‘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
“I will never forget him”. A qualitative exploration of staff descriptions of helpful relationships in supportive housing [2020]
AbstractIntroductionIn the aftermath of the deinstitutionalisation in western countries, new community‐based mental health services have been established. An essential object of studies in this new institutional landscape has been helpful professional relationships, but we still lack knowledge about helpful relationships
“Service with open arms”: enhancing community healthcare experiences for individuals with a history of incarceration [2019]
BackgroundThe criminal justice-involved population has a higher disease burden than the general population and a high risk of death post-incarceration. However, this group underutilizes healthcare, especially preventive and primary care services. Sixteen in-person, semi-structured interviews were conducted with formerly incarcerated
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 comparative study of job satisfaction among nurses, psychologists/psychotherapists and social workers working in Quebec mental health teams [2017]
BackgroundThis study identified multiple socio-professional and team effectiveness variables, based on the Input-Mediator-Output-Input (IMOI) model, and tested their associations with job satisfaction for three categories of mental health professionals (nurses, psychologists/psychotherapists, and social workers). MethodsJob satisfaction was assessed with the
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 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
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
Adapting mental health services to the COVID-19 pandemic: reflections from professionals in four countries [2020]
The COVID-19 pandemic significantly changed the lives of a majority of the world’s population. People have been encouraged to implement social distancing behaviors enforced by governments, and have experienced loss of employment or changes to their usual working environment. In
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 Early Contact With Mental Health Services After an Offense and Reoffending in Individuals Diagnosed With Psychosis [2020]
Key PointsQuestion What is the association between early clinical contact with mental health services and reoffending after an index offense among individuals diagnosed with psychosis? Findings In this cohort study of 7030 offenders with psychosis, 2-year follow-up showed an association
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
Barriers and Facilitators to Accessing Mental Healthcare in Canada for Black Youth: A Scoping Review [2020]
There is evidence to suggest that Black children and youth in Canada face disproportionate challenges in accessing mental healthcare. Thus, the objective of this scoping review was to map current literature on the barriers and facilitators to care for Black
Barriers to Mental Health Care for Transgender and Gender-Nonconforming Adults: A Systematic Literature Review [2019]
Contemporary research suggests that transgender and gender-nonconforming (TGNC) adults encounter formidable barriers to health care, including access to quality therapeutic interventions. This systematic review is one of the first to specifically explore obstacles to TGNC mental health care. A rigorous
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
Blending Traditional Vocational Services and Individualized Placement and Support for Formerly Incarcerated Veterans [2020]
Objective:This study compared two vocational programs: the About Face Vocational Program (AFVP), a traditional group-based vocational program created for formerly incarcerated veterans, and a hybrid program combining the AFVP with principles of individual placement and support–supported employment. Methods:The study evaluated
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
Caring for a violent relative with severe mental illness: a qualitative study [2020]
Background:According to the literature reviewed, although families living with a mentally ill relative often face violence, this issue has been little studied in nursing. Methods:We conducted a qualitative research study to explore the experience of families dealing with this complex
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
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
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
