34 results
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2. Collaborative Mental Health Care: Where We Have Been, Where We Are Now, and Where We Should Be Going.
- Author
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Gillis, Katharine A.
- Subjects
MENTAL health ,BEST practices ,MEDICAL care ,PUBLIC health - Abstract
The article presents the author's views on collaborative mental health care. It refers to the position paper titled "The Evolution of Collaborative Mental Health Care in Canada: A Shared Vision for the Future," which gives a vision for future in collaborative care. The author says that the paper provides clinical translational knowledge that can be used as best practices.
- Published
- 2011
- Full Text
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3. A Narrative Review of Recent Developments in Knowledge Translation and Implications for Mental Health Care Providers.
- Author
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Goldner, Elliot M., Jenkins, Emily K., and Fischer, Benedikt
- Subjects
KNOWLEDGE transfer ,MEDICAL care ,MENTAL health ,MEDICAL personnel ,MEDICAL databases - 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
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4. Challenges and Opportunities in Measuring the Quality of Mental Health Care.
- Author
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Kilbourne, Amy M., Keyser, Donna, and Pincus, Harold Alan
- Subjects
MENTAL health ,MEDICAL care ,SUBSTANCE abuse ,MEDICAL informatics ,MEDICAL records - 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
- 2010
- Full Text
- View/download PDF
5. The relevance of qualitative research for clinical programs in psychiatry.
- Author
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Goering, Paula, Boydell, Katherine M., and Pignatiello, Antonio
- Subjects
QUALITATIVE research ,PSYCHIATRY ,MENTAL health ,HEALTH policy ,PATHOLOGICAL psychology ,MENTAL illness ,MEDICAL research ,DECISION making ,MEDICAL care ,COMPARATIVE studies ,DIFFUSION of innovations ,INTERNATIONAL relations ,INTERPROFESSIONAL relations ,RESEARCH methodology ,MEDICAL cooperation ,RESEARCH ,EVALUATION research ,HUMAN services programs ,MENTAL health services administration - 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
- 2008
- Full Text
- View/download PDF
6. Understanding Immigrants' Reluctance to Use Mental Health Services: A Qualitative Study From Montreal.
- Author
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Whitley, Rob, Kirmayer, Laurence J., and Groleau, Danielle
- Subjects
MENTAL health services ,SERVICES for immigrants ,MEDICAL care ,PSYCHOLOGICAL distress ,MENTAL health ,SOCIAL factors ,HEALTH services administration ,SOCIAL services - 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
- 2006
- Full Text
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7. Why Are Community Treatment Orders Controversial?
- Author
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Richard O'Reilly
- Subjects
COMMUNITY health services ,MEDICAL care ,THERAPEUTICS ,SOCIAL policy ,MENTAL health ,PUBLIC welfare - Abstract
The use of community treatment orders and other forms of mandatory outpatient treatment has been controversial. The debate on the appropriateness of compulsory treatment in the community addresses a volatile mix of clinical, social policy, legal, and philosophical issues. This paper describes the major sources of contention, outlines the position of the protagonists, and where possible, attempts to answer some of the questions raised and identify common ground. [ABSTRACT FROM AUTHOR]
- Published
- 2004
- Full Text
- View/download PDF
8. Major depression and mental health care utilization in Canada: 1994 to 2000.
- Author
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Patten, Scott B. and Beck, Cynthia
- Subjects
MENTAL health ,MENTAL depression ,STATISTICS ,NUMERICAL analysis ,MENTAL health services ,HEALTH surveys ,MEDICAL care ,THERAPEUTICS ,COMPARATIVE studies ,LONGITUDINAL method ,RESEARCH methodology ,MEDICAL cooperation ,RESEARCH ,SOCIAL support ,EVALUATION research - Abstract
Background: Major depression makes an important contribution to disease burden in Canada. In principle, the burden of major depression can be reduced by the provision of treatment within the health care system. In a previous data analysis, the National Population Health Survey (NPHS) reported an increase in antidepressant (AD) use between 1994 and 1998. In this paper, the analysis is extended to 2000, and additional aspects of health care utilization are described.Methods: The NPHS provides a unique source of longitudinal data concerning major depression and its treatment in Canada. In this survey, probable cases of major depression were identified using a brief predictive instrument; health care utilization was evaluated using additional survey items; and the latest data release from Statistics Canada (that is, 2000) was used to make weighted estimates of the frequency of health care utilization in relation to major depression status.Results: The use of ADs has continued to escalate. These increases have been largest in men and in persons aged under 35 years. There has been an increase in polypharmacy: in 2000, almost 9% of persons taking an AD reported taking more than 1 AD medication-a tripling since 1994. The frequency of consultations with alternative practitioners has also grown. Although the overall proportion of persons with major depression who report consulting with health professionals about their mental health has not increased, the number of persons with major depressive disorder reporting 6 or more visits to nurses, social workers, and psychologists may have.Conclusion: The provision of AD treatment continues to expand in Canada. This probably represents a changing pattern of practice, because the frequency of professional consultation has not increased. More detailed data are required to evaluate the extent to which treatment needs are being met. [ABSTRACT FROM AUTHOR]- Published
- 2004
- Full Text
- View/download PDF
9. Care Pathways, Health Service Use Patterns and Opportunities for Justice Involvement Prevention Among Forensic Mental Health Clients.
- Author
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Leclair, Marichelle C., Charette, Yanick, Caulet, Malijaï, and Crocker, Anne G.
- Subjects
FORENSIC nursing ,MEDICAL care use ,MENTAL health services ,MEDICAL care ,MENTAL health ,MENTAL representation - 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
10. Cannabis and psychosis put in perspective.
- Author
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Mattick, Richard P. and McLaren, Jennifer
- Subjects
CANNABIS (Genus) ,PSYCHOSES ,PSYCHIATRY ,DRUGS of abuse ,MENTAL health ,MARIJUANA ,DRUG abuse ,PUBLIC health ,MEDICAL care ,SUBSTANCE abuse - Abstract
The article presents an overview of the research papers that were published in the August 2006 issue of the "Canadian Journal of Psychiatry." An insightful and accessible overview of the literature on the relation between cannabis use and psychosis is provided. Important cannabis-related harms that include the prevalence of cannabis dependence in the community is discussed.
- Published
- 2006
- Full Text
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11. Filling Gaps in Psychiatric Education: Skills in Administrative Psychiatry and Knowledge of Mental Health Systems, Services, and Policy.
- Author
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Somers, Julian M., Goldner, Elliot M., Lesage, Alain D., Fleisher, William P., and Leverette, John S.
- Subjects
RESEARCH ,CLINICAL competence ,PSYCHIATRISTS ,MEDICAL care ,PATIENTS ,MENTAL health - Abstract
Focuses on the research determining the clinical skills of various psychiatrists in Canada. Assessment on the quality of medical services; Awareness on the needs of the patients; Creation of several mental health programs.
- Published
- 2004
12. Les soins médicaux de jeunes hommes et de jeunes femmes qui décèdent par suicide.
- Author
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Rhodes, Anne E., Boyle, Michael H., Bridge, Jeffrey A., Sinyor, Mark, Katz, Laurence Y., Bennett, Kathryn, Newton, Amanda S., Links, Paul S., Tonmyr, Lil, Skinner, Robin, Cheung, Amy, Bethell, Jennifer, and Carlisle, Corine
- Subjects
MEDICAL care ,SUICIDE ,SUICIDAL behavior in youth ,LOGISTIC regression analysis ,MENTAL health - Abstract
Objective: Prior year medical care was compared among youth dying by suicide to their peers. Effect modification of these associations by age or place of residency (rural versus larger community sizes) was examined in a large, medically insured population.Method: This population-based case control study used data from the Office of the Chief Coroner in Ontario, Canada, linked to health care administrative data to examine associations between medical care for mental health or other reasons (versus no medical care) and suicide. Decedents ( n = 1203 males and n = 454 females) were youth (aged 10 to 25 years) who died by suicide in Ontario between April 2003 and March 2014, inclusive. Peers of the same ages were frequency matched to decedents on sex and place of residency. Logistic regression was used to calculate odds ratios and 95% confidence intervals and to test effect modification.Results: Associations with mental health care were stronger in decedents than peers with a gradation of care (i.e., outpatient only, emergency department [ED], inpatient care) in both sexes. However, these associations were weaker among youth living in rural communities. Furthermore, older males (aged 18 to 25 years) were less likely than younger males (aged 10 to 17 years) to access the ED (ambulatory care only). This decrease was observed in rural and larger communities alongside no increase in medical care for other reasons.Conclusions: Geographical and age-related barriers to mental health care exist for youth who die by suicide. Preventive efforts can address these barriers, intervening early and integrating services, including the ED. [ABSTRACT FROM AUTHOR]- Published
- 2018
- Full Text
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13. Mental Health Status, Health Care Utilisation, and Service Satisfaction among Immigrants in Montreal: An Epidemiological Comparison.
- Author
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Whitley, Rob, JiaWei Wang, Fleury, Marie-Josee, Aihua Liu, Caron, Jean, Wang, JiaWei, and Liu, Aihua
- Subjects
MENTAL health services ,IMMIGRANTS ,HEALTH facilities utilization ,HEALTH equity ,PATIENT satisfaction ,MENTAL health ,PSYCHIATRIC epidemiology ,COMPARATIVE studies ,PSYCHOLOGY of immigrants ,LONGITUDINAL method ,RESEARCH methodology ,MEDICAL care ,MEDICAL cooperation ,RESEARCH ,RESEARCH funding ,EVALUATION research ,DISEASE prevalence - 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
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14. Opening Minds in Canada: Targeting Change.
- Author
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Stuart, Heather, Shu-Ping Chen, Christie, Romle, Dobson, Keith, Kirsh, Bonnie, Knaak, Stephanie, Koller, Michelle, Krupa, Terry, Lauria-Horner, Blanca, Luong, Dorothy, Modglll, Geeta, Patten, Scott B., Pletrus, Mike, Szeto, Andrew, and Whitley, Rob
- Subjects
SOCIAL conditions of people with mental illness ,SOCIAL stigma ,HEALTH programs ,COMMUNITY development ,MENTAL health ,MEDICAL care ,MENTAL health education ,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
15. Characteristics of Older Adults Hospitalized in Acute Psychiatric Units in Ontario: A Population-Based Study.
- Author
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Seitz, Dallas P., Vigod, Simone N., Lin, Elizabeth, Gruneir, Andrea, Newman, Alice, Anderson, Geoff, Rapoport, Mark J., Rochon, Paula, Blumberger, Daniel M., and Herrmann, Nathan
- Subjects
MENTAL health services ,MENTAL illness ,DEMOGRAPHIC surveys ,DIAGNOSIS ,COGNITION ,MENTAL depression ,MEDICAL 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
- 2012
- Full Text
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16. Measuring Quality of Mental Health Care: A Review of Initiatives and Programs in Selected Countries.
- Author
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Spaeth-Rublee, Brigitta, Pincu, Harold Alan, and Phuong Trang Huynh
- Subjects
MENTAL health ,GREY literature ,MEDICAL care ,HEALTH policy ,PATHOLOGICAL psychology - 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
- 2010
17. Three-Year Outcome of Treatment in an Early Psychosis Program.
- Author
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Addington, Jean and Addington, Donald
- Subjects
MENTAL illness treatment ,PSYCHOSES ,MENTAL health ,QUANTITATIVE research ,MEDICAL care ,FAMILY medicine ,SOCIAL skills - 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
- 2009
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18. Prevalence and profile of people with co-occurring mental and substance use disorders within a comprehensive mental health system.
- Author
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Rush, Brian and Koegl, Christopher J.
- Subjects
PEOPLE with intellectual disabilities ,SUBSTANCE abuse ,MENTAL health ,PUBLIC health ,PERSONALITY disorders ,INPATIENT care ,RURAL population ,HEALTH education ,DIAGNOSIS of alcoholism ,PSYCHIATRIC diagnosis ,PERSONALITY disorder diagnosis ,PSYCHIATRIC epidemiology ,DIAGNOSIS of schizophrenia ,SUBSTANCE abuse diagnosis ,AFFECTIVE disorders ,ALCOHOLISM ,OUTPATIENT medical care ,COMPARATIVE studies ,DUAL diagnosis ,HOSPITAL admission & discharge ,RESEARCH methodology ,MEDICAL care ,MEDICAL cooperation ,PATIENTS ,RESEARCH ,SCHIZOPHRENIA ,SURVEYS ,COMORBIDITY ,EVALUATION research ,ANXIETY disorders ,CROSS-sectional method ,DIAGNOSIS - Abstract
Objective: To examine the prevalence and profile of people with co-occurring mental and substance use disorders in relation to numerous demographic, diagnostic, and needs-related variables across a comprehensive system of mental health services using a standard methodology.Method: Data were collected on cases (n = 9839) sampled from specialty tertiary inpatient, specialty outpatient, and community-based mental health programs. Status with respect to co-occurring disorders was based on recorded diagnosis of substance use disorder and the substance abuse measure within the Colorado Client Assessment Record. The demographic and needs profile was compared across groups with or without co-occurring disorders within each level of care.Results: Overall, the prevalence of co-occurring disorders was 18.5%, and highest among clients receiving specialty tertiary inpatient care (28%), and within selected subpopulations such as younger adults (55%) and those with personality disorders (34%). There were few differences between groups based on co-occurring disorders in the specialty inpatient programs. For outpatient and community settings, the clients with co-occurring disorders were distinguished by a more impaired and complex needs profile and more likely to be young, single, male, and of low education. Across all levels of care, having a co-occurring disorder was strongly associated with antisocial and challenging behaviour, legal involvement, and risk of suicide or self-harm.Conclusion: The prevalence estimate of co-occurring disorders is likely representative of a multilevel system of care that serves a large, mixed urban and rural population. Results highlight the need to focus on specific subpopulations and sectors in pursuit of more integrated treatment and support for their mental health and addictions problems. [ABSTRACT FROM AUTHOR]- Published
- 2008
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19. Organizational change to transfer knowledge and improve quality and outcomes of care for patients with severe mental illness: a systematic overview of reviews.
- Author
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Franx, Gerdien, Kroon, Hans, Grimshaw, Jeremy, Drake, Robert, Grol, Richard, and Wensing, Michel
- Subjects
ORGANIZATIONAL change ,ORGANIZATIONAL learning ,ORGANIZATIONAL structure ,CHANGE management ,MENTAL illness ,PATHOLOGICAL psychology ,MENTAL health ,MEDICAL care ,KNOWLEDGE transfer ,COMMUNITIES of practice - 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
- 2008
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20. Expenditures on mental health and addictions for Canadian provinces in 2003 and 2004.
- Author
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Jacobs, Philip, Yim, Rita, Ohinmaa, Arto, Eng, Ken, Dewa, Carolyn S, Bland, Roger, Block, Ray, and Slomp, Mel
- Subjects
MEDICAL care costs ,MENTAL health ,HOSPITAL & community ,COMMUNITY health services ,PATHOLOGICAL psychology ,MEDICAL care ,HEALTH education ,PUBLIC finance ,CANADIAN provinces - 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
- 2008
- Full Text
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21. Knowledge Transfer and Improvement of Primary and Ambulatory Care for Patients With Anxiety.
- Author
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Smolders, Mirrian, Laurant, Miranda, Roberge, Pasquale, van Balkom, Anton, van Rijswijk, Eric, Bower, Peter, and Grol, Richard
- Subjects
PSYCHOLOGICAL stress ,ANXIETY disorders ,ANXIETY ,PRIMARY care ,OUTPATIENT medical care ,MENTAL health ,PATHOLOGICAL psychology ,MEDICAL care ,KNOWLEDGE transfer ,COMMUNITIES of practice ,PATIENTS - 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
- 2008
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22. Lifestyle characteristics of psychiatric outpatients.
- Author
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Chuang, Henry T., Mansell, Craig, and Patten, Scott B.
- Subjects
MENTAL health ,HEALTH facilities ,MEDICAL care ,PUBLIC health ,SCHIZOPHRENIA ,BODY weight ,EXERCISE ,PHYSICAL education ,HEALTH behavior - 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
- 2008
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23. Epidemiology of chronic pain with psychological comorbidity: prevalence, risk, course, and prognosis.
- Author
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Tunks, Eldon R., Crook, Joan, and Weir, Robin
- Subjects
CHRONIC pain ,CHRONIC diseases ,EPIDEMIOLOGY ,ETIOLOGY of diseases ,PUBLIC health ,DISEASES ,MENTAL health ,EPIDEMICS ,MEDICAL 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
- 2008
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24. Measuring schizophrenia remission in clinical practice.
- Author
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Alonso, Jordi, Ciudad, Antonio, Casado, Alfonso, and Gilaberte, Inmaculada
- Subjects
SCHIZOPHRENIA ,PSYCHOSES ,GENETIC disorders ,MEDICAL research ,MEDICAL care ,MENTAL illness ,MEDICAL practice ,LONGITUDINAL method ,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
- 2008
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25. Psychiatric Advance Directives and the Right to Refuse Treatment in Canada.
- Author
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Ambrosini, Daniel L. and Crocker, Anne G.
- Subjects
PSYCHIATRY ,ADVANCE directives (Medical care) ,MENTAL health services ,MENTAL health laws ,PATIENT refusal of treatment ,MENTAL illness ,MENTAL health ,MEDICAL 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
- 2007
- Full Text
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26. An international perspective on worker mental health problems: who bears the burden and how are costs addressed?
- Author
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Dewa, Carolyn S., McDaid, David, and Ettner, Susan L.
- Subjects
MENTAL health ,EMPLOYEES ,MENTAL illness ,MENTAL health facilities ,MEDICAL care costs ,MEDICAL care ,STAKEHOLDERS ,WORK environment ,EMPLOYERS - 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
- 2007
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27. Impact of a specialized early intervention service for psychotic disorders on patient characteristics, service use, and hospital costs in a defined catchment area.
- Author
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Goldberg, Karen, Norman, Ross, Hoch, Jeff, Schmitz, Norbert, Windell, Deborah, Brown, Nicole, Malla, Ashok, and Hoch, Jeffrey S
- Subjects
MENTAL health services ,PSYCHOSES ,PATHOLOGICAL psychology ,NEUROLOGY ,MENTAL health ,HEALTH service areas ,HEALTH planning ,MEDICAL care costs ,MEDICAL care ,HOSPITAL care ,COMPARATIVE studies ,RESEARCH methodology ,MEDICAL cooperation ,RESEARCH ,EVALUATION research ,DIAGNOSIS ,ECONOMICS - 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
- 2006
- Full Text
- View/download PDF
28. Daycare attendance, stress, and mental health.
- Author
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Geoffroy, Marie-Claude, Côté, Sylvana M., Parent, Sophie, Sé:guin, Jean Richard, Côté, Sylvana M, and Séguin, Jean Richard
- Subjects
MENTAL health ,PATHOLOGICAL psychology ,PSYCHIATRY ,TEMPERAMENT ,HYDROCORTISONE ,PUBLIC health ,MEDICAL care ,OLD age ,CHILD care services ,MENTAL illness prevention ,PSYCHIATRIC epidemiology ,CHILD care ,COMPARATIVE studies ,RESEARCH methodology ,MEDICAL cooperation ,RESEARCH ,SALIVA ,PSYCHOLOGICAL stress ,EVALUATION research ,CROSS-sectional method - Abstract
Objective: Daycare stress can be indexed by cortisol, and elevated levels of cortisol have been implicated in the onset and development of mental health disorders. Our objective was to quantify the associations between daycare and cortisol and to identify individual and environmental conditions under which daycare attendance is associated with cortisol concentrations.Methods: We used Cohen effect size statistics to quantify these associations and to compare them across 11 published studies that were identified with MEDLINE and PsycINFO.Results: Cortisol levels increased during the daycare day, whereas they decreased when children stayed at home. The mean effect size was d = 0.72. The magnitude of the daycare-stress relation seemed to vary under 3 specific conditions. First, the effect size was larger for children in low-quality daycare (d = 1.15), whereas there was essentially little or no effect for children in high-quality daycare (d = 0.10). Second, the effect size was larger for preschoolers (aged 39 to 59 months) (d = 1.17) than for infants (aged 3 to 16 months) (d = 0.11) or school-aged children (aged 84 to 106 months) (d = 0.09). Third, children with difficult temperaments in daycare were more likely to exhibit a rising pattern of cortisol, compared with children who were not difficult.Conclusions: Our review suggests that daycare attendance in relatively low-quality daycare conditions and for children with difficult temperaments may result in atypical cortisol elevation. Although the link between atypical cortisol elevation and mental health requires further study, programs aimed at improving the quality of daycare services during the preschool years are expected to lead to better physiological adaptation to daycare and to reduce the risks of mental health problems. [ABSTRACT FROM AUTHOR]- Published
- 2006
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29. The Lay Concept of Conduct Disorder: Do Nonprofessionals Use Syndromal Symptoms or Internal Dysfunction to Distinguish Disorder From Delinquency?
- Author
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Wakefield, Jerome C., Kirk, Stuart A., Pottick, Kathleen J., Hsieh, Derek K., and Xin Tian
- Subjects
CONDUCT disorders in adolescence ,PREVENTION of juvenile delinquency ,BEHAVIOR disorders in adolescence ,MENTAL illness ,MENTAL health ,MEDICAL care ,BEHAVIOR modification ,SOCIAL services ,COMMUNITY health services - 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
- 2006
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30. First-episode psychosis, early intervention, and outcome: what have we learned?
- Author
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Malla, Ashok K., Norman, Ross M. G., and Joober, Ridha
- Subjects
PSYCHOSES ,PATHOLOGICAL psychology ,SYMPTOMS ,DISEASE relapse ,MENTAL health ,HEALTH policy ,COST effectiveness ,MEDICAL care ,THERAPEUTICS ,PSYCHIATRIC treatment ,COGNITIVE therapy ,ELECTROENCEPHALOGRAPHY ,QUALITY of life ,VOCATIONAL rehabilitation ,TREATMENT effectiveness ,DISEASE remission ,PSYCHOLOGICAL factors ,DIAGNOSIS - 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
- 2005
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31. Community treatment orders: profile of a Canadian experience.
- Author
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O'Brien, Ann-Marie A. and Farrell, Susan J.
- Subjects
COMMUNITY health services ,PSYCHOTHERAPY patients ,MEDICAL care ,PSYCHIATRY ,MENTAL health ,MENTAL illness ,MENTAL illness treatment ,INVOLUNTARY hospitalization -- Law & legislation ,COMMUNITY mental health services ,COMMUNITY mental health service administration ,HOSPITAL care ,REHABILITATION of people with mental illness ,HEALTH outcome assessment ,PATIENT compliance ,PSYCHIATRIC hospitals - Abstract
Objective: This study reports the first published Canadian profile of a sample of psychiatric patients from the Royal Ottawa Hospital in Ottawa, Ontario, who were issued community treatment orders (CTOs).Method: We undertook a population study of sociodemographic and health care use patterns from January 2001 to September 2003, using a standardized information collection tool.Results: The issuance of CTOs was associated with a statistically significant reduction in the number and length of hospital admissions and increased use of supportive community-based services and supportive housing.Conclusion: CTOs are effective tools for allowing patients to live in the least restrictive setting possible while they receive diverse services. They also effectively reduce rates and lengths of readmission to hospital. [ABSTRACT FROM AUTHOR]- Published
- 2005
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32. Continuity of Care in Mental Health Services: Toward Clarifying the Construct.
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Joyce, Anthony S., Wild, T. Cameron, Adair, Carol E., McDougall, Gerald M., Gordon, Alan, Costigan, Norman, Beckie, Anora, Kowalsky, Laura, Pasmeny, Gloria, and Barnes, Fran
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MENTAL health services ,MENTAL illness ,MENTAL health ,CONTINUUM of care ,MEDICAL care ,PUBLIC health - Abstract
Objective: To clarify "continuity of care" (COC), a construct associated with the delivery of services for persons suffering from severe and persistent mental illness (SPMI), with attention to the service recipient's perception of COC. Method: The study involved a systematic appraisal of the literature on COC, supplemented by interviews with 36 SPMI patients and their families. Statements highlighting attributes of COC were extracted from both sources. Results: Comments by patients and families corresponded to descriptions of COC in the mental health literature. Attribute classifications by independent teams of judges showed good consistency. The following 4 attribute domains of the COC construct were identified: service delivery, accessibility, relationship base, and individualized care. Conclusions: Service recipients' perceptions of COC overlapped with representations of the construct in the mental health literature. The qualitative inquiry resulted in a draft, 47-item, self-report questionnaire for use in studies of interventions designed to facilitate COC. [ABSTRACT FROM AUTHOR]
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- 2004
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33. Sharing psychiatric care with primary care physicians: the Toronto Doctors Hospital experience (1991-1995).
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Turner, Ty, de Sorkin, Alicia, Turner, T, and de Sorkin, A
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PRIMARY care ,PSYCHIATRY ,MENTAL health ,PATHOLOGICAL psychology ,MENTAL health services ,MEDICAL care ,PHYSICIANS ,PATIENTS ,HOSPITALS - Abstract
Objectives: To investigate the shared mental health care experience of the psychiatry department of a small urban general hospital, which serves an ethnoculturally diverse population.Methods: A chart survey was undertaken of all patients referred by community physicians to a new shared care program between January 1991 and December 1995. Selected demographic and diagnostic characteristics were collected and analyzed.Results: Seven hundred and thirteen patients were assessed. They were principally female, ethnoculturally varied, and highly comorbid. The most striking association involved mood and substance-related disorders.Conclusion: The Doctors Hospital experience shows that the shared care approach can reach large numbers of patients through a multiplier effect. Additionally, this approach has the potential to enhance access for ethnoculturally varied and diagnostically complex groups. [ABSTRACT FROM AUTHOR]- Published
- 1997
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34. Mental health practices of Ontario family physicians: a study using qualitative methodology.
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Craven, M. A., Cohen, M., Campbell, D., Williams, J., Kates, Nick, and Kates, N
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MENTAL health ,PHYSICIANS ,MEDICAL care ,FAMILY medicine ,PRIMARY care ,PATIENTS ,GENERAL practitioners ,PUBLIC health ,PSYCHIATRY ,PSYCHIATRIC diagnosis ,MENTAL illness treatment ,ATTITUDE (Psychology) ,FOCUS groups ,HEALTH services accessibility ,INTERPROFESSIONAL relations ,MEDICAL appointments ,MEDICAL personnel ,PRIMARY health care ,PROFESSIONAL practice ,SOCIAL services case management ,MENTAL health services administration ,STANDARDS ,PSYCHOLOGY - Abstract
Objective: To obtain descriptions of how family physicians detect and manage mental health problems commonly encountered in their practices and how they function in their role as mental health care providers. Also, to elicit their perceptions of barriers to the delivery of optimal mental health care.Method: Focus groups with standardized questions were used to elicit descriptive data, opinions, attitudes, and terminology. Convenience samples of 10 to 12 physicians were chosen in each of Ontario's 7 health care planning regions, with a mixture of rural, urban, and university settings. Discussions were audiotaped, transcribed, analyzed, and recurring themes were extracted.Results: Family physicians' descriptions of the range of problems commonly encountered and their detection and management highlight the unique nature of mental health care in the primary care setting. The realities of family medicine, the undifferentiated nature of presenting problems, the long-term physician-patient relationship, and the frequent overlap of physical and mental health problems dictate an approach to diagnosis and treatment that differs from mental health care delivery in other settings. Difficulties in the relationship with local psychiatric services--accessing psychiatric care (especially for emergencies), poor communication with mental health care providers, and cumbersome intake procedures of many mental health services--were consistently identified as barriers to the delivery of optimal mental health care.Conclusions: This study confirms the importance of the family physician in the detection and management of mental health problems. It offers insights into how family physicians function in their role as mental health care providers and how they deal with diagnostic and management challenges that are specific to primary care. It also identifies barriers to the optimal delivery of mental health care in the primary care setting, including difficulties at the clinical interface between psychiatry and family medicine. Further studies are needed to explore these issues in greater depth. [ABSTRACT FROM AUTHOR]- Published
- 1997
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