17 results on '"Crawford, Allison"'
Search Results
2. Implementation and Utilisation of Telepsychiatry in Ontario: A Population-Based Study.
- Author
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Serhal, Eva, Crawford, Allison, Cheng, Joyce, and Kurdyak, Paul
- Subjects
- *
TELEPSYCHIATRY , *PUBLIC health , *MEDICINE , *RURAL medicine , *TELEMEDICINE , *MENTAL health services , *MENTAL illness treatment , *PSYCHIATRIC epidemiology , *PATIENT aftercare , *PSYCHIATRY , *DISCHARGE planning , *CROSS-sectional method ,PSYCHIATRIC hospital statistics - Abstract
Objective: Rural areas in Ontario have fewer psychiatrists, making access to specialist mental health care challenging. Our objective was to characterise psychiatrists delivering and patients receiving telepsychiatry in Ontario and to determine the number of patients who accessed a psychiatrist via telepsychiatry following discharge from psychiatric hospitalisation.Method: We conducted a serial panel study to evaluate the characteristics of psychiatrists providing telepsychiatry from April 2007 to March 2013. In addition, we conducted a cross-sectional study for fiscal year 2012-2013 to examine telepsychiatry patient characteristics and create an in-need patient cohort of individuals with a recent psychiatric hospitalisation that assessed if they had follow-up with a psychiatrist in person or through telepsychiatry within 1 year of discharge.Results: In fiscal year 2012-2013, a total of 3801 people had 5635 telepsychiatry visits, and 7% ( n = 138) of Ontario psychiatrists provided telepsychiatry. Of the 48,381 people identified as in need of psychiatric care, 60% saw a local psychiatrist, 39% saw no psychiatrist, and less than 1% saw a psychiatrist through telepsychiatry only or telepsychiatry in addition to local psychiatry within a year. Three northern regions had more than 50% of in-need patients fail to access psychiatry within 1 year.Conclusions: Currently, relatively few patients and psychiatrists use telepsychiatry. In addition, patients scarcely access telepsychiatry for posthospitalisation follow-up. This study, which serves as a preliminary baseline for telepsychiatry in Ontario, demonstrates that telepsychiatry has not evolved systematically to address need and highlights the importance of system-level planning when implementing telepsychiatry to optimise access to care. [ABSTRACT FROM AUTHOR]- Published
- 2017
- Full Text
- View/download PDF
3. Inuit take action towards suicide prevention.
- Author
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Crawford, Allison
- Subjects
- *
SUICIDE prevention , *CANADIAN Inuit - Abstract
The author discusses the National Inuit Suicide Prevention Strategy (NISPS) launched by Inuit Tapiriit Kanatami (ITK), a political organisation which represents Inuit in Canada. Topics include suicide among indigenous youth, identification of risk factors for suicide, and priority arease of the multi-level strategic approach.
- Published
- 2016
- Full Text
- View/download PDF
4. LEARNING LESSONS FROM MULTANI: CONSIDERING CANADA'S RESPONSE TO RELIGIOUS GARB ISSUES IN PUBLIC SCHOOLS.
- Author
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Crawford, Allison N.
- Subjects
SIRAIKI (South Asian people) ,RELIGION ,PUBLIC schools - Abstract
The article discusses religious garb cases in light of l'affaire du foulard, focusing primarily on Multani and the Canadian treatment of religious garb issues. It centers on the treatment of school kirpan wearing in Canada, as well as the treatment of kirpan and religious garb in U.S. public schools. It also shows how the U.S. can use Multani to reiterate its commitment to religious accommodation.
- Published
- 2007
5. A National Suicide Prevention Strategy for Canadians-From Research to Policy and Practice.
- Author
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Crawford, Allison
- Subjects
- *
SUICIDE prevention , *SOCIAL services - Abstract
An editorial introduction to the issue is presented, highlighting featured articles on suicide prevention policies in Canada by Kathryn Bennett, Donald B. Langille and Eduardo Chachamovich.
- Published
- 2015
- Full Text
- View/download PDF
6. The health of Canada's Aboriginal children: results from the First Nations and Inuit Regional Health Survey.
- Author
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MacMillan, Harriet L., Jamieson, Ellen, Walsh, Christine, Boyle, Michael, Crawford, Allison, and MacMillan, Angus
- Subjects
- *
HEALTH surveys , *INDIGENOUS children , *SUBSTANCE abuse -- Social aspects , *NATIVE Americans , *HEALTH - Abstract
Objectives. Reports on child health in Canada often refer to the disproportionate burden of poor health experienced by Aboriginal children and youth, yet little national data are available. This paper describes the health of First Nations and Inuit children and youth based on the First Nations and Inuit Regional Health Survey (FNIRHS). Study design. The FNIRHS combines data from 9 regional surveys conducted in 1996-1997 in Aboriginal reserve communities in all provinces. The target population consisted of all onreserve communities. All households or a random sample of households or adults (depending on province) were selected based on their population representation. Methods. One child was randomly selected from each participating household, except in Ontario and Nova Scotia, where children were randomly selected based upon their population representation. Alberta did not include the section on children's health in their regional survey. Results. Approximately 84% of adults, who were proxy respondents for their child, rated their children's health as very good or excellent. The most frequently reported conditions were ear problems (15%), followed by allergies (13%) and asthma (12%). Broken bones or fractures were the most frequently reported injuries (13%). Respondents reported that 17% of children had behavioural or emotional problems. Overall, 76% of children were reported to get along with the family "very well" or "quite well."Conclusions. While most respondents rated their child's health as very good or excellent, injuries, emotional and behavioural problems, respiratory conditions and ear problems were reported among many Aboriginal children. Issues such as substance abuse, exposure to violence and academic performance were not addressed in the 10 core survey questions. Clearly there is a need for more in-depth information about both the physical and emotional health of Aboriginal children and youth. [ABSTRACT FROM AUTHOR]
- Published
- 2010
7. Incorporating First Nations, Inuit and Métis Traditional Healing Spaces within a Hospital Context: A Place-Based Study of Three Unique Spaces within Canada's Oldest and Largest Mental Health Hospital.
- Author
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Ambtman-Smith VN, Crawford A, D'Hondt J, Lindstone W, Linklater R, Longboat D, and Richmond C
- Subjects
- Humans, Canada, Hospitals, Psychiatric, Inuit, Mental Health, Indigenous Canadians psychology
- Abstract
Globally and historically, Indigenous healthcare is efficacious, being rooted in Traditional Healing (TH) practices derived from cosmology and place-based knowledge and practiced on the land. Across Turtle Island, processes of environmental dispossession and colonial oppression have replaced TH practices with a colonial, hospital-based system found to cause added harm to Indigenous Peoples. Growing Indigenous health inequities are compounded by a mental health crisis, which begs reform of healthcare institutions. The implementation of Indigenous knowledge systems in hospital environments has been validated as a critical source of healing for Indigenous patients and communities, prompting many hospitals in Canada to create Traditional Healing Spaces (THSs). After ten years, however, there has been no evaluation of the effectiveness of THSs in Canadian hospitals in supporting healing among Indigenous Peoples. In this paper, our team describes THSs within the Center for Addiction and Mental Health (CAMH), Canada's oldest and largest mental health hospital. Analyses of 22 interviews with hospital staff and physicians describe CAMH's THSs, including what they look like, how they are used, and by whom. The results emphasize the importance of designating spaces with and for Indigenous patients, and they highlight the wholistic benefits of land-based treatment for both clients and staff alike. Transforming hospital spaces by implementing and valuing Indigenous knowledge sparks curiosity, increases education, affirms the efficacy of traditional healing treatments as a standard of care, and enhances the capacity of leaders to support reconciliation efforts.
- Published
- 2024
- Full Text
- View/download PDF
8. A Collaborative-Care Telephone-Based Intervention for Depression, Anxiety, and at-Risk Drinking in Primary Care: The PARTNERs Randomized Clinical Trial.
- Author
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Ishrat Husain M, Rodie DJ, Perivolaris A, Sanches M, Crawford A, Fitzgibbon KP, Levinson A, Geist R, Kurdyak P, Mitchell B, Oslin D, Sunderji N, and Mulsant BH
- Subjects
- Adult, Humans, Treatment Outcome, Canada, Anxiety Disorders therapy, Anxiety therapy, Telephone, Depression therapy, Primary Health Care methods
- Abstract
Background: Collaborative care (CC) could improve outcomes in primary care patients with common mental conditions. We assessed the effectiveness of a transdiagnostic model of telephone-based CC (tCC) delivered by lay providers to primary care patients with depression, anxiety, or at-risk drinking., Methods: PARTNERS was a pragmatic trial in 502 primary care adults presenting with depressive symptoms, anxiety symptoms, or at-risk drinking randomized to (1) usual care by primary care providers (PCPs) enhanced with the results of computer-assisted telephone-based assessments (at baseline and 4, 8, and 12 months later) (enhanced usual care [eUC]) or (2) tCC consisting of eUC plus frequent telephone coaching and psychoeducation provided by mental health technicians who also communicated to the PCP recommendations from a psychiatrist for evidence-based pharmacotherapy, psychotherapy, or, when indicated, referrals to mental health services. The primary analysis compared the change on the 9-item Patient Health Questionnaire (PHQ-9) in participants presenting with depression ( n = 366) randomized to tCC versus eUC. Secondary analyses compared changes on the Generalized Anxiety Disorder-7 scale (GAD-7) in those presenting with anxiety ( n = 298); or change in the number of weekly drinks in those presenting with at-risk drinking ( n = 176)., Results: There were no treatment or time×treatment effects between tCC and eUC on PHQ-9 scores for patients with depression during the 12-month follow-up. However, there was a treatment effect (tCC > eUC) on GAD-7 scores in those with anxiety and a time×treatment interaction effect on the number of weekly drinks (tCC > eUC) in those with at-risk drinking., Conclusion: Implementing transdiagnostic tCC for common mental disorders using lay providers appears feasible in Canadian primary care. While tCC was not better than eUC for depression, there were some benefits for those with anxiety or at-risk drinking. Future studies will need to confirm whether tCC differentially benefits patients with depression, anxiety, or at-risk drinking.
- Published
- 2023
- Full Text
- View/download PDF
9. Centering Indigenous Knowledges and Worldviews: Applying the Indigenist Ecological Systems Model to Youth Mental Health and Wellness Research and Programs.
- Author
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O'Keefe VM, Fish J, Maudrie TL, Hunter AM, Tai Rakena HG, Ullrich JS, Clifford C, Crawford A, Brockie T, Walls M, Haroz EE, Cwik M, Whitesell NR, and Barlow A
- Subjects
- Adolescent, Australia, Canada, Humans, New Zealand, United States, Ecosystem, Mental Health
- Abstract
Globally, Indigenous communities, leaders, mental health providers, and scholars have called for strengths-based approaches to mental health that align with Indigenous and holistic concepts of health and wellness. We applied the Indigenist Ecological Systems Model to strengths-based case examples of Indigenous youth mental health and wellness work occurring in CANZUS (Canada, Australia, New Zealand, and United States). The case examples include research, community-led programs, and national advocacy. Indigenous youth development and well-being occur through strengths-based relationships across interconnected environmental levels. This approach promotes Indigenous youth and communities considering complete ecologies of Indigenous youth to foster their whole health, including mental health. Future research and programming will benefit from understanding and identifying common, strengths-based solutions beyond narrow intervention targets. This approach not only promotes Indigenous youth health and mental health, but ripples out across the entire ecosystem to promote community well-being.
- Published
- 2022
- Full Text
- View/download PDF
10. Supporting the Mental Health of Nurses through Digital Tools.
- Author
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Strudwick G, Crawford A, Clarkin C, Kassam I, and Sockalingam S
- Subjects
- COVID-19 epidemiology, COVID-19 nursing, Canada, Humans, Mental Health Services organization & administration, Mobile Applications, Pandemics, SARS-CoV-2, Technology, Nurses psychology, Self-Help Groups, Social Networking
- Abstract
Absenteeism rates among nurses have increased across Canada over the last several years, with work environment challenges and staffing shortages being possible contributors. With the onset of the COVID-19 pandemic, nurses have worked under increasingly stressful conditions. Unsurprisingly, many nurses are facing mental health challenges. Digital tools to support and enhance access to mental health services are one strategy to support the mental health of nurses. This paper outlines the digital tools and virtual programs available to support the mental health of nurses, recognizing that there is no single solution to address the mental health challenges faced by Canadian nurses during these difficult times., (Copyright © 2021 Longwoods Publishing.)
- Published
- 2021
- Full Text
- View/download PDF
11. COVID-19 and the decolonization of Indigenous public health.
- Author
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Richardson L and Crawford A
- Subjects
- COVID-19, Canada, Cultural Characteristics, Humans, Public Health, SARS-CoV-2, Betacoronavirus, Coronavirus Infections prevention & control, Health Services, Indigenous organization & administration, Health Status Disparities, Indigenous Peoples statistics & numerical data, Pandemics prevention & control, Pneumonia, Viral prevention & control
- Abstract
Competing Interests: Competing interests: None declared.
- Published
- 2020
- Full Text
- View/download PDF
12. Project CREATeS: youth engagement in suicide prevention.
- Author
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Crawford A
- Subjects
- Adolescent, Adult, Age Factors, Canada epidemiology, Community Participation, Female, Humans, Male, Risk Factors, Suicide ethnology, Suicide statistics & numerical data, Young Adult, Indians, North American psychology, Indians, North American statistics & numerical data, Inuit psychology, Inuit statistics & numerical data, Suicide Prevention
- Published
- 2019
- Full Text
- View/download PDF
13. RISING SUN: Prioritized Outcomes for Suicide Prevention in the Arctic.
- Author
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Collins PY, Delgado RA Jr, Apok C, Baez L, Bjerregaard P, Chatwood S, Chipp C, Crawford A, Crosby A, Dillard D, Driscoll D, Ericksen H, Hicks J, Larsen CVL, McKeon R, Partapuoli PJ, Phillips A, Pringle B, Rasmus S, Sigurðardóttir S, Silviken A, Stoor JP, Sumarokov Y, and Wexler L
- Subjects
- Alaska, Arctic Regions, Canada, Delphi Technique, Greenland, Humans, Norway, Substance-Related Disorders prevention & control, Aftercare, Health Policy, Mental Health Services, Program Development, Suicide Prevention
- Abstract
The Arctic Council, a collaborative forum among governments and Arctic communities, has highlighted the problem of suicide and potential solutions. The mental health initiative during the United States chairmanship, Reducing the Incidence of Suicide in Indigenous Groups: Strengths United Through Networks (RISING SUN), used a Delphi methodology complemented by face-to-face stakeholder discussions to identify outcomes to evaluate suicide prevention interventions. RISING SUN underscored that multilevel suicide prevention initiatives require mobilizing resources and enacting policies that promote the capacity for wellness, for example, by reducing adverse childhood experiences, increasing social equity, and mitigating the effects of colonization and poverty.
- Published
- 2019
- Full Text
- View/download PDF
14. Dene and Western medicine meet in image-based storytelling.
- Author
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Crawford A
- Subjects
- Canada, Communication, Health Occupations, Humans, Narration, Health Services, Indigenous standards
- Published
- 2018
- Full Text
- View/download PDF
15. Preventing suicide in indigenous communities.
- Author
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Hatcher S, Crawford A, and Coupe N
- Subjects
- Australia ethnology, Canada ethnology, Humans, New Zealand ethnology, United States ethnology, Indians, North American ethnology, Native Hawaiian or Other Pacific Islander ethnology, Suicide ethnology, Suicide Prevention
- Abstract
Purpose of Review: To provide an update on recent studies on suicide prevention in indigenous populations with a focus on recently colonised indigenous peoples in Canada, the United States, Australia and New Zealand., Recent Findings: There have been several recent reviews on suicide prevention in indigenous populations with high suicide rates. However most of them describe the problem and there is little new that is available on effective interventions. One randomized controlled trial of a package of measures focusing on cultural identity in Maori who had recently self-harmed compared to usual care found little effect on suicidal behavior but it did significantly reduce presentations to hospital for any reason after one year., Summary: The reasons for the limited evidence include a lack of ring fenced funding and a lack of research infrastructure; the problem of high rates of suicide but small numbers; and the difficulty in creating effective collaborations between researchers and communities. Potential solutions include identifying specific research funding; improving capacity in indigenous research; putting effort into accurate identification and recording of ethnicity; and thinking about the problem of suicide in recently colonised populations as a global problem to enable large scale high quality studies to take place.
- Published
- 2017
- Full Text
- View/download PDF
16. A 28-year-old military veteran with nightmares and insomnia.
- Author
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Crawford A
- Subjects
- Adult, Afghan Campaign 2001-, Canada, Humans, Male, Primary Health Care methods, Prognosis, Psychiatric Status Rating Scales, Referral and Consultation, Stress Disorders, Post-Traumatic diagnosis, Stress Disorders, Post-Traumatic therapy, Dreams psychology, Sleep Initiation and Maintenance Disorders etiology, Stress Disorders, Post-Traumatic complications, Veterans psychology
- Published
- 2014
- Full Text
- View/download PDF
17. The health of Canada's Aboriginal children: results from the First Nations and Inuit Regional Health Survey.
- Author
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MacMillan HL, Jamieson E, Walsh C, Boyle M, Crawford A, and MacMillan A
- Subjects
- Birth Weight, Breast Feeding ethnology, Canada ethnology, Child, Child, Preschool, Female, Humans, Infant, Infant, Newborn, Male, Health Status, Health Surveys, Indians, North American, Inuit
- Abstract
Objectives: Reports on child health in Canada often refer to the disproportionate burden of poor health experienced by Aboriginal children and youth, yet little national data are available. This paper describes the health of First Nations and Inuit children and youth based on the First Nations and Inuit Regional Health Survey (FNIRHS)., Study Design: The FNIRHS combines data from 9 regional surveys conducted in 1996-1997 in Aboriginal reserve communities in all provinces. The target population consisted of all on-reserve communities. All households or a random sample of households or adults (depending on province) were selected based on their population representation., Methods: One child was randomly selected from each participating household, except in Ontario and Nova Scotia, where children were randomly selected based upon their population representation. Alberta did not include the section on children's health in their regional survey., Results: Approximately 84% of adults, who were proxy respondents for their child, rated their children's health as very good or excellent. The most frequently reported conditions were ear problems (15%), followed by allergies (13%) and asthma (12%). Broken bones or fractures were the most frequently reported injuries (13%). Respondents reported that 17% of children had behavioural or emotional problems. Overall, 76% of children were reported to get along with the family "very well" or "quite well.", Conclusions: While most respondents rated their child's health as very good or excellent, injuries, emotional and behavioural problems, respiratory conditions and ear problems were reported among many Aboriginal children. Issues such as substance abuse, exposure to violence and academic performance were not addressed in the 10 core survey questions. Clearly there is a need for more in-depth information about both the physical and emotional health of Aboriginal children and youth.
- Published
- 2010
- Full Text
- View/download PDF
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