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
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
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
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
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
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
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
Likely impact of the UN Convention on disability on mental health services [2017]
Purpose of review After a large majority of UN member states ratified the Convention on the Rights of Persons with Disabilities (UNCRPD), this article aims to provide an overview of its implementation and possible effects in the area of mental
Lived Experience Narrative as Practice: Describing the Work of Community Mental Health Activists/Advocates [2020]
Objective: We interviewed 25 community mental health activists/advocates in Manitoba, Canada, in order to better understand and document their work. Research Design and Methods: The research project used two complementary methodologies: oral history and phenomenology. Participants were a convenience sample
Lived experience peer support programs for suicide prevention: a systematic scoping review [2020]
BackgroundPeer-led support models have gained increasing popularity in suicide prevention. While previous reviews show positive effects of peer-led support for people with mental health problems and those bereaved by suicide, little is known about the types of lived experience peer
Measuring Life Satisfaction among Psychiatric Patients: Measurement Invariance and Validity of the Satisfaction with Life Scale [2020]
The main aim of the present study was to evaluate the measurement invariance and the convergent validity of the Satisfaction with Life Scale (SWLS) across clinical and nonclinical samples. A total of 216 psychiatric patients (47.7% females; Mage = 44.56)
Mental Health Adult Pre-charge Diversion
When a person with mental health issues has committed a minor crime in Durham Region, the Adult Mental Health Pre-charge Diversion Program helps move them away from the justice system and into the healthcare system. This webinar will explain how
Mental Health Consultation Among Ontario’s Immigrant Populations [2018]
To determine the prevalence rates and characteristics of past-year mental health consultation for Ontario’s adult (18 + years old) immigrant populations. The Canadian Community Health Survey (CCHS) 2012 was used to calculate the prevalence rates of past-year mental health consultation by service
Mental Health Engagement and Response Team(MHEART) – Why Crisis Response should be Multi-Sectoral and Flexible – 2019-11-04
After years of program reorganization, and re-deployment of resources to meet the needs of individuals in mental health crisis; and coinciding with the creation of the Northumberland County Situation Table, the MHEART program was created. This workshop will share the
Mental Health Providers’ Attitudes About Criminal Justice–Involved Clients With Serious Mental Illness – 2018
Objective: Community mental health providers’ attitudes toward criminal justice–involved clients with serious mental illness were examined. Methods: A total of 627 Maryland psychiatric rehabilitation program providers responded to a survey (83% response rate). Measures assessed providers’ experience with, positive regard
Mental health support workers: Profession and professionalization – 2017-10
The mental health services in Aotearoa New Zealand, have changed significantly since the late 1990s. Community services have expanded, and the role of the mental health support worker has developed and grown to be a significant presence in the mental
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
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
My experiences of psychosis and what caused it; my experiences with mental health services and other things that helped or hindered my journey [2018]
This brief account is aimed at shedding some light on the cognitive processes involved with bringing about my psychosis, or put more simply – how I got ill. I have included as much description of my thought processes as is
Optimizing Collaboration between Hamilton Detention Centre & Mental Health Services Through the Use of CTO’s – 2015-11-17
In this session, we will discuss our experiences with community treatment orders (CTO’s), including the value and limitations of CTOs and barriers and challenges to using CTOs for mentally ill offenders. We will describe innovative justice-healthcare collaborations and the essential components that
Patient and befriender experiences of participating in a befriending programme for adults with psychosis: a qualitative study [2020]
BackgroundBefriending is a popular form of volunteering in healthcare, and research suggests that it can be beneficial for people with mental illness. This study aimed to explore the experiences of a large sample of volunteer befrienders and patients who participated
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
Peer-supported self-management for people discharged from a mental health crisis team: a randomised controlled trial [2018]
Background High resource expenditure on acute care is a challenge for mental health services aiming to focus on supporting recovery, and relapse after an acute crisis episode is common. Some evidence supports self-management interventions to prevent such relapses, but their
Perceived barriers to accessing mental health services for rural and small city Cape Breton youth [2020]
Given that few youth with mental health service needs actually seek help, understanding their perceptions of barriers is important. We examined principal individual, community, and systemic barriers to help-seeking, and compared barriers by population density (rural/small city), gender, age, and
Perceptions of professional role in community mental health nurses: The interplay of power relations between nurses and mentally ill individuals [2018]
Highlights• This qualitative study highlights the perceptions of CMHNs of their status within professional role. • Non-power relations between participants and patients, along with efficacy, control and adequate clinical autonomy for effective professional practice were highlighted as major prerequisites during house calls.
Physician-based availability of psychotherapy in Ontario: a population-based retrospective cohort study [2020]
Background: Psychotherapy is recommended as a first-line treatment for the management of common psychiatric disorders. The objective of this study was to evaluate the availability of publicly funded psychotherapy provided by physicians in Ontario by describing primary care physicians (PCPs)
Policies and procedures for patient transfers from community clinics to emergency departments under the mental health act: Review and policy scan [2020]
ObjectiveThe objective of this commentary is to summarize the few findings from the scientific literature pertaining to humane mental health transfer practices in the province of Ontario as well as the broader Canadian and international context. These findings are juxtaposed
Postdischarge service utilisation and outcomes among Chinese and South Asian psychiatric inpatients in Ontario, Canada: a population-based cohort study – 2018
Objective: We sought to examine the short-term and long-term impacts of psychiatric hospitalisations among patients of Chinese and South Asian origin. Design: Retrospective population-based cohort study using linked health administrative data. Setting: We examined all adult psychiatric inpatients discharged between
Predictors in use of mental health resources: The role of behaviour problems in patients with severe mental illness [2017]
Background: In recent years, more variables are being included in the use of mental health resource prediction models. Some studies have shown that how well the patient can function is important for this prediction. However, the relevance of a variable
Primary care reform and funding equity for mental health disorders in Ontario: a retrospective observational population-based study [2020]
Background: Mental health disorders are associated with high morbidity and reduced life expectancy, and are largely managed in primary care. We sought to assess the equity of distribution of new alternative payment models and teams introduced under primary care reform
Protecting Yourself From Violent Patients [2018]
The very nature of a therapeutic relationship lends itself to a close, emotional bond between therapist and patient. But, what happens when that bond leads to a release of negative emotions or a physically violent reaction from a patient? According
Public Expenditures for Mental Health Services in Canadian Provinces – 2017-12-11
Objective: The purpose of this study is to measure provincial spending for mental health services in fiscal year (FY) 2013 and to compare these cost estimates to those of FY 2003. Methods: This study estimated the costs of publicly funded
Quality of life among people with psychiatric disabilities attending community‐based day centres or Clubhouses [2018]
Background People with psychiatric disability have been found to have a poorer quality of life (QOL) compared to the general population, and QOL is an important outcome from psychosocial rehabilitation. Aims This study aimed at comparing users of two approaches
Quality of life and social functioning of former long-stay psychiatric patients transferred into the community: a 10 year follow up study [2018]
Purpose Deinstitutionalisation in Ireland began following the impetus of the successful transfer of psychiatric patients into the community in other countries. This study sought to evaluate the quality of life (QoL) and social functioning (SF) of former long-stay institutionalised patients
Quality Standards for Care of Persons with Schizophrenia Over 18 in the Community in Ontario [2018]
This quality standard addresses care for adults aged 18 years and older with a diagnosis of schizophrenia. The quality standard focuses on care provided in the community, including primary care, hospital outpatient care, rehabilitation, care in correctional facilities, and community
Recovery-oriented social work practice in mental health and addictions: a scoping review protocol [2020]
Introduction Social work is a key profession in the field of mental health worldwide and the profession has values that are aligned with a recovery paradigm. However, there are gaps in understanding how social workers are applying the recovery paradigm
Reintegration Centre Inception and Development – Mobilizing the Community – 2015-11-17
The Reintegration Centre locates various service providers under one roof to address the reintegration needs of releases. In this pioneering model, it is expected that enhanced service continuity for men immediately upon discharge will increase community safety, reduce likelihood of recidivism and
Research watch: is social inclusion for service users increased when mental health professionals “come out” as service users? [2017]
Purpose This paper discusses two recent studies of mental health professionals who have experience of mental distress, one in the USA and one in Australia. The purpose of this paper is to highlight different experiences, first of largely concealing their
Resilience, mental health and Assertive Community Treatment [2017]
Clinicians try to promote resilience by building an effective therapeutic relationship with their clients. Assertive Community Treatment (ACT) is an established approach for providing services to individuals with severe mental illness who have not fared well in the regular mental
Rural Assertive Community Treatment and Telepsychiatry [2018]
Assertive community treatment (ACT) is an evidence-based treatment for patients with severe and persistent mental illness. ACT has been shown to reduce inpatient hospitalization and is increasingly being used as a mainstay of evidence-based psychiatric practice for these clinical populations.
Seeking to understand lived experiences of personal recovery in personality disorder in community and forensic settings – a qualitative methods investigation [2017]
BackgroundUnderstandings of personal recovery have emerged as an alternative framework to traditional ideas of clinical progression, or symptom remission, in clinical practice. Most research in this field has focussed on the experience of individuals suffering with psychotic disorders and little
Serving a community sentence with a mental health treatment requirement: Offenders’ perspectives [2018]
Background Safe alternatives to custody for offenders with mental disorder are vital, not least as self‐harm, and violence rates are rising among them in prisons. In England and Wales, the Criminal Justice Act 2003 allows a mental health treatment requirement
Single-session therapy in outpatient mental health services: Examining the effect on mental health symptoms and functioning – 2018
Single-session therapy is being implemented in a number of mental health settings to increase the accessibility and efficiency of services, despite limited evidence supporting its utility. This study evaluated a new single-session therapy program offered to adults at an outpatient
