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

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

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)

Assessing care-giving demands, resources and costs of family/friend caregivers for persons with mental health disorders: A scoping review – 2018

As mental health (MH) care has shifted from institutional settings to the community, families and friends are responsible for providing the majority of the care at home. The substantial literature on the adverse effects experienced by caregivers has focused mainly on psychological morbidity. Less attention has been paid to how

Community treatment orders increase community care and delay readmission while in force: Results from a large population-based study – 2018

Objective: There is debate about the effectiveness of community treatment orders in the management of people with a severe mental illness. While some case–control studies suggest community treatment orders reduce hospital readmissions, three randomised controlled trials find no effects. These randomised controlled trials measure outcomes over a longer period than

Beyond Circles of Support: “Fearless”—An Open Peer-to-Peer Mutual Support Group for Sex Offense Registrants and Their Family Members – 2018

The term sex offender carries expectations that include a continuous level of sexual criminal risk and untreatable mental health conditions that govern sex offending behaviors. These role expectations by the public can socially isolate individuals who have been convicted of a crime and the people who love them. This is

Association between social support and mental health conditions in treatment-seeking Veterans and Canadian Forces personnel – 2018

Introduction: Despite limited research on the topic, it has been observed that military members face unique challenges with social support. Methods: The current study used data provided by treatment-seeking Veterans and Canadian Armed Forces (CAF) members (N=666) to: (1) determine whether symptomatology of post-traumatic stress disorder (PTSD), depression (MDD), anxiety,

Do Investments in Mental Health Systems Result in Greater Use of Mental Health Services? National Trends in Mental Health Service Use (MHSU) in the Canadian Military and Comparable Canadian Civilians, 2002-2013 – 2018-02

Background: Mental disorders constitute a significant public health problem worldwide. Ensuring that those who need mental health services access them in an appropriate and timely manner is thus an important public health priority. We used data from 4 cross-sectional, nationally representative population health surveys that employed nearly identical methods to

Mobilizing Community Health Workers to Address Mental Health Disparities for Underserved Populations: A Systematic Review – 2018-03

This systematic review evaluates efforts to date to involve community health workers (CHWs) in delivering evidence-based mental health interventions to underserved communities in the United States and in low- and middle-income countries. Forty-three articles (39 trials) were reviewed to characterize the background characteristics of CHW, their role in intervention delivery,

Adolescent and Young Adult Male Mental Health: Transforming System Failures Into Proactive Models of Engagement – 2018-03

Adolescent and young adult men do poorly on indicators of mental health evidenced by elevated rates of suicide, conduct disorder, substance use, and interpersonal violence relative to their female peers. Data on global health burden clearly demonstrate that young men have a markedly distinct health risk profile from young women,

Factors associated with the use of social workers for assistance with lifetime and 12-month behavioral health disorders – 2018-02

This study examined the use of social workers for assistance with a behavioral health disorder. Data were from the Collaborative Psychiatric Epidemiology Surveys. The analytic sample included respondents who reported using professional services for assistance with a behavioral health disorder during their lifetime (n = 5,585). Logistic regression was used

Implementing Illness Management and Recovery Within Assertive Community Treatment: A Pilot Trial of Feasibility and Effectiveness – 2018-02

Objective: In a pilot feasibility and effectiveness study, illness management and recovery (IMR), a curriculum-based program to help people with serious mental illness pursue personal recovery goals, was integrated into assertive community treatment (ACT) to improve participants’ recovery and functioning. Methods: A small-scale cluster randomized controlled design was used to

Vocational rehabilitation for veterans with felony histories and mental illness: 12-month outcomes – 2018-02

Lack of employment is an important barrier to successful reintegration encountered by those released from prison with mental illnesses and/or substance use disorders. This study compares 3 different vocational reintegration modalities for a veteran population: (a) basic services; (b) self-study using the About Face Vocational Manual; and (c) the About

Misrepresenting community treatment orders – 2018

Objectives: To explore a contradiction between evidence suggesting community treatment order (CTO) ineffectiveness and clinical experience. Conclusions: The literature pertaining to CTOs actually provides an evidence base for both positions. The headline that three randomised controlled trials and subsequent meta-analyses fail to demonstrate significant differences between groups reflects selection bias.

Patient satisfaction with mental health services based on Andersen’s Behavioral Model – 2017

Objective: The purpose of this article was to assess the satisfaction of adult patients who received mental health services (MHS) in healthcare networks staffed by multidisciplinary professionals and offering a range of MHS, and to identify variables associated with patient satisfaction. Methods: This cross-sectional study included 325 patients with mental

Building flexibility and managing complexity in community mental health: lessons learned in a large urban centre – 2018

Background Across many jurisdictions, adults with complex mental health and social needs face challenges accessing appropriate supports due to system fragmentation and strict eligibility criteria of existing services. To support this underserviced population, Toronto’s local health authority launched two novel community mental health models in 2014, inspired by Flexible Assertive