‘Like a human being, I was an equal, I wasn’t just a patient’: Service users’ perspectives on their experiences of relationships with staff in mental health services [2019]
Objectives The quality of therapeutic relationships in psychiatric services has a significant impact upon the therapeutic outcomes for people diagnosed with a severe mental illness. As previous work has not explicitly explored service users’ in‐depth views about the emotional impact
‘The right thing to do’: Fostering social inclusion for mental health service users through acts of citizenship [2018]
The theoretical framework of citizenship is increasingly being used in mental health settings to inform practice. This exploratory qualitative study describes in more detail the acts of citizenship embedded in the everyday practices of mental health workers that promote the
A caseload management tool for community mental health teams [2017]
A caseload management tool was developed with the aim of creating a straightforward, unbiased way of assessing a clinician’s caseload for the community mental health teams (CMHTs) in Aneurin Bevan University Health Board. For the first time, the tool developed
A Comparison of Participants in Two Community-Based Programs: Assisted Outpatient Treatment and a Mental Health Court [2018]
Objective: Mental health courts and assisted outpatient treatment (AOT) are tools to help people with serious mental illness engage in treatment and avoid or reduce institutionalization. As both programs become increasingly prevalent, questions remain about whether people with severe mental
A Longitudinal Analysis of the Influence of a Peer Run Warm Line Phone Service on Psychiatric Recovery – 2018
This article focuses on the impact of a peer run warm line as part of the psychiatric recovery process. It utilized data including the Recovery Assessment Scale, community integration measures and crisis service usage. Longitudinal statistical analysis was completed on
A Path Analysis of Self-determination and Resiliency for Consumers Living with Mental Illness [2018]
Over the last three decades, resilience has become a key area in mental health research, practice and policy, due to its potential to positively impact on wellbeing and quality of life. Research findings have identified that resilience positively correlates with
A Recovery College in Canada: An Innovative Means of Supporting and Empowering Individuals with Severe Mental Illness – 2018
The Recovery College at Ontario Shores provides service users who have mental health challenges with courses, which they choose, to learn about recovery, mental health, treatment options, leisure, and fun. College components designed to enhance recovery also include peer support
A Systematic Review of Interventions to Improve Initiation of Mental Health Care Among Racial-Ethnic Minority Groups – 2018
Objective: The objective of this systematic review was to identify interventions to improve the initiation of mental health care among racial-ethnic minority groups. Methods: The authors searched three electronic databases in February 2016 and independently assessed eligibility of 2,065 titles
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
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
Association between social support and mental health conditions in treatment-seeking Veterans and Canadian Armed 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
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
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
Bridging the Gap Between Hospital and Community-Based Mental Health Services [2019]
Depression and anxiety affect a person’s ability to move from hospital to community and engage in valued occupations. The purpose of this study was to understand the effectiveness of an occupational therapist-led transitional service for people with mood and anxiety
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
Challenges and Opportunities for Ex-Offender Support Through Community Nursing [2018]
This study was a qualitative case study underpinned by “The Silences Framework” aimed at mapping the ex-offender health pathway towards identifying “touch points” in the community for the delivery of a nurse-led intervention. Participants meeting the study inclusion criteria were
Challenges and Opportunities for Ex-Offender Support Through Community Nursing [2018]
This study was a qualitative case study underpinned by “The Silences Framework” aimed at mapping the ex-offender health pathway towards identifying “touch points” in the community for the delivery of a nurse-led intervention. Participants meeting the study inclusion criteria were
Childhood trauma among adult clients in Canadian community mental health services: Toward a trauma-informed approach [2019]
The limited implementation of a trauma-informed approach in Canadian mental health care may partly reflect limited knowledge regarding the prevalence and/or impact of childhood trauma among service users. This study examined the prevalence of childhood maltreatment in a sample of
Coercion in Outpatients under Community Treatment Orders: A Matched Comparison Study – 2018
Objective: Since the deinstitutionalization of psychiatric services around the world, the scope of outpatient psychiatric care has also increased to better support treatment access and adherence. For those with serious mental illness who may lack insight into their own illness,
Community treatment orders in England: review of usage from national data – 2018
Aims and method Community treatment orders (CTOs) have been in used in England and Wales since November 2008; however, their effectiveness has been debated widely, as has the question of which methodology is appropriate to investigate them. This paper uses
Community treatment orders in England: review of usage from national data – 2018
Aims and method Community treatment orders (CTOs) have been in used in England and Wales since November 2008; however, their effectiveness has been debated widely, as has the question of which methodology is appropriate to investigate them. This paper uses
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
Community treatment orders: towards a new research agenda – 2018
Objectives: The aim of this study was to report on a half-day multi-stakeholder symposium on community treatment orders (CTOs) hosted by the Melbourne Social Equity Institute (MSEI), which identified research gaps and opportunities, and produced an agreed agenda for future
Complex Systems Approaches to Understand Drivers of Mental Health and Inform Mental Health Policy: A Systematic Review [2018]
We conducted a systematic review of studies employing complex systems approaches (i.e., agent based and system dynamics models) to understand drivers of mental health and inform mental health policy. We extracted key data (e.g., purpose, design, data) for each study
Continuity of care and clinical outcomes in the community for people with severe mental illness [2018]
Background High continuity of care is prized by users of mental health services and lauded in health policy. It is especially important in long-term conditions like schizophrenia. However, it is not routinely measured, and therefore not often evaluated when service
Coping strategies of caregivers towards aggressive behaviors of persons with severe mental illness [2018]
Highlights • We explored the relationship between aggressive behaviors and coping strategies used by caregivers of patients with severe mental illness. • Coping towards aggression in caregivers are maladaptive especially when encounter physical aggression and aggression directed towards property. • Coping skills training
Correlates of Treatment Retention Among Persons with Serious Mental Illness Receiving Integrated Care in a Community Mental Health Setting – 2018
Knowledge about methods to retain community mental health (CMH) clients in integrated primary and behavioral health care (PBHC) programs is needed to address longstanding health disparities. A preexisting data set that contained the clinical records of 446 PBHC program participants
Cost Analysis of a High Support Housing Initiative for Persons with Severe Mental Illness and Long-Term Psychiatric Hospitalization [2018]
Objective: The objective of this article was to conduct a cost analysis comparing the costs of a supportive housing intervention to inpatient care for clients with severe mental illness who were designated alternative-level care while inpatient at the Centre for
Court Outcomes Data Project
2015-02-26 Presented by Micheal Dunn, Sarah Gauthier, and Helene Philbin-Wilkinson Click here to watch the webinar Court Outcomes Data Project – 2015-02-26
Creating a Collaborative Approach to Seniors Issues in Rural Communities – 2015-11-18
Many communities are seeing an increase in senior related calls for service. This is true for police, hospitals, community health care providers and families. The issues surrounding seniors are multifaceted. In Durham region, we have recognized that a community partnership approach is
Criminal Thinking, Psychiatric Symptoms, and Recovery Attitudes Among Community Mental Health Patients: An Examination of Program Placement – 2017-10
Research suggests it is important to consider criminogenic needs among individuals with severe mental illness. This study aimed to determine the severity of criminal thinking in community-based clinical samples, understand the association between criminal thinking and psychiatric and criminal justice
Culturally Competent Commissioning; Meeting the Needs of Canada’s Diverse Communities: The Road Map to a Culturally Competent Mental Health System for All – 2018
Cultural competence has proven to be a very efficient tool in reducing healthcare disparities and improving healthcare experiences, compliance with therapy, and reducing incidents of misdiagnosis. This effect is because professionals are recognizing the value and significance of including the
Determinants of self-reported mental health and utilization of mental health services in Canada [2017]
Research evidence suggests that the prevalence of mental health conditions in Canada has increased while a considerable percentage of people with a mental health issue do not seek professional mental health services. Weighted logistic regression models were used to determine
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
Effectiveness of Community Treatment Order in Patients with a First Episode of Psychosis: A Mirror-Image Study [2018]
Objective: Poor adherence to antipsychotic medications is strongly associated with psychotic relapses and hospitalizations. This may hinder patients’ ability to function, particularly in a first episode of psychosis (FEP). Poor adherence to treatment may be due to poor insight that
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:
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:
Evaluating a peer support model of community wellbeing for mental health: A coproduction approach to evaluation [2019]
Background Political changes imposed on mental health service provision alongside an increased number of people living with mental health problems, requires innovative approaches to community based interventions. Undertaking peer support for those living with mental health and social care issues
Exploratory study of the use of community treatment orders with clients of an Ontario ACT team [2018]
Community Treatment Orders (CTOs) have raised questions about coercion, lack of autonomy, and effectiveness in reducing hospitalizations and improving service users’ quality of life. This study examined the experiences of clients and clinicians when CTOs are used in combination with
Exploratory study of the use of community treatment orders with clients of an Ontario ACT team [2018]
Community Treatment Orders (CTOs) have raised questions about coercion, lack of autonomy, and effectiveness in reducing hospitalizations and improving service users’ quality of life. This study examined the experiences of clients and clinicians when CTOs are used in combination with
Extending access to a web-based mental health intervention: who wants more, what happens to use over time, and is it helpful? Results of a concealed, randomized controlled extension study [2019]
Background Web-based mental health applications may be beneficial, but adoption is often low leaving optimal implementation and payment models unclear. This study examined which users were interested in extended access to a web-based application beyond an initial 3-month trial period
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
Factors Influencing Emerging Adults’ Use of Outpatient Mental Health Services [2018]
Rates of treatment utilization decline as adolescents make the transition to adulthood even though young adults are particularly vulnerable to the negative outcomes of untreated mental illness. Although a variety of factors have been explored to explain decreased treatment utilization
Family Support Groups for family members of mentally ill offenders: a pilot study [2018]
To date, there is a lack of family interventions for family members of persons with a mental illness who offended (PMIO). With the aim of addressing this issue, a Family Support Group (FSG) has been developed. The current pilot study
Family Support Groups for Family Members of Mentally Ill Offenders: Family Expectations and Experiences [2018]
Family Support Groups (FSGs) are developed for family members of mentally ill offenders. This study investigates family treatment expectations and experiences of an FSG. Family members were interviewed before (n = 20) and after (n = 17) attending an FSG.
Financial concerns and symptom distress among psychiatric outpatients [2018]
Purpose While epidemiological studies have linked economic hardship and financial difficulties with psychological distress and suicide, investigation of financial concerns among users of public mental health services has been limited. Moreover, empirical data regarding a relationship between financial difficulties and
Forensic Assertive Community Treatment in a Continuum of Care for Male Internees in Belgium: Results After 33 Months – 2018-01
Non-forensic or regular assertive community treatment (ACT) has positive effects on non-forensic outcomes but has poor effects on forensic outcome measures. In this study, we examined non-forensic and forensic outcome measures of a forensic adaptation of ACT (ForACT) within a
How clinicians make decisions about CTOs in ACT: a qualitative study [2018]
Background The first 12 Norwegian assertive community treatment (ACT) teams were piloted from 2009 to 2011. Of the 338 patients included during the teams’ first year of operation, 38% were subject to community treatment orders (CTOs). In Norway as in
Identification with arts‐based groups improves mental wellbeing in adults with chronic mental health conditions [2018]
People experiencing chronic mental health conditions (CMHC) often report feeling socially marginalised. There is emerging evidence that social and mental wellbeing can be enhanced through participation in arts‐based programmes. In this paper, a social identity theoretical approach was applied to
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.
