Influence of military component and deployment-related experiences on mental disorders among Canadian military personnel who deployed to Afghanistan: a cross-sectional survey – 2018

Objective The primary objective was to explore differences in mental health problems (MHP) between serving Canadian Armed Forces (CAF) components (Regular Force (RegF); Reserve Force (ResF)) with an Afghanistan deployment and to assess the contribution of both component and deployment experiences to MHP using covariate-adjusted prevalence difference estimates. Additionally, mental

Motivational Interviewing–Based Compliance/Adherence Therapy Interventions to Improve Psychiatric Symptoms of People With Severe Mental Illness: Meta-Analysis – 2018

BACKGROUND: Nonadherence is the leading cause of relapse in mental illness. No quantitative synthesis of multiple studies has been conducted to determine the effect of motivational interviewing (MI)–based compliance/adherence therapy (CAT) interventions on people with severe mental illness. OBJECTIVE: To synthesize the studies that examined the effectiveness of MI-based CAT

Implementing a Violence Risk Screening Protocol in a Civil Psychiatric Setting: Preliminary Results and Clinical Policy Implications

Comprehensive violence risk assessment can require substantial time and resources, which may be challenging for an already strapped public mental health system. Herein, we describe a naturalistic study of the Fordham Risk Screening Tool (“FRST”), a violence risk screening instrument designed to quickly identify individuals for whom thorough violence risk

Ethnic Differences in Mental Health Status and Service Utilization: A Population-Based Study in Ontario, Canada – 2018

Background: The purpose of this study was to compare the prevalence of self-reported mental health factors, mental health service use, and unmet needs across the 4 largest ethnic groups in Ontario, Canada: white, South Asian, Chinese, and black groups. Methods: The study population was derived from the Canadian Community Health

The associations between psychotic experiences and substance use and substance use disorders: findings from the World Health Organization World Mental Health surveys – 2018

Background and aims Prior research has found bidirectional associations between psychotic experiences (PEs) and selected substance use disorders. We aimed to extend this research by examining the bidirectional association between PEs and various types of substance use (SU) and substance use disorders (SUDs), and the influence of antecedent mental disorders

Ethical challenges when using coercion in mental healthcare: A systematic literature review – 2016

Background: To better understand the kinds of ethical challenges that emerge when using coercion in mental healthcare, and the importance of these ethical challenges, this article presents a systematic review of scientific literature. Methods: A systematic search in the databases MEDLINE, PsychInfo, Cinahl, Sociological Abstracts and Web of Knowledge was

Geographic Clustering of Admissions to Inpatient Psychiatry among Adults with Cognitive Disorders in Ontario, Canada: Does Distance to Hospital Matter? – 2018

Objective: This study examined relationships among hospital accessibility, socio-economic context, and geographic clustering of inpatient psychiatry admissions for adults with cognitive disorders in Ontario, Canada. Method: A retrospective cross-sectional analysis was conducted using admissions data from 71 hospitals with inpatient psychiatry beds in Ontario, Canada between 2011 and 2014. Data

Involuntary hospitalization, stigma stress and suicidality: a longitudinal study – 2018

People with severe mental illness and a history of involuntary hospitalization may experience stigma-related stress and suffer negative consequences as a result. However, the long-term impact of stigma stress on suicidality in this population remains unknown. This longitudinal study therefore examined stigma stress, self-stigma, self-esteem and suicidal ideation among 186

Inequities in Mental Health and Mental Health Care: A Review and Future Directions – 2018

Disparities and inequities in mental health and mental health care have been a persistent and unremitting issue despite concerted efforts on multiple fronts to address the problem. The enduring nature of these differences compels us to evaluate factors that led to our present state, new evidence, and novel strategies to

Fear and blame in mental health nurses’ accounts of restrictive practices: Implications for the elimination of seclusion and restraint – 2018

Restrictive practices continue to be used in mental health care despite increasing recognition of their harms and an international effort to reduce and ultimately eliminate their use. The aim of this qualitative study was to explore mental health nurses’ views of the potential elimination of these practices. Nine focus groups

Level of Personality Functioning Scale–Brief Form 2.0: Utility in Capturing Personality Problems in Psychiatric Outpatients and Incarcerated Addicts – 2018

This study examined the utility of the Level of Personality Functioning Scale–Brief Form 2.0 (LPFS–BF 2.0) in measuring features corresponding to self–other impairment of personality functioning as defined in the new general diagnostic guidelines for Personality Disorder in DSM-5 Section III and ICD-11. A mixed clinical sample (N = 228)

Evaluating psychiatric readmissions in the emergency department of a large public hospital – 2018

Introduction: Hospital emergency departments (EDs) around the country are being challenged by an ever-increasing volume of patients seeking psychiatric services. This manuscript describes a study performed to identify internal and external factors contributing to repeated psychiatric patient admissions to the hospital main ED. Methods: Data from ED visits of patients

Systematic review of qualitative evaluations of reentry programs addressing problematic drug use and mental health disorders amongst people transitioning from prison to communities – 2018

Background The paper presents a systematic review and metasynthesis of findings from qualitative evaluations of community reentry programs. The programs sought to engage recently released adult prison inmates with either problematic drug use or a mental health disorder. Methods Seven biomedical and social science databases, Cinahl, Pubmed, Scopus, Proquest, Medline,

Involuntary psychiatric admissions have increased significantly in Ontario: study – News Release – Institute for Clinical Evaluative Sciences – 2018-02-22

Involuntary psychiatric hospital admissions have increased steadily from 70.7 per cent of all psychiatric admissions in 2009 to 77.1 per cent in 2013. In a new study from the Institute for Clinical Evaluative Sciences (ICES) and the Centre for Addiction and Mental Health (CAMH), researchers found nearly three-quarters of all

The Normative Nature of Aggressive Intrusive Thinking Among an Underserved Incarcerated Population Compared With a Student Sample – 2018

Aggressive intrusive thoughts (AITs) are unwanted and repetitive thoughts, impulses, or desires that enter into consciousness involuntarily. The current study compared the frequency of and distress from AITs in a sample of inmates jailed for violent crimes (n = 78) versus college students (n = 103; that is, participant status).

Use of personal electronic devices by psychiatric inpatients: benefits, risks and attitudes of patients and staff – 2018

Objectives: The study aimed to evaluate the attitudes of patients and staff in relation to the potential benefits and risks of allowing psychiatric inpatients controlled access to personal electronic devices (PEDs), and to document a snapshot audit of practice within the mental health inpatient units of New South Wales, Australia.