28 results
Search Results
2. Understanding the Mental Health Perspectives and Experiences of Migrants to Canada.
- Author
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Davy, Brittany, Riosa, Priscilla Burnham, and Ghassemi, Effat
- Subjects
CULTURE ,WELL-being ,NOMADS ,MENTAL health ,INTERVIEWING ,SOCIAL stigma ,EXPERIENCE ,QUALITATIVE research ,STATISTICAL sampling ,THEMATIC analysis ,MENTAL health services ,PSYCHOLOGICAL stress - Abstract
Few researchers have explored Canadian migrants' experiences of mental health and service access. We interviewed 10 migrants to Canada from a local settlement organization about mental health and services and 5 organization staff about their experiences supporting migrants' mental health and service access. Our interviews with migrants revealed cultural perceptions of mental health and unmet service needs. Our focus group with staff indicated challenges experienced by migrants and the tension between their openness with mental health difficulties and stigmatization from their cultural communities. A call to restructure existing mental health support for this underserved population is needed. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
3. The National Trajectory Project of Individuals Found Not Criminally Responsible on Account of Mental Disorder in Canada. Part 1: Context and Methods.
- Author
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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
4. 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
5. The Canadian Community Health Survey: mental health and well-being.
- Author
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Gravel, Ronald, Béland, Yves, and Béland, Yves
- Subjects
HEALTH surveys ,PSYCHIATRIC epidemiology ,MENTAL health services ,MENTAL illness ,SOCIAL psychiatry ,PATHOLOGICAL psychology ,PUBLIC 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
- 2005
- Full Text
- View/download PDF
6. The Canadian contribution to violence risk assessment: history and implications for current psychiatric practice.
- Author
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Bloom, Hy, Webster, Christopher, Hucker, Stephen, and De Freitas, Karen
- Subjects
RISK assessment ,RISK management in business ,PSYCHIATRY ,MENTAL health ,VIOLENCE ,VIOLENCE & psychology ,ANTISOCIAL personality disorders ,FORENSIC psychiatry ,HISTORY ,MENTAL health services ,DIAGNOSIS ,THERAPEUTICS - Abstract
Over the past quarter-century, Canadian researchers, clinical practitioners, and policy specialists have made several notable contributions to the broad field of violence risk assessment and management. In part, these contributions have been fostered by major changes in law over this period; in part, they have been spurred by findings from large-scale Canadian prediction--outcome studies. This paper offers references for a range of Canadian-inspired assessment schemes designed to evaluate psychopathy and potential for violence against others. [ABSTRACT FROM AUTHOR]
- Published
- 2005
- Full Text
- View/download PDF
7. Australia needs a mental health commission.
- Author
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Rosen, Alan, McGorry, Patrick, Groom, Grace, Hickie, Ian, Gurr, Roger, Hocking, Barbara, Leggatt, Margaret, Deveson, Anne, Wilson, Keith, Holmes, Douglas, Miller, Vivienne, Dunbar, Lynne, and Stanley, Fiona
- Subjects
MENTAL health ,GOVERNMENTAL investigations ,HEALTH care reform ,MEDICAL care ,AWARENESS ,ASSOCIATIONS, institutions, etc. ,MEDICAL needs assessment ,MENTAL health services ,POLICY sciences ,MENTAL health services administration - Abstract
Objectives: The present paper aims to: (i) describe how the Mental Health Commission in New Zealand works and has contributed to the substantial enhancement of mental health resources and services; (ii) determine whether mental health reform policies will ever be implemented properly without an independent monitor with official influence at the highest levels of government; and (iii) demonstrate how variants on this model work in other Western countries and how it can be adapted to the Federated system in Australia.Conclusions: It is recommended that the Australian National Mental Health Plan 2003-2008 should be complemented by a long-standing national mental health commission (or similarly constituted body), which is also able to report independently from and to the government, with direct access to the Prime Minister, Premiers and Australian Health Ministers. Its aims would be to monitor service effectiveness and identify gaps in service provision, training and performance of the work force, management and government. It would be informed by consumer, carer and provider experience, and by reviews of evidence-based research regarding health needs and cost-effective services. It should accurately cost such service gaps, and advise government on a strategy for implementing them. It could also promote and advise formally on enhancing community awareness, decreasing stigma and discrimination and improving workforce recruitment and retention. [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. Psychiatric admissions of Asian Canadians to an adolescent inpatient unit.
- Author
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Roberts, Nasrcen, Crockford, David, Roberts, N, and Crockford, D
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PSYCHIATRIC diagnosis ,TEENAGERS ,ASIANS ,CANADIANS ,DEMOGRAPHIC surveys ,MENTAL health ,MENTAL health services ,PSYCHIATRY ,EMIGRATION & immigration ,ETHNIC groups ,ETHNOPSYCHOLOGY ,LENGTH of stay in hospitals ,HOSPITAL admission & discharge ,MEDICAL referrals ,MENTAL illness ,PATIENTS ,ETHNOLOGY research - 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
- 1997
- Full Text
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10. Trends in Involuntary Psychiatric Hospitalization in British Columbia: Descriptive Analysis of Population-Based Linked Administrative Data from 2008 to 2018.
- Author
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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
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11. 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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12. A Population-Based Study of Postpartum Mental Health Service Use by Immigrant Women in Ontario, Canada.
- Author
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Vigod, Simone, Sultana, Anjum, Kinwah Fung, Hussain-Shamsy, Neesha, Dennis, Cindy-Lee, and Fung, Kinwah
- Subjects
PERINATAL mood & anxiety disorders ,MENTAL illness ,MENTAL health services ,WOMEN immigrants ,MENTAL health ,MENTAL illness treatment ,PSYCHIATRIC epidemiology ,HOSPITAL care ,IMMIGRANTS ,PUERPERAL disorders ,THERAPEUTICS - 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
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13. Perceived Stigma among Recipients of Mental Health Care in the General Canadian Population.
- Author
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Patten, Scott B., Williams, Jeanne V. A., Lavorato, Dina H., Bulloch, Andrew G. M., Charbonneau, Manon, Gautam, Mamta, Moss, Pippa, Abbey, Susan, and Stuart, Heather
- Subjects
SOCIAL stigma ,PEOPLE with mental illness ,MENTAL health services ,SCALE analysis (Psychology) ,LOGISTIC regression analysis ,STATISTICAL bootstrapping ,ATTITUDE (Psychology) ,MENTAL illness treatment ,PSYCHIATRIC epidemiology ,MENTAL illness ,PREJUDICES - 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
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14. The 2013 Canadian Forces Mental Health Survey: Background and Methods.
- Author
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Zamorski, Mark A., Bennett, Rachel E., Boulos, David, Garber, Bryan G., Jetly, Rakesh, and Sareen, Jitender
- Subjects
MENTAL health surveys ,CANADIAN military ,MENTAL illness ,AFGHAN War, 2001-2021 ,PSYCHIATRIC research ,MENTAL health of military personnel ,EPIDEMIOLOGY ,MENTAL health services use ,MENTAL health ,MENTAL health services ,OCCUPATIONAL diseases ,MILITARY personnel ,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
- 2016
- Full Text
- View/download PDF
15. Major Depression in Canada: What Has Changed over the Past 10 Years?
- Author
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Patten, Scott B., Williams, Jeanne V. A., Lavorato, Dina H., Jian Li Wang, McDonald, Keltie, Bulloch, Andrew G. M., and Wang, Jian Li
- Subjects
MENTAL depression ,MENTAL health ,ANTIPSYCHOTIC agents ,MENTAL health services ,BENZODIAZEPINES ,THERAPEUTICS ,SURVEYS ,DISEASE prevalence ,CROSS-sectional method - 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
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16. Mental Health Service Use Among Children and Youth in Ontario: Population-Based Trends Over Time.
- Author
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Gandhi, Sima, Chiu, Maria, Lam, Kelvin, Cairney, John C., Guttmann, Astrid, and Kurdyak, Paul
- Subjects
MENTAL health services ,CHILD psychology ,MENTAL health ,YOUTH ,HOSPITAL care ,OUTPATIENT medical care ,HEALTH ,CHILD health services ,MEDICAL care research ,MEDICAL care for teenagers ,CROSS-sectional method - 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
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17. Regional and Individual Influences on Use of Mental Health Services in Canada.
- Author
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Diaz-Granados, Natalia, Georgiades, Katholiki, and Boyle, Michael H.
- Subjects
MENTAL health services ,MENTAL health ,WELL-being ,MENTAL depression ,REGRESSION analysis - 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
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18. Using qualitative research to inform mental health policy.
- Author
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Davidson, Larry, Ridgway, Priscilla, Kidd, Sean, Topor, Alain, and Borg, Marit
- Subjects
QUALITATIVE research ,MENTAL health ,PSYCHIATRY ,HEALTH policy ,PATHOLOGICAL psychology ,PUBLIC health ,MENTAL illness ,MENTAL health services ,MENTAL illness treatment ,MENTAL health service laws ,CONVALESCENCE ,MEDICAL research ,POLICY sciences ,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
- 2008
- Full Text
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19. 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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20. Mental health treatment seeking by military members with posttraumatic stress disorder: findings on rates, characteristics, and predictors from a nationally representative Canadian military sample.
- Author
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Fikretoglu, Deniz, Brunet, Alain, Guay, Stéphane, Pedlar, David, and Guay, Stéphane
- Subjects
MENTAL health ,MENTAL illness treatment ,HEALTH of military personnel ,POST-traumatic stress disorder ,HEALTH surveys ,TRAUMATIC neuroses ,MENTAL health personnel ,MENTAL depression ,TREATMENT of post-traumatic stress disorder ,COMPARATIVE studies ,RESEARCH methodology ,MEDICAL cooperation ,MEDICAL screening ,MENTAL health services ,PSYCHIATRY ,RESEARCH ,MILITARY personnel ,PSYCHOLOGY of military personnel ,SURVEYS ,EVALUATION research ,DISEASE prevalence ,PATIENTS' attitudes - 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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21. What are the policy implications of the evidence on cannabis and psychosis?
- Author
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Hall, Wyane, Degenhardt, Louise, Hall, Wayne, and Degenhardt, Louisa
- Subjects
CANNABIS (Genus) ,PSYCHOSES ,MENTAL health ,AMPHETAMINES ,DRUG abuse ,PUBLIC health ,PSYCHIATRY ,MARIJUANA ,DRUGS of abuse ,SMOKING laws ,SMOKING prevention ,SUBSTANCE abuse prevention ,SMOKING ,SUBSTANCE abuse ,GOVERNMENT policy - Abstract
Objective: To explore the implications for mental health services, for health education about the risks of cannabis use, and for public policy toward cannabis use of observational evidence that cannabis use is a contributory cause of psychosis.Method: Using comparative analyses of similar evidence for the harmful effects of alcohol, tobacco, and amphetamine use, we considered the relation between observational evidence and action on cannabis. We examined arguments on the grounds of public health prudence for discouraging cannabis use by young individuals. With the assumption that the relation may be causal, we considered recommendations for policy in mental health services, health education, and public policy toward cannabis.Results: The observational evidence and biological plausibility of the hypothesis that cannabis is a contributory cause of psychosis is at least as strong as evidence for causal relations between heavy alcohol and amphetamine use and psychosis. On public health grounds, there is a good case for discouraging cannabis use among adolescents and young adults. It remains uncertain how best to discourage use and at whom campaigns to reduce cannabis use should be targeted.Conclusions: We should discourage young adults seeking treatment in mental health services from using cannabis and inform them of the probable mental health risks of cannabis use, especially of early and frequent use. We must exercise caution in liberalizing cannabis laws in ways that may increase young individuals' access to cannabis, decrease their age of first use, or increase their frequency of cannabis use. We should consider the feasibility of reducing the availability of high-potency cannabis products. [ABSTRACT FROM AUTHOR]- Published
- 2006
- Full Text
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22. Status of first-episode psychosis patients presenting for routine care in a defined catchment area.
- Author
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Payne, Jennifer, Malla, Ashok, Norman, Ross, Windell, Deborah, Brown, Nicole, and Nicole, Brown
- Subjects
PSYCHOSES ,PEOPLE with mental illness ,SCHIZOPHRENIA ,PATHOLOGICAL psychology ,PSYCHIATRY ,CRITICAL care medicine ,MENTAL health services ,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
- 2006
- Full Text
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23. Service use for mental health reasons: cross-provincial differences in rates, determinants, and equity of access.
- Author
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Vasiliadis, Helen-Maria, Lesage, Alain, Adair, Carol, and Boyer, Richard
- Subjects
MENTAL health services ,HEALTH services accessibility ,MENTAL illness treatment ,HEALTH surveys ,MEDICAL care use ,MENTAL health ,PUBLIC 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
- 2005
- Full Text
- View/download PDF
24. Is the statistical association between sex and the use of services for mental health reasons confounded or modified by social anchorage?
- Author
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Drapeau, Aline, Lesage, Alain, and Boyer, Richard
- Subjects
MENTAL health services use ,GENDER role ,MENTAL health services ,HEALTH policy ,HEALTH surveys ,PUBLIC 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
- 2005
- Full Text
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25. Barriers to access to mental health services for ethnic seniors: the Toronto study.
- Author
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Sadavoy, Joel, Meier, Rosemary, Amoy Yuk Mui Ong, Rosemary, and Ong, Amoy Yuk Mui
- Subjects
MENTAL health services for older people ,MINORITY older people ,MENTAL health ,PATHOLOGICAL psychology ,PSYCHIATRY ,PSYCHOLOGY ,MENTAL illness treatment ,MEDICAL care for older people ,COMPARATIVE studies ,EMIGRATION & immigration ,FOCUS groups ,GERIATRIC psychiatry ,HEALTH care teams ,HEALTH services accessibility ,RESEARCH methodology ,MEDICAL needs assessment ,MEDICAL cooperation ,MEDICAL referrals ,MENTAL health services ,MENTAL illness ,RESEARCH ,CITY dwellers ,ASIANS ,EVALUATION research - Abstract
Objective: To identify and describe barriers to access to mental health services encountered by ethnoracial seniors.Method: A multiracial, multicultural, and multidisciplinary team including a community workgroup worked in partnership with seniors, families, and service providers in urban Toronto Chinese and Tamil communities to develop a broad, stratified sample of participants and to guide the study. This participatory, action-research project used qualitative methodology based on grounded theory to generate areas of inquiry. Each of 17 focus groups applied the same semistructured format and sequence of inquiry.Results: Key barriers to adequate care include inadequate numbers of trained and acceptable mental health workers, especially psychiatrists; limited awareness of mental disorders among all participants: limited understanding and capacity to negotiate the current system because of systemic barriers and lack of information; disturbance of family support structures; decline in individual self-worth; reliance on ethnospecific social agencies that are not designed or funded for formal mental health care; lack of services that combine ethnoracial, geriatric, and psychiatric care; inadequacy and unacceptability of interpreter services; reluctance of seniors and families to acknowledge mental health problems for fear of rejection and stigma; lack of appropriate professional responses; and inappropriate referral patterns.Conclusions: There is a clear need for more mental health workers from ethnic backgrounds, especially appropriately trained psychiatrists, and for upgrading the mental health service capacity of frontline agencies through training and core funding. Active community education programs are necessary to counter stigma and improve knowledge of mental disorders and available services. Mainstream services require acceptable and appropriate entry points. Mental health services need to be flexible enough to serve changing populations and to include services specific to ethnic groups, such as providing comprehensive care for seniors. [ABSTRACT FROM AUTHOR]- Published
- 2004
- Full Text
- View/download PDF
26. Implementing quality management in psychiatry: from theory to practice--shifting focus from process to outcome.
- Author
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McGrath, Brent M. and Tempier, Raymond P.
- Subjects
TOTAL quality management ,PSYCHIATRY ,PSYCHIATRISTS ,MENTAL health services ,HEALTH outcome assessment ,MENTAL health ,QUALITY of life ,FORECASTING ,HEALTH planning ,EVALUATION of medical care ,PATIENT satisfaction ,QUALITY assurance - Abstract
With the increasing emphasis on the satisfaction of patient-clients balanced by the need for cost-efficient treatment, quality management is an ever-increasing concern for mental health care providers. It is now apparent that psychiatrists must follow treatment progress and outcome to assess and improve the quality of the care they provide. Most quality measurement and management programs to date have been carried out in research settings using process measures; however, it is clear that the focus must shift from research to practice and from process to outcome measurements. We discuss the notion of quality and outcome management and propose a model for selecting outcome measures. This model suggests 5 dimensions that are commonly assessed in outcome management. We successfully implemented a computerized documentation and quality measurement system in a psychiatric outpatient setting. [ABSTRACT FROM AUTHOR]
- Published
- 2003
- Full Text
- View/download PDF
27. Are mental health services for children distributed according to needs?
- Author
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Blais, Régis, Breton, Jean-Jacques, Fournier, Mylène, St-Georges, Marie, Berthiaume, Claude, Blais, Régis, and Fournier, Mylène
- Subjects
CHILD mental health services ,CHILD psychology ,MENTAL health ,CHILD psychiatry ,MENTAL health services ,PSYCHIATRIC epidemiology ,MENTAL illness ,CHILD health services ,COMPARATIVE studies ,HEALTH planning ,HOSPITAL care ,RESEARCH methodology ,MEDICAL needs assessment ,MEDICAL care use ,MEDICAL cooperation ,REHABILITATION of people with mental illness ,RESEARCH ,EVALUATION research - Abstract
Objectives: The purpose of this study was twofold: 1) to determine whether publicly funded mental health services and resources available in 4 large regions in the province of Quebec were distributed according to the mental health needs of children aged 6 to 14 years and 2) to assess whether the variations in mental health services and resources across the 4 regions had changed over a 5-year period.Methods: Indicators of need according to the child's parent (presence of mental disorder, measure of adaptation, and perception of need for help) from an epidemiologic survey of 2400 noninstitutionalized children were compared with both in-school and community professional resources and with physician and hospital services in 1992-1993. Resource and service data were also collected for 1997-1998. Resource and service data came from professional colleges and government administrative databases.Results: No significant regional differences were found for need indicators, but there were large discrepancies in mental health resources and services in 1992-1993. Differences in professional resources were largest for special education teachers in the school system and for psychiatrists in the community. The regional differences in resources and services were as large in 1997-1998 as they were in 1992-1993.Conclusions: Despite universal health care in Quebec and a government mental health policy stressing equity of access, the available mental health resources for children aged 6 to 14 years are not distributed across regions according to needs. More evidence-based planning is required, specifically using epidemiologic survey data, to match resources to needs and to monitor changes over time. [ABSTRACT FROM AUTHOR]- Published
- 2003
- Full Text
- View/download PDF
28. Mental illness and violence: an epidemiological appraisal of the evidence.
- Author
-
Arboleda-Flórez, J. and Arboleda-Flórez, J
- Subjects
MENTAL illness ,MENTAL health ,PSYCHOSES ,VIOLENCE ,CRIMINALS ,PATHOLOGICAL psychology ,MENTAL health services ,DEINSTITUTIONALIZATION ,CAUSATION (Criminal law) ,PSYCHIATRIC epidemiology ,COMPARATIVE studies ,CRIME ,RESEARCH methodology ,MEDICAL cooperation ,RESEARCH ,COMORBIDITY ,EVALUATION research ,RELATIVE medical risk - 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
- 1998
- Full Text
- View/download PDF
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