11 results
Search Results
2. 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
- View/download PDF
3. 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
4. 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
5. 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
- View/download PDF
6. 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
- View/download PDF
7. 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
- View/download PDF
8. 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
- View/download PDF
9. 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
10. Continuity of Care in Mental Health Services: Toward Clarifying the Construct.
- Author
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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
- Subjects
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]
- Published
- 2004
- Full Text
- View/download PDF
11. Sharing psychiatric care with primary care physicians: the Toronto Doctors Hospital experience (1991-1995).
- Author
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Turner, Ty, de Sorkin, Alicia, Turner, T, and de Sorkin, A
- Subjects
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
- Full Text
- View/download PDF
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