32 results
Search Results
2. "If You Can Just Break the Stigma Around It": LGBTQI+ Migrants' Experiences of Stigma and Mental Health.
- Author
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Haghiri-Vijeh, Roya and Clark, Nancy
- Subjects
SAFETY ,CULTURE ,IMMIGRANTS ,HEALTH services accessibility ,PSYCHOLOGY of LGBTQ+ people ,RESEARCH methodology ,DISCRIMINATION (Sociology) ,MENTAL health ,SOCIAL stigma ,INTERVIEWING ,FEAR ,QUALITATIVE research ,MENTAL illness - Abstract
Migrants, that is people who experience forced displacement or move based on being lesbian, gay, bisexual, trans, two-spirit, queer, and intersex (LGBTQI+), experience increased trauma and stigma when compared to heterosexual and cisgender people. The aim of this paper is to highlight LGBTQI+ migrants' experiences of health and social care encounters in Canada. Gadamerian hermeneutics and an intersectionality lens was used to understand LGBTQI+ migrants' experiences. A total of 16 semi-structured individual interviews were conducted with LGBTQI+ migrants. Themes of stigma and discrimination were identified as (1) "I never went back": Stigma as an exclusionary experience, (2) "Is [your country of birth] really that bad": Fear, safety, and cultural stigma, and (3) "The circle ... is not going to fix my life": LGBTQI+ migrants' call for affirming care. Results suggest that health and social care practices are stigmatizing and discriminatory which negatively impacts LGBTQI+ migrant mental health. Salient practices for promoting mental health included affirming LGBTQI+ identities and orientations through health and social care practices that are culturally safe as well as trauma and violence informed. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
3. Recovery and Severe Mental Illness: Description and Analysis.
- Author
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Drake, Robert E. and Whitley, Rob
- Subjects
MENTAL illness ,AUTONOMY (Psychology) ,SENSES ,MENTAL health - Abstract
Copyright of Canadian Journal of Psychiatry is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2014
- Full Text
- View/download PDF
4. Shared mental health care for a marginalized community in inner-city Canada.
- Author
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Kisely, Stephen and Chisholm, Pamela
- Subjects
MENTAL health ,MEDICAL care ,MENTAL illness ,PRIMARY care - Abstract
Objectives: This paper describes the experience and evaluation of a shared care project targeted at marginalized individuals living in the North End of Halifax, Nova Scotia. This population has high rates of psychiatric disorder, often comorbid with chronic medical conditions, and people have difficulty in obtaining the help they need. This primary care liaison service covers all ages and includes outreach to emergency shelters, transitional housing and drop-in centres. Collaborative care improved access, satisfaction and outcomes for marginalized individuals in urban settings. Primary care providers with access to the service reported greater comfort in dealing with mental health problems, and satisfaction with collaborative care, as well as mental health services in general. Results were significantly better than those of control practices when such data were available. The median wait time was 6 days in comparison with 39.5 days for the comparison site. Conclusions: This model can complement other initiatives to improve the health of marginalized populations, and may be relevant to Australia. [ABSTRACT FROM AUTHOR]
- Published
- 2009
- 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. 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
7. Complementary development of prevention and mental health promotion programs for Canadian children based on contemporary scientific paradigms.
- Author
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Breton, Jean-Jacques and Breton, J J
- Subjects
MENTAL health ,PSYCHIATRY ,MENTAL illness ,MENTAL illness prevention ,PSYCHIATRIC epidemiology ,ADOLESCENT psychiatry ,ATTRIBUTION (Social psychology) ,CHAOS theory ,CHILD development ,CHILD health services ,CHILD psychiatry ,HEALTH promotion ,LEARNING ,PREVENTIVE health services ,SCIENCE ,MEDICAL care for teenagers ,HUMAN services programs - Abstract
Confusion regarding definitions and standards of prevention and promotion programs is pervasive, as revealed by a review of such programs in Canada. This paper examines how a discussion of scientific paradigms can help clarify models of prevention and mental health promotion and proposes the complementary development of prevention and promotion programs. A paradigm shift in science contributed to the emergence of the transactional model, advocating multiple causes and dynamic transactions between the individual and the environment. Consequently, the view of prevention applying over a linear continuum and of single stressful events causing mental disorders may no longer be appropriate. It is the author's belief that the new science of chaos theory, which addresses processes involved in the development of systems, can be applied to child development and thus to the heart of prevention and promotion programs. Critical moments followed by transitions or near-chaotic behaviours lead to stable states better adapted to the environment. Prevention programs would focus on the critical moments and target groups at risk to reduce risk factors. Promotion programs would focus on stable states and target the general population to develop age-appropriate life skills. The concept of sensitive dependence on initial conditions and certain empirical studies suggest that the programs would have the greatest impact at the beginning of life. It is hoped that this effort to organize knowledge about conceptual models of prevention and mental health promotion programs will foster the development of these programs to meet the urgent needs of Canadian children. [ABSTRACT FROM AUTHOR]
- Published
- 1999
- Full Text
- View/download PDF
8. 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
- View/download PDF
9. The Lack of Adequate Scientific Evidence Regarding Physician-assisted Death for People with Psychiatric Disorders Is a Danger to Patients.
- Author
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Sinyor, Mark and Schaffer, Ayal
- Subjects
ASSISTED suicide ,EUTHANASIA ,PEOPLE with intellectual disabilities ,MENTAL health ,MENTAL illness treatment ,SUICIDE ,RESEARCH ,RESEARCH methodology ,EVALUATION research ,MEDICAL cooperation ,COMPARATIVE studies ,PHYSICIANS - Abstract
The article discusses research on the insufficient scientific evidence to prove that physician-assisted deaths of those with mental disorders is putting patients' safety at risk. It references to a study by S. van Veen and colleagues published in the 2020 issue of the "Canadian Journal of Psychiatry." It argues that among the reasons for lack of scientific data is the limited number of high quality accurate research that tackles irremediable and incurable health conditions.
- Published
- 2020
- Full Text
- View/download PDF
10. Educator Preparedness for Mental Health in Adolescents: Opportunities for School Nurse Leadership.
- Author
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Smith-Fromm, Tiffany and Evans-Agnew, Robin A.
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CONFIDENCE ,LEADERSHIP ,MENTAL health ,MENTAL illness ,NURSES ,PROFESSIONAL employee training ,PROFESSIONS ,SCHOOL health services ,SCHOOL nursing ,SOCIAL stigma ,TEACHERS ,OCCUPATIONAL roles - Abstract
One in five adolescents will experience a mental health event in their lifetime. If left untreated, depression, anxiety, attention-deficit/hyperactivity, and anorexia/bulimia can elevate the risk of dropping out of high school. As a key principle of 21st-century nursing practice, school nurses must provide leadership in educating school staff in identifying and responding to mental health issues in high school settings. This article describes the results of an online survey assessing secondary educators' knowledge of and experience with mental health issues in one school district. Resources are suggested to assist nurses in educating school staff, providing them with ways to decrease stigma in the classroom, and partnering with the community to improve services. [ABSTRACT FROM AUTHOR]
- Published
- 2017
- Full Text
- View/download PDF
11. Outcome Trajectories among Homeless Individuals with Mental Disorders in a Multisite Randomised Controlled Trial of Housing First.
- Author
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Adair, Carol E., Streiner, David L., Barnhart, Ryan, Kopp, Brianna, Veldhuizen, Scott, Patterson, Michelle, Aubry, Tim, Lavoie, Jennifer, Sareen, Jitender, LeBlanc, Stefanie Renée, and Goering, Paula
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HOMELESS persons ,MENTAL illness ,RANDOMIZED controlled trials ,LONGITUDINAL method ,HOUSING ,DATA analysis ,MENTAL health ,COMPARATIVE studies ,RESEARCH methodology ,MEDICAL cooperation ,REHABILITATION of people with mental illness ,HEALTH outcome assessment ,PUBLIC housing ,RESEARCH ,EVALUATION research ,STATISTICAL models - 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
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
- View/download PDF
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
- View/download PDF
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. Prevalence of Past-Year Mental Disorders in the Canadian Armed Forces, 2002-2013.
- Author
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Zamorski, Mark A., Bennett, Rachel E., Rusu, Corneliu, Weeks, Murray, Boulos, David, and Garber, Bryan G.
- Subjects
MENTAL health of military personnel ,CANADIAN military ,MENTAL illness ,MENTAL health surveys ,POST-traumatic stress disorder ,GENERALIZED anxiety disorder ,MENTAL depression ,COMORBIDITY ,MENTAL health ,MILITARY personnel ,SURVEYS ,ANXIETY disorders ,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
- 2016
- Full Text
- View/download PDF
16. Successful Application of a Canadian Mental Health Curriculum Resource by Usual Classroom Teachers in Significantly and Sustainably Improving Student Mental Health Literacy.
- Author
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Kutcher, Stan, Yifeng Wei, Morgan, Catherine, and Wei, Yifeng
- Subjects
MENTAL health of students ,HEALTH education ,CURRICULUM ,CLASSROOM environment ,SUSTAINABILITY ,COLLEGE teachers ,HEALTH attitudes ,MENTAL health ,MENTAL illness ,SCHOOLS ,INFORMATION literacy - 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
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17. Misattributions and Potential Consequences: The Case of Child Mental Health Problems and Fetal Alcohol Spectrum Disorders.
- Author
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McLennan, John D.
- Subjects
CHILD psychology ,MENTAL health ,FETAL alcohol syndrome ,ALCOHOL drinking risk factors ,PHYSICAL abuse ,NEURODEVELOPMENTAL treatment ,DISEASE risk factors ,PSYCHIATRIC diagnosis ,PSYCHIATRIC epidemiology ,MENTAL illness ,ATTRIBUTION (Social psychology) ,ATTENTION-deficit hyperactivity disorder ,MEDICAL protocols ,COMORBIDITY ,PSYCHOLOGY ,DIAGNOSIS - Abstract
The article focuses on consequences of child mental health and fetal alcohol spectrum disorder. Topics discussed include problem of prenatal alcohol exposure (PAE) associated with fetal alcohol syndrome, children referred to fetal alcohol spectrum disorders (FASD) clinics are found to have risk exposures in addition to PAE like physical abuse and exposure to parental substance use after birth, and requirement of evidence in alcohol-related neurodevelopmental disorder (ARND) diagnosis.
- Published
- 2015
- Full Text
- View/download PDF
18. Aboriginal mental health--moving forward.
- Author
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Chaimowitz, Gary and Chaimowitz, G
- Subjects
INDIGENOUS peoples ,MENTAL health ,STATISTICS on Native Americans ,MENTAL illness ,CULTURAL pluralism ,PSYCHIATRY - Abstract
Introduces a series of articles about aboriginal psychiatry and mental health in Canada.
- Published
- 2000
- Full Text
- View/download PDF
19. Trends in Newspaper Coverage of Mental Illness in Canada: 2005-2010.
- Author
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Whitley, Rob and Berry, Sarah
- Subjects
MENTAL illness ,PATHOLOGICAL psychology ,NEWSPAPERS ,RETROSPECTIVE studies ,MENTAL health ,HEALTH outcome assessment ,SCHIZOPHRENIA - 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
- 2013
- Full Text
- View/download PDF
20. Using qualitative research to inform mental health policy.
- Author
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Davidson, Larry, Ridgway, Priscilla, Kidd, Sean, Topor, Alain, and Borg, Marit
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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
- View/download PDF
21. Pathological gambling and the psychiatric emergency service.
- Author
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Chaput, Yves, Lebel, Marie-Josée, Labonté, Edith, Beaulieu, Lucie, Paradis, Michel, Lebel, Marie-Josée, and Labonté, Edith
- Subjects
COMPULSIVE gambling ,PSYCHIATRY ,MENTAL health ,TEACHING hospitals ,MENTAL illness ,PATHOLOGICAL psychology ,HEALTH ,GAMBLING & psychology ,MENTAL illness treatment ,COMPARATIVE studies ,RESEARCH methodology ,MEDICAL cooperation ,CLASSIFICATION of mental disorders ,EMERGENCY services in psychiatric hospitals ,RESEARCH ,EVALUATION research ,DISEASE incidence ,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
- View/download PDF
22. 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
23. Suicide and its prevention among older adults.
- Author
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Heisel, Marnin J.
- Subjects
SUICIDE prevention ,OLDER people ,SUICIDE victims ,MORTALITY ,MENTAL health ,SUICIDAL behavior ,MENTAL illness ,SOCIAL networks ,PUBLIC health ,OLDER men with mental illness ,PSYCHIATRIC epidemiology ,SUICIDE & psychology ,COMPARATIVE studies ,HEALTH status indicators ,RESEARCH methodology ,MEDICAL cooperation ,PSYCHOLOGY ,RESEARCH ,SYSTEMATIC reviews ,EVALUATION research ,MENTAL health services administration - Abstract
Objective: To review the research on the epidemiology, risk and resiliency, assessment, treatment, and prevention of late-life suicide.Method: I reviewed mortality statistics. I searched MEDLINE and PsycINFO databases for research on suicide risk and resiliency and for randomized controlled trials with suicidal outcomes. I also reviewed mental health outreach and suicide prevention initiatives.Results: Approximately 12/100,000 individuals aged 65 years or over die by suicide in Canada annually. Suicide is most prevalent among older white men; risk is associated with suicidal ideation or behaviour, mental illness, personality vulnerability, medical illness, losses and poor social supports, functional impairment, and low resiliency. Novel measures to assess late-life suicide features are under development. Few randomized treatment trials exist with at-risk older adults.Conclusions: Research is needed on risk and resiliency and clinical assessment and interventions for at-risk older adults. Collaborative outreach strategies might aid suicide prevention. [ABSTRACT FROM AUTHOR]- Published
- 2006
- Full Text
- View/download PDF
24. A Public Health Strategy to Improve the Mental Health of Canadian Children.
- Author
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Waddell, Charlotte, McEwan, Kimberly, Shepherd, Cody A., Offord, David R., and Hua, Josephine M.
- Subjects
CHILD psychology ,CHILD psychiatry ,CHILDREN'S health ,MENTAL health ,PUBLIC health ,MENTAL illness ,PSYCHOLOGICAL distress ,THERAPEUTICS ,EPIDEMIOLOGY ,HUMAN 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
- 2005
- Full Text
- View/download PDF
25. 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
- Full Text
- View/download PDF
26. 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
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. Canadian psychiatric inpatient religious commitment: an association with mental health.
- Author
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Baetz, Marilyn, Larson, David B, Marcoux, Gene, Bowen, Rudy, and Griffin, Ron
- Subjects
RELIGIOUSNESS ,MENTAL health ,PSYCHOTHERAPY patients ,MENTAL illness treatment ,PSYCHIATRIC epidemiology ,MENTAL illness ,ADAPTABILITY (Personality) ,COMPARATIVE studies ,RESEARCH methodology ,MEDICAL cooperation ,PROGNOSIS ,PSYCHIATRIC hospitals ,PSYCHOLOGICAL tests ,PSYCHOLOGY & religion ,RESEARCH ,SPIRITUALITY ,EVALUATION research ,TREATMENT effectiveness - Abstract
Background: Research indicates that religion may have a positive effect on coping and possibly enhance clinical outcomes. This study aims to determine the level of religious interest of psychiatric inpatients and to assess whether religious commitment has an impact on selected outcome variables.Methods: There were 88 consecutive adult patients (50% men) who were admitted to a Canadian tertiary care psychiatry inpatient unit and were interviewed about their religious beliefs and practices. Patients with a Beck Depression score of 12 or more were included for outcome analysis.Results: A total of 59% believed in a God who rewards and punishes, 27% had a high frequency of worship attendance, and 35% prayed once or more daily. More frequent worship attenders had less severe depressive symptoms, shorter current length of stay, higher satisfaction with life, and lower rates of current and lifetime alcohol abuse (P < 0.05), when compared with those with less frequent or no worship attendance. In contrast, private spirituality was associated with lower depressive symptoms and current alcohol use only (P < 0.05), and prayer frequency had no significant associations.Discussion: This study indicates that certain religious practices may protect against severity of symptoms, hospital use, and enhance life satisfaction among psychiatric inpatients. This is the first known Canadian study that examines religious commitment among psychiatric inpatients. [ABSTRACT FROM AUTHOR]- Published
- 2002
- Full Text
- View/download PDF
29. Using financial incentives to promote shared mental health care.
- Author
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Dewa, Carolyn S, Dewa, C S, Hoch, J S, and Goering, P
- Subjects
MENTAL health ,PRIMARY care ,PSYCHIATRISTS ,MENTAL illness ,MENTAL illness treatment ,HEALTH care teams ,NATIONAL health services ,PRIMARY health care ,COMPARATIVE studies ,COST effectiveness ,RESEARCH methodology ,MEDICAL care cost control ,MEDICAL cooperation ,RESEARCH ,USER charges ,CAPITATION fees (Medical care) ,EVALUATION research ,FEE for service (Medical fees) ,ECONOMICS - Abstract
Objectives: To consider the most common primary care reimbursement structures, to identify incentives inherent in each, and to discuss how each could be used to encourage a shared-care approach to treating mental disorders at the primary care level.Method: Three major financial reimbursement models--fee-for-service, capitation, and blended payment mechanisms--are examined. Each is considered in terms of its risk-sharing elements and the consequent incentives. We offer several scenarios to illustrate how the shared-care practice model might be encouraged under each financing mechanism.Results: The current fee-for-service system does not encourage shared care. For wide adoption of the shared-care practice model, there must be a change in the reimbursement system's incentives. While none of the financing mechanisms offers a perfect solution, each has potential. Each, however, must be carefully tailored to its environment.Conclusions: Financial considerations are just one aspect to achieving shared care. Nevertheless, in designing a system to encourage collaborative, coordinated care for those suffering from mental illness, decision makers should be wary of creating or maintaining obstacles (financial or otherwise) to provision of accessible, high-quality care. [ABSTRACT FROM AUTHOR]- Published
- 2001
- Full Text
- View/download PDF
30. Mental illness and violence: an epidemiological appraisal of the evidence.
- Author
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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
31. Nature of pathology: the character of danger implicit in functional impairment.
- Author
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Leighton, Alexander H., Murphy, Jane M., Leighton, A H, and Murphy, J M
- Subjects
PATHOLOGY ,MENTAL illness ,PSYCHIATRY ,MENTAL health ,BEHAVIORAL medicine ,MEDICAL sciences ,EPIDEMIOLOGY ,NEUROSCIENCES ,APPLIED psychology ,CLASSIFICATION of mental disorders ,PSYCHIATRIC diagnosis ,PSYCHIATRIC epidemiology ,FUNCTIONAL assessment ,MEDICAL screening ,SOCIAL adjustment ,DISEASE incidence ,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
- 1997
- Full Text
- View/download PDF
32. Psychiatric Epidemiology: It Is About Much More Than Prevalence.
- Author
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Patten, Scott B.
- Subjects
MENTAL health ,FETAL alcohol syndrome ,DRUG abuse ,PSYCHIATRIC epidemiology ,ATTRIBUTION (Social psychology) ,MENTAL depression ,EPIDEMIOLOGICAL research ,MENTAL illness ,SUBSTANCE abuse ,DISEASE prevalence - Abstract
An introduction is presented in which the editor discusses various reports within the issue on topics including mental health and mental illnesses related problems in Canadian, cause of fetal alcohol syndrome, and use of drugs in students.
- Published
- 2015
- Full Text
- View/download PDF
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