A Needs Assessment for Planning Mental Health and Justice Housing – 2019-11-04
For people with justice involvement and mental health or addictions issues, supportive housing can foster stable lives, better health, and reduced service use. But who sets priorities when needs are complex and multiple service systems are involved? CMHA Toronto and
Characteristics of health care related to mental health and substance use disorders among Community Health Centre clients in Ontario: a population-based cohort study [2020]
Background: Community Health Centre (CHC) client populations with a history of mental illness or substance use disorders, or both, are not described well in the literature. We identified CHC clients in Ontario with a history of health care related to
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
Clinical guideline for homeless and vulnerably housed people, and people with lived homelessness experience [2020-03]
KEY POINTS Clinical assessment and care of homeless and vulnerably housed populations should include tailoring approaches to a person’s gender, age, Indigenous heritage, ethnicity and history of trauma; and advocacy for comprehensive primary health care. As initial steps in the
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,
Combining online and offline peer support groups in community mental health care settings: a qualitative study of service users’ experiences [2020]
BackgroundPeer support for people with long-term mental health problems is central to recovery-oriented approaches in mental health care. Peer support has traditionally been conducted offline in face-to-face groups, while online groups on the Internet have increased rapidly. Offline and online
Community treatment orders and associations with readmission rates and duration of psychiatric hospital admission: a controlled electronic case register study [2019]
Objectives Limited evidence is available regarding the effect of community treatment orders (CTOs) on mortality and readmission to psychiatric hospital. We compared clinical outcomes between patients placed on CTOs to a control group of patients discharged to voluntary community mental
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
Compulsory treatment in patients’ homes in the Netherlands: what do mental health professionals think of this? [2020]
BackgroundCompulsory treatment in patients’ homes (CTH) will be introduced in the new Dutch mental health legislation. The aim of this study is to identify the opinions of mental health workers in the Netherlands on compulsory community treatment (CCT), and particularly
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
Coordination Networks among Local Human Service Organizations: Insights into Super-Connectors and Barriers [2020]
This article examines service coordination patterns across various service areas in Albany, the capital city of the New York State. Based on 42 in-person interviews with executive directors at various human service agencies, inter-organizational network was constructed and analyzed. The
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 – Webinar – 2015-02-26
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
COVID pandemic as an opportunity for improving mental health treatments of the homeless people [2020]
Background:Homeless population has been severely affected by the COVID-19 pandemic. Their living conditions, comorbidity with different pathologies and a greater frequency of mental disorders, make this population vulnerable. Method:We implemented a program of serial visits in a hostel for confined
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
Delivering Person-Centered Care in Community Mental Health Programs [2020]
The aim of this study was to examine the extent of and variation in person-centered care across programs within community mental health clinics. Service plans (N = 160) from programs within eight clinics were assessed for person-centered care planning using
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
Experiences with the implementation of Individual Placement and Support for people with severe mental illness: a qualitative study among stakeholders [2018]
BackgroundIndividual Placement and Support (IPS) is an evidence-based approach to help people with severe mental illness achieve competitive employment. This article provides insight into an organizational and a financial implementation strategy for IPS in the Netherlands by exploring the perceived
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.
Filling the gap: Mental health and psychosocial paramedicine programming in Ontario, Canada [2020]
Paramedics respond to acute medical and trauma emergencies in the community and transport patients to emergency departments (ED). In some cases, paramedics are not only attending calls for mental health and psychosocial care but are also connecting individuals with more
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
Helping people with psychosis to expand their social networks: the stakeholders’ views [2020]
BackgroundPeople with psychosis experience more social isolation than any other diagnostic group and have smaller social networks than the general population. This isolation can have a detrimental effect on quality of life. No direct, standardised interventions have been developed to
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.
Implementing mental health training programmes for non-mental health trained professionals: A qualitative synthesis [2018]
Introduction Given the prevalence of mental health problems globally, there is an increasing need for the police and other non-mental health trained professionals to identify and manage situations involving individuals with mental health problems. The review aimed to identify and
Improving Quality and Delivery of Mental Health and Addictions Services: Province Continues to Build Healthier Communities with the Creation of The Centre of Excellence [2019-02-19]
Ontario continues to make meaningful improvements to the province’s mental health and addictions system so that all Ontarians can easily access high-quality mental health and addictions services. Yesterday, with the proclamation of the Mental Health and Addictions Centre of Excellence Act,
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
Is It Safe? Community Integration for Individuals With Serious Mental Illnesses [2020]
Purpose:Community integration is a key component of recovery for individuals with serious mental illnesses (SMIs). The goal of the current study is to explore the nature and impact of safety concerns for experiences of communities for individuals with SMIs. Method:Using
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