the first population survey of stigma in Canada using a new measure of stigma. Empirical objectives are to provide a descriptive profile of Canadian's expectations that people will devalue and discriminate against someone with depression, and to explore the relation between experiences of being stigmatized in the year prior to the survey among people having been treated for a mental illness with a selected number of sociodemographic and mental health-related variables. Method: Data were collected by Statistics Canada using a rapid response format on a representative sample of Canadians (n = 10 389) during May and June of 2010. Public expectations of stigma and personal experiences of stigma in the subgroup receiving treatment for a mental illness were measured. Results: Over one-half of the sample endorsed 1 or more of the devaluation discrimination items, indicating that they believed Canadians would stigmatize someone with depression. The item most frequently endorsed concerned employers not considering an application from someone who has had depression, Over one-third of people who had received treatment in the year prior to the survey reported discrimination In 1 or more life domains. Experiences of discrimination were strongly associated with perceptions that Canadians would devalue someone with depression, younger age (12 to 15 years), and self-reported poor general mental health. Conclusions: The Mental Health Experiences Module reflects an important partnership between 2 national organizations that will help Canada fulfill its monitoring obligations under the United Nations Convention on the Rights of Persons with Disabilities and provide a legacy to researchers and policy-makers who are interested in monitoring changes in stigma over time. [ABSTRACT FROM AUTHOR]
- Published
- 2014
- Full Text
- View/download PDF
32. The Second National Canadian Homeless Youth Survey: Mental Health and Addiction Findings: La Deuxième Enquête Nationale Auprès des Jeunes Sans Abri : Résultats en Matière De Santé Mentale et de Toxicomanie.
- Author
-
Kidd, Sean A., Gaetz, Stephen, O'Grady, Bill, Schwan, Kaitlin, Zhao, Haoyu, Lopes, Katrini, and Wang, Wei
- Subjects
HOMELESS youth ,MENTAL health of youth ,EMOTIONAL trauma in adolescence ,ADDICTIONS ,YOUTH ,HOMELESSNESS ,DEMOGRAPHIC surveys - Abstract
Copyright of Canadian Journal of Psychiatry is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2021
- Full Text
- View/download PDF
33. COVID-19 and Canadian Psychiatry: La COVID-19 et la psychiatrie au Canada.
- Author
-
Hanafi, Sarah, Dufour, Mathieu, Doré-Gauthier, Virginie, Prasad, MS Renuka, Charbonneau, Manon, and Beck, Gail
- Subjects
CORONAVIRUS diseases ,PSYCHIATRY ,HEALTH policy ,MENTAL health ,PSYCHOTHERAPY patients - Abstract
A position statement regarding COVID-19 and Canadian psychiatry, developed by the Public Policy Committee of the Canadian Psychiatric Association and approved by its board of directors on November 1, 2020, is presented. Topics covered include burden of the COVID-19 disease among people with psychiatric illness, general care for psychiatric patients, and public health policies.
- Published
- 2021
- Full Text
- View/download PDF
34. Postsecondary Mental Health Policy in Canada: A Scoping Review of the Grey Literature: Politique de santé mentale post-secondaire au Canada: un examen de la portée de la littérature grise.
- Author
-
Monaghan, Caitlin, Linden, Brooke, and Stuart, Heather
- Subjects
MENTAL health of students ,POSTSECONDARY education ,MENTAL health policy ,STUDENT well-being ,PSYCHOLOGICAL stress ,PSYCHOLOGICAL distress - Abstract
Copyright of Canadian Journal of Psychiatry is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2021
- Full Text
- View/download PDF
35. Suicide-related Twitter Content in Response to a National Mental Health Awareness Campaign and the Association between the Campaign and Suicide Rates in Ontario.
- Author
-
Côté, David, Williams, Marissa, Zaheer, Rabia, Niederkrotenthaler, Thomas, Schaffer, Ayal, and Sinyor, Mark
- Subjects
SUICIDE ,MICROBLOGS ,SUICIDE prevention ,MENTAL health education - Abstract
Copyright of Canadian Journal of Psychiatry is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2021
- Full Text
- View/download PDF
36. Assessing Adherence to Responsible Reporting of Suicide Guidelines in the Canadian News Media: A 1-year Examination of Day-to-day Suicide Coverage: Évaluer la conformité au journalisme responsable en matière de directives sur le suicide dans les médias canadiens d'information: Un examen d'une année de la couverture quotidienne du suicide.
- Author
-
Antebi, Lara, Carmichael, Victoria, and Whitley, Rob
- Subjects
SUICIDE in mass media ,SUICIDE ,MASS media ,INFORMATION dissemination - Abstract
Copyright of Canadian Journal of Psychiatry is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2020
- Full Text
- View/download PDF
37. Mood Disorders in Late Life: A Population-based Analysis of Prevalence, Risk Factors, and Consequences in Community-dwelling Older Adults in Ontario: Troubles de l'humeur en âge avancé : Une analyse dans la population de la prévalence, des facteurs de risque et des conséquences chez des adultes âgés vivant en milieu communautaire en Ontario.
- Author
-
Strauss, Rachel, Kurdyak, Paul, and Glazier, Richard H.
- Subjects
HEALTH of older people ,PEOPLE with intellectual disabilities ,INTELLECTUAL disabilities - Abstract
Copyright of Canadian Journal of Psychiatry is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2020
- Full Text
- View/download PDF
38. Attitudes of Psychiatry Residents in Canadian Universities toward Neuroscience and Its Implication in Psychiatric Practice.
- Author
-
Hassan, Taghreed, Prasad, Benjamin, Meek, Benjamin P., and Modirrousta, Mandana
- Subjects
RESIDENTS (Medicine) ,PSYCHIATRY residency (Education) ,ATTITUDE (Psychology) ,UNIVERSITIES & colleges ,NEUROSCIENCES ,GRADUATE medical education ,HIGHER education statistics ,PSYCHIATRY ,FERRANS & Powers Quality of Life Index ,MEDICAL personnel ,CURRICULUM ,INTERNSHIP programs ,QUESTIONNAIRES ,PHYSICIANS - Abstract
Objective: Despite recent advances in neuroscience highlighting its potential applications in the assessment and treatment of psychiatric disorders, the training of psychiatrists in neuroscience is lacking. However, it is not clear to what extent Canadian trainees are interested in further learning and using neuroscience in their daily clinical practice. This study explored the attitudes of Canadian psychiatry trainees with regard to neuroscience education and training by asking them to assess their own understanding of neuroscience and the perceived relevance of neuroscience knowledge to effective psychiatric practice.Methods: An online questionnaire was sent to psychiatry residents at Canadian universities. This questionnaire consisted of self-assessments of neuroscience knowledge, attitudes toward neuroscience education, preferences in learning modalities, and interest in specific neuroscience topics.Results: One hundred and eleven psychiatry residents from psychiatry residency programs at Canadian universities responded to this survey. Participants represented trainees from all 5 years of residency. Almost half of all trainees (49.0%) reported their knowledge of neuroscience to be either "inadequate" or "less than adequate," and only 14.7% of trainees reported that they feel "comfortable" or "very comfortable" discussing neuroscience findings with their patients. 63.7% of Canadian trainees rated the quantity of neuroscience education in their residency program as either less than adequate or inadequate, and 46.1% rated the quality of their neuroscience education as "poor" or "very poor." The vast majority of participants (>70%) felt that additional neuroscience education would be moderately-to-hugely helpful in finding personalized treatments, discovering future treatments, destigmatizing patients with psychiatric illness, and understanding mental illness.Conclusions: Canadian trainees generally feel that their neuroscience knowledge and the neuroscience education they receive during their psychiatry residencies is inadequate. However, as the first step for any change, the majority of future Canadian psychiatrists are very motivated and have a positive attitude toward neuroscience learning. [ABSTRACT FROM AUTHOR]- Published
- 2020
- Full Text
- View/download PDF
39. Identifying Individuals with Eating Disorders Using Health Administrative Data.
- Author
-
Kurdyak, Paul, de Oliveira, Claire, Iwajomo, Tomi, Bondy, Susan, Trottier, Kathryn, and Colton, Patricia
- Subjects
DIAGNOSIS of eating disorders ,BULIMIA diagnosis ,MENTAL health ,EPIDEMIOLOGY ,PUBLIC health - Abstract
Objective: Eating disorders are common and have a high public health burden. However, existing clinically relevant data sources are scarce, limiting the capacity to accurately measure the burden of eating disorders. This study tests the feasibility of generating a large clinically relevant cohort of individuals with eating disorders using health administrative data.Methods: We developed 3 clinically relevant eating disorder prevalence cohorts using health administrative data from Ontario, Canada, between 1990 and 2014. Cohort 1 included patients with a hospitalization where an eating disorder diagnosis was the primary diagnosis, cohort 2 included patients with a hospitalization where an eating disorder diagnosis was any diagnosis, and cohort 3 included cohort 2 plus any patient with an emergency department visit with an eating disorder diagnosis.Results: Cohort 1 had 7268 patients, cohort 2 had 13,197 patients, and cohort 3 had 17,373 patients. As cohort size increased, the proportion of eating disorder patients with diagnoses of bulimia nervosa and eating disorder not otherwise specified increased. Although the cohorts differed according to demographic and clinical characteristics, these differences were small compared to the degree to which they differed from the Ontario population.Discussion: It is feasible to use health administrative data to measure the clinically relevant burden of eating disorders. The cohorts differed significantly in the eating disorder diagnostic composition. Eating disorders have a high burden, but poor data availability has resulted in fewer public health-related eating disorders studies in comparison to other mental disorders. The use of administrative data can address this evidence gap. [ABSTRACT FROM AUTHOR]- Published
- 2020
- Full Text
- View/download PDF
40. The Decline of Child Sexual Abuse in Canada: Evidence From the 2014 General Social Survey.
- Author
-
Shields, Margot, Tonmyr, Lil, and Hovdestad, Wendy E.
- Subjects
SOCIAL surveys ,CHILD sexual abuse ,EPIDEMIOLOGY ,TRENDS ,CHILD abuse - Abstract
Objective: To provide evidence of trends in child sexual abuse (CSA) in Canada.Methods: Using data from 15,801 males and 18,669 females who responded to the 2014 General Social Survey (GSS), we compared the prevalence of CSA by age cohorts. Age cohort patterns were examined for several sub-populations including males, females, Indigenous peoples, and people living in low-income households.Results: After an increase in the post-World War II period, there has been a decline in CSA in Canada since the early 1990s. Findings indicate a decline for both sexes; although, the evidence is more compelling for females. There is also evidence of a decline for Indigenous peoples, for those living in low-income households, and regardless of the relationship to the perpetrator (i.e., family member, a teacher/professor/tutor, a babysitter, a nanny, other non-family member but known to the respondent, or a stranger).Conclusions: In Canada, evidence from 3 retrospective population surveys suggests a decline in CSA since the early 1990s. However, given the associated harm, continued progress to the eradication of CSA is essential. [ABSTRACT FROM AUTHOR]- Published
- 2019
- Full Text
- View/download PDF
41. Gaps in Understanding of the Epidemiology of Mood and Anxiety Disorders among Migrant Groups in Canada: A Systematic Review.
- Author
-
Edwards, Jordan, Hu, Malini, Thind, Amardeep, Stranges, Saverio, Chiu, Maria, and Anderson, Kelly K.
- Subjects
AFFECTIVE disorders ,ANXIETY disorders ,IMMIGRANTS ,PSYCHOLOGY of immigrants ,EPIDEMIOLOGY ,SYSTEMATIC reviews ,COMPARATIVE studies ,RESEARCH methodology ,MEDICAL cooperation ,META-analysis ,RESEARCH ,EVALUATION research - Abstract
Objective: Estimates of mood and anxiety disorders are highly variable among migrant groups, as they are influenced by the socio-political context. Our objective was to conduct a systematic review and meta-analysis to synthesize available Canadian evidence on the prevalence and incidence of mood and anxiety disorders among migrant groups.Methods: Studies were identified from MEDLINE, EMBASE, and PsycINFO. They were included if they used population-based samples, presented data on the incidence or prevalence of diagnosed or self-reported mood or anxiety disorders for first-generation migrant groups in Canada, and used a Canadian-born or long-term resident reference group.Results: Nineteen studies met our inclusion criteria. Prevalence ratios ranged from 0.48 to 0.87, and nearly all estimates were obtained from population health surveys. Prevalence estimates among migrant groups were lower than the reference group, with the 90th percentile of estimates ranging from 1.5% to 8.2%. Risk factors for mood and anxiety disorders among migrants included being female, younger, unemployed, having lower income, and living in neighborhoods with a lower proportion of migrants.Conclusions: There remain many gaps in our current understanding of mood and anxiety disorders among migrant groups in Canada. Although evidence suggests the prevalence of mood and anxiety disorders are consistently lower among migrant groups, a lack of incidence estimates limits the strength of this conclusion. Future research should focus on comparisons of self-reported and diagnosed estimates, the use of a range of different primary or secondary data sources, and consideration of important risk factors.Prospero Citation: Jordan Edwards, Malini Hu, Amardeep Thind, Saverio Stranges, Maria Chiu, Kelly Anderson. The burden of mood and anxiety disorders among immigrant and refugee populations in Canada: a systematic review. PROSPERO 2018 CRD42018087869 Available from: http://www.crd.york.ac.uk/PROSPERO/display_record.php?ID=CRD42018087869 . [ABSTRACT FROM AUTHOR]- Published
- 2019
- Full Text
- View/download PDF
42. Treatment Recommendations for Tardive Dyskinesia.
- Author
-
Ricciardi, Lucia, Pringsheim, Tamara, Barnes, Thomas R.E., Martino, Davide, Gardner, David, Remington, Gary, Addington, Donald, Morgante, Francesca, Poole, Norman, Carson, Alan, and Edwards, Mark
- Subjects
TARDIVE dyskinesia ,ANTIPSYCHOTIC agents ,DISEASE relapse ,PEOPLE with mental illness ,MOVEMENT disorder treatments ,DRUG side effects - Abstract
Background: Tardive dyskinesia is a movement disorder characterised by irregular, stereotyped, and choreiform movements associated with the use of antipsychotic medication. We aim to provide recommendations on the treatment of tardive dyskinesia.Methods: We performed a systematic review of studies of the treatment of tardive dyskinesia. Studies were rated for methodological quality using the American Academy of Neurology Risk of Bias Classification system. Overall level of evidence classifications and grades of recommendation were made using the Scottish Intercollegiate Guidelines Network framework.Results: Preventing tardive dyskinesia is of primary importance, and clinicians should follow best practice for prescribing antipsychotic medication, including limiting the prescription for specific indications, using the minimum effective dose, and minimising the duration of therapy. The first-line management of tardive dyskinesia is the withdrawal of antipsychotic medication if clinically feasible. Yet, for many patients with serious mental illness, the discontinuation of antipsychotics is not possible due to disease relapse. Switching from a first-generation to a second-generation antipsychotic with a lower D2 affinity, such as clozapine or quetiapine, may be effective in reducing tardive dyskinesia symptoms. The strongest evidence for a suitable co-intervention to treat tardive dyskinesia comes from tests with the new VMAT inhibitors, deutetrabenazine and valbenazine. These medications have not been approved for use in Canada.Conclusion: Data on tardive dyskinesia treatment are limited, and the best management strategy remains prevention. More long-term safety and efficacy data are needed for deutetrabenazine and valbenazine, and their routine availability to patients outside of the USA remains in question. [ABSTRACT FROM AUTHOR]- Published
- 2019
- Full Text
- View/download PDF
43. Gender Differences in Research Productivity among Academic Psychiatrists in Canada.
- Author
-
Chauvin, Sarah, Mulsant, Benoit H., Sockalingam, Sanjeev, Stergiopoulos, Vicky, Taylor, Valerie H., and Vigod, Simone N.
- Subjects
WOMEN physicians ,PSYCHIATRISTS ,GENDER ,PSYCHIATRIC research ,ACADEMIC departments - Abstract
Objectives: Gender inequity in academic medicine persists despite increases in the number of women physicians. We sought to explore gender differences in research productivity for academic psychiatrists in Canada.Methods: In a cross-sectional study of the 3379 psychiatrists in all 17 university departments of psychiatry in Canada, research productivity, as measured by the h-index and number of publications, was compared between women and men using a negative log binomial regression model to generate relative rates (RRs), adjusted for career duration (aRR). Findings were stratified by academic rank, institution region, and institution size. A subanalysis of those with 10 or more publications was conducted as a proxy for identifying physicians on a research track.Results: Women (43% of the sample) had a lower mean (standard deviation) h-index than men (2.87 [6.49] vs. 5.31 [11.1]; aRR, 0.62; 95% confidence interval [CI], 0.54 to 0.72). Differences were significant only for junior faculty and not for associate and full professors. Comparison by number of publications followed a similar pattern (aRR, 0.46; 95% CI, 0.39 to 0.55). Among those with 10 or more publications (n = 721), differences between men and women were smaller than in the overall cohort for both the h-index (aRR, 0.77; 95% CI, 0.68 to 0.87) and number of publications (aRR, 0.62; 95% CI, 0.53 to 0.72).Conclusions: Gender differences in research productivity at the national level in academic psychiatry in Canada support a call to adopt a more systematic approach to promoting equitable opportunities for women in research, especially in early career, to improve diversity and enhance future psychiatric research and discovery. [ABSTRACT FROM AUTHOR]- Published
- 2019
- Full Text
- View/download PDF
44. Emergency Department Presentations and Youth Suicide: A Case-Control Study.
- Author
-
Rhodes, Anne E., Sinyor, Mark, Boyle, Michael H., Bridge, Jeffrey A., Katz, Laurence Y., Bethell, Jennifer, Newton, Amanda S., Cheung, Amy, Bennett, Kathryn, Links, Paul S., Tonmyr, Lil, and Skinner, Robin
- Subjects
SUICIDE statistics ,CORONERS ,IMPOTENCE ,MENTAL health services ,SUICIDAL behavior in youth - Abstract
Objective: We estimate associations between emergency department (ED) diagnoses and suicide among youth to guide ED care.Method: This ED-based case-control study used data from the Office of the Chief Coroner and all EDs in Ontario, Canada. Cases ( n = 697 males and n = 327 females) were aged 10 to 25 years who died by suicide in Ontario between April 2003 and March 2014, with an ED contact in the year before their death. Same-aged ED-based controls were selected during this time frame. Crude and adjusted odds ratios (aORs) and 95% confidence intervals were calculated.Results: Among youth diagnosed with a mental health problem at their most recent ED contact (41.9% cases, 5% controls), suicide was elevated among nonfatal self-inflicted: 'other' injuries, including hanging, strangulation, and suffocation in both sexes (aORs > 14); cut/pierce injuries in males (aOR > 5); poisonings in both sexes (aORs > 2.2); and mood and psychotic disorders in males (aORs > 1.7). Among those remaining, 'undetermined' injuries and poisonings in both sexes (aORs > 5), 'unintentional' poisonings in males (aOR = 2.1), and assault in both sexes (aORs > 1.8) were significant. At least half of cases had ED contact within 106 days.Conclusions: The results highlight the need for timely identification and treatment of mental health problems. Among those with an identified mental health problem, important targets for suicide prevention efforts are youth with self-harm and males with mood and psychotic disorders. Among others, youth with unintentional poisonings, undetermined events, and assaults should raise concern. [ABSTRACT FROM AUTHOR]- Published
- 2019
- Full Text
- View/download PDF
45. The Cumulative Incidence of Self-Reported Suicide-Related Thoughts and Attempts in Young Canadians.
- Author
-
Goodday, Sarah M., Bondy, Susan, Sutradhar, Rinku, Brown, Hilary K., and Rhodes, Anne
- Subjects
SUICIDE - Abstract
Objective: To estimate the cumulative incidence of self-reported suicide-related thoughts (SRTs) and suicide attempts (SAs) in males and females from 11 to 25 years of age in Canada.Methods: A cohort study was conducted by linking cycles 2 to 8 from the National Longitudinal Survey of Children and Youth, a representative survey of Canadians aged 11 to 25 years conducted from 1996 to 2009. The 11- to 25-year cumulative incidence of self-reported SRTs and SAs (with suicidal intent) was estimated in males and females using a novel application of a counting process approach to account for discontinuous risk intervals between survey cycles.Results: The risk of SRTs was 29% (95% confidence interval [CI], 26% to 31%) in females and 19% (95% CI, 16% to 23%) in males. The risk of SAs was 16% (95% CI, 14% to 19%) in females and 7% (95% CI, 6% to 8%) in males. Over 70% of SRTs and SAs first occur between 11 and 16 years of age and 30% between 11 and 13 years of age, respectively.Conclusions: The risk of SRTs and SAs is high in young Canadians, with most events first occurring in early to mid-adolescence and possibly earlier. Females are at a higher risk compared to males. This research underscores the need for better longitudinal surveillance of SRTs and SAs in the population. A counting process framework could be useful for future research using existing longitudinal surveys suffering from design limitations relating to gaps in respondent follow-up. Furthermore, these findings have implications for younger SRT and SA risk management by clinicians and earlier implementation of suicide prevention programs. [ABSTRACT FROM AUTHOR]- Published
- 2019
- Full Text
- View/download PDF
46. Does Introducing Public Funding for Allied Health Psychotherapy Lead to Reductions in Private Insurance Claims? Lessons for Canada from the Australian Experience: L'instauration du financement public pour la psychothérapie paramédicale entraîne-t-elle des réductions des réclamations d'assurance privée? Des leçons pour le Canada tirées de l'expérience australienne
- Author
-
Diminic, Sandra and Bartram, Mary
- Subjects
INSURANCE claims ,LEGAL claims ,PSYCHOTHERAPY - Abstract
Objective: Provincial and territorial governments are considering how best to improve access to psychotherapy from the current patchwork of programmes. To achieve the best value for money, new funding needs to reach a wider population rather than simply replacing services funded through insurance benefits. We considered lessons for Canada from the relative uptake of private insurance and public funding for allied health psychotherapy in Australia.Method: We analysed published administrative claims data from 2003-2004 to 2014-2015 on Australian privately insured psychologist services, publicly insured psychotherapy under the 'Better Access' initiative, and public grant funding for psychotherapy through the 'Access to Allied Psychological Services' programme. Utilisation was compared to the prevalence of mental disorders and treatment rates in the 2007 National Survey of Mental Health and Wellbeing.Results: The introduction of public funding for psychotherapy led to a 52.1% reduction in private insurance claims. Costs per session were more than double under private insurance and likely contributed to individuals with private coverage choosing to instead access public programmes. However, despite substantial community unmet need, we estimate just 0.4% of the population made private insurance claims in the 2006-2007 period. By contrast, from its introduction, growth in the utilisation of Better Access quickly dwarfed other programmes and led to significantly increased community access to treatment.Conclusions: Although insurance in Canada is sponsored by employers, psychology claims also appear surprisingly low, and unmet need similarly high. Careful consideration will be needed in designing publicly funded psychotherapy programmes to prepare for the high demand while minimizing reductions in private insurance claims. [ABSTRACT FROM AUTHOR]- Published
- 2019
- Full Text
- View/download PDF
47. Canada Should Retain Its Reservation on the United Nation's Convention on the Rights of Persons with Disabilities.
- Author
-
Dufour, Mathieu, Hastings, Thomas, and O'Reilly, Richard
- Subjects
CONVENTION on the Rights of Persons with Disabilities ,PUBLIC health ,MENTAL health ,SCHOLARS - Abstract
The United Nations adopted the Convention on the Rights of Persons with Disabilities (CRPD) in 2006. When Canada ratified the CRPD, it reserved the right to continue using substitute decision making schemes even if the CRPD was 'interpreted as requiring their elimination'. This was a prescient decision because the CRPD Committee, which is tasked with overseeing the interpretation and implementation of the CRPD, subsequently opined that all legislation supporting substitute decision making schemes contravene the CRPD and must be revoked. The CRPD Committee insists that every person can make decisions with sufficient support and that if a person lacks capacity to make a decision, we must rely on their 'will and preferences'. Many international legal scholars have called this interpretation unrealistic. We agree and, in this article, describe how this unrealistic approach would result in extensive harm and suffering for people with severe cognitive or psychotic disorders. The reader should also be aware that the CRPD Committee also calls for the elimination of all mental health acts and the United Nations Commissioner for Human Rights for the abandonment of the not criminally responsible (NCR) defence. [ABSTRACT FROM AUTHOR]
- Published
- 2018
- Full Text
- View/download PDF
48. Do Investments in Mental Health Systems Result in Greater Use of Mental Health Services? National Trends in Mental Health Service Use (MHSU) in the Canadian Military and Comparable Canadian Civilians, 2002-2013.
- Author
-
Fikretoglu, Deniz, Liu, Aihua, Zamorski, Mark Allen, Rusu, Corneliu, and Jetly, Rakesh
- Subjects
MENTAL health services ,MENTAL illness treatment ,MENTAL health of military personnel ,GOVERNMENT spending policy ,PUBLIC health - Abstract
Background: Mental disorders constitute a significant public health problem worldwide. Ensuring that those who need mental health services access them in an appropriate and timely manner is thus an important public health priority. We used data from 4 cross-sectional, nationally representative population health surveys that employed nearly identical methods to compare MHSU trends in the Canadian military versus comparable civilians.Method: The surveys were all conducted by Statistics Canada, approximately a decade apart (Military-2002, Military-2013, Civilian-2002, and Civilian-2012). The sample size for the pooled data across the surveys was 35,984. Comparisons across the 4 surveys were adjusted for differences in need in the 2 populations at the 2 time points.Results: Our findings suggested that first, in the Canadian military, there was a clear and consistent pattern of improvement (i.e., increase) in MHSU over the past decade across a variety of provider types. The magnitudes of the changes were large, representing an absolute increase of 7.15% in those seeking any professional care, corresponding to an 84% relative increase. Second, in comparable Canadian civilians, MHSU remained either unchanged or increased only slightly. Third, the increases in MHSU over time were consistently greater in the military than in the comparable civilian sample.Conclusions: Our findings point to advantages with respect to MHSU of the military mental health system over the civilian system in Canada; these advantages have widened substantially over time. These findings speak strongly to the potential impact of analogous changes in other health systems, both military and civilian. [ABSTRACT FROM AUTHOR]- Published
- 2018
- Full Text
- View/download PDF
49. Risk Factors, Clinical Presentations, and Functional Impairments for Generalized Anxiety Disorder in Military Personnel and the General Population in Canada.
- Author
-
Taillieu, Tamara L., Afifi, Tracie O., Turner, Sarah, Cheung, Kristene, Fortier, Janique, Zamorski, Mark, and Sareen, Jitender
- Subjects
ANXIETY disorders ,MILITARY personnel ,COMORBIDITY ,MENTAL health - Abstract
Objective: This study sought to examine differences in sociodemographic risk factors, comorbid mental conditions, clinical presentations, and functional impairments associated with past-year generalized anxiety disorder (GAD) between Canadian Armed Forces (CAF) Regular Force personnel and the Canadian general population (CGP).Method: Data were from 2 nationally representative surveys collected by Statistics Canada: 1) the Canadian Community Health Survey on Mental Health, collected in 2012 ( N = 25,113; response rate = 68.9%); and 2) the Canadian Forces Mental Health Survey, collected in 2013 ( N = 8,161; response rate = 79.8%).Results: The prevalence of lifetime and past-year GAD was significantly higher in the CAF (12.1% and 4.7%) than in the CGP (9.5% and 3.0%). Comorbid mental disorders were strongly associated with GAD in both populations. Although the content area of worry and the GAD symptoms endorsed were similar, CAF personnel were significantly more likely to endorse specific types of worries (i.e., success at school/work, social life, mental health, being away from home or loved ones, and war or revolution) and specific symptoms of GAD (i.e., restless, keyed up, or on edge and more irritable than usual) than civilians, after adjusting for sociodemographic covariates and comorbid mental disorders. CAF personnel with past-year GAD reported significantly higher functional impairment at home than civilians with past-year GAD.Conclusion: GAD is a substantial public health concern associated with significant impairment and disability in both military and civilian populations. GAD in military and civilian populations shows similarities and differences: Key similarities include its extensive comorbidity and significant functional impairment, whereas key differences include the focus of worries and symptom profile. [ABSTRACT FROM AUTHOR]- Published
- 2018
- Full Text
- View/download PDF
50. The Lack of Adequate Scientific Evidence Regarding Physician-assisted Death for People with Psychiatric Disorders Is a Danger to Patients.
- Author
-
Sinyor, Mark and Schaffer, Ayal
- Subjects
ASSISTED suicide ,EUTHANASIA ,PEOPLE with intellectual disabilities ,MENTAL health ,MENTAL illness treatment ,SUICIDE ,RESEARCH ,RESEARCH methodology ,EVALUATION research ,MEDICAL cooperation ,COMPARATIVE studies ,PHYSICIANS - Abstract
The article discusses research on the insufficient scientific evidence to prove that physician-assisted deaths of those with mental disorders is putting patients' safety at risk. It references to a study by S. van Veen and colleagues published in the 2020 issue of the "Canadian Journal of Psychiatry." It argues that among the reasons for lack of scientific data is the limited number of high quality accurate research that tackles irremediable and incurable health conditions.
- Published
- 2020
- Full Text
- View/download PDF
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.