Changing Directions, Changing Lives: The Mental Health Strategy for Canada

Bartram, Mary; Chodos, Howard

doi:10.7870/cjcmh-2013-001

Cited by 45 publications

(24 citation statements)

References 56 publications

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“…1 Gaining a comprehensive understanding of the patterns of mental health service use by different parts of the population is crucial for improving access to services and providing equitable care.…”

Section: Limitationsmentioning

confidence: 99%

Pathways to First-Episode Care for Psychosis in African-, Caribbean-, and European-Origin Groups in Ontario

et al. 2015

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Objective: To compare the pathways to care and duration of untreated psychosis (DUP) for people of Black-African, Black-Caribbean, or White-European origin with first-episode psychosis (FEP). Methods:We recruited a sample of 171 patients with FEP of Black-African, Black-Caribbean, and White-European origin from hospital-and community-based early intervention services (EIS) in the cities of Toronto and Hamilton. We compared the 3 groups on DUP and key indicators of the pathway to care. Results:We observed differences in pathways to care across the 3 groups. Black-Caribbean participants had an increased odds of referral from an inpatient unit to EIS (OR 3.33; 95% CI 1.46 to 7.60) and a decreased odds of general practitioner involvement on the pathway to care (OR 0.17; 95% CI 0.07 to 0.46), as well as fewer total contacts (exp[β] 0.77; 95% CI 0.60 to 0.99) when compared with White-European participants. Black-African participants had an increased odds of contact with the emergency department at first contact (OR 3.78; 95% CI 1.31 to 10.92). The differences in the DUP between groups were not statistically significant. Conclusions:Our findings suggest that there are significant differences in the pathways to EIS for psychosis for people of African and Caribbean origin in our Canadian context. It is essential to gain a comprehensive understanding of the pathways that different population groups take to mental health services, and the reasons behind observed differences, to inform the development of equitable services, targeting patients in the critical early stages of psychotic disorder.

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Section: Limitationsmentioning

confidence: 99%

Pathways to First-Episode Care for Psychosis in African-, Caribbean-, and European-Origin Groups in Ontario

et al. 2015

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“…Results suggest that disability income support policy does not reflect the fragmentation and shortage of mental health and addiction services available in Australia and Ontario (Bartram & Chodos, 2013;Judd & Humphreys, 2001;Mulvale & Bourgeault, 2007;O'Reilly et al, 2007), or that there is a high rate of people with mental illnesses not accessing treatment (Currie, Fiest, & Guyn, 2013;Kohn, Saxena, Levav, & Saraceno, 2004;Whiteford et al, 2014). Preferring psychiatrists' or psychologists' care to other types of healthcare professionals also demonstrates a lack of recognition of the trend towards collaborative care for people with mental illnesses (Prince et al, 2007).…”

Section: Discussionmentioning

confidence: 99%

Five Challenges of Designing Disability Income Support for People with Mental Illnesses: A Qualitative Case Study of Australia and Ontario

McAllister

2017

Canadian Journal of Community Mental Health

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In most disability income support (DIS) programs, mental illnesses is the fastest growing category of illness, but it is unknown how policy designers consider this vulnerable group. Forty-five DIS policy designers in Australia and Ontario explained how they consider mental illnesses when designing policy. Using a grounded theory approach, five challenges emerged: validating duration, proving an illness, (un)differentiating mental illnesses, managing mental illnesses, and separating the person from the illness. Each challenge is described and compared across Australia and Ontario. These challenges provide a framework for other settings to determine how well their DIS policies have considered mental illnesses in policy design.

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“…1 The mental health of this part of the Canadian population is an important focus for researchers, service providers and policy makers. 2 Research suggests that particular immigrant and refugee groups in Canada have an increased incidence of psychotic disorder, 3 and these groups may have a different course of illness and outcome. 4 These differences may, in part, reflect the ability of services to offer equitable care to populations with diverse backgrounds, values, traditions and beliefs.…”

Section: Introductionmentioning

confidence: 99%

“…[13][14][15][16][17][18][19] In Canada, the Mental Health Commission has stated that improving our knowledge and understanding of differences in mental illness within our diverse population is an important first step towards developing equitable services. 2 However, there is a dearth of research describing the experience and understanding of psychosis in ethnic minority groups in Canada. One study of patients with first-episode psychosis in Montreal reported that black African and black Caribbean groups have higher levels of negative symptoms, as compared to Euro-Canadians.…”

Section: Introductionmentioning

confidence: 99%

Symptom profiles and explanatory models of first‐episode psychosis in African‐, Caribbean‐ and European‐origin groups in Ontario

Maraj

Anderson

Flora

et al. 2015

Early Intervention Psych

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Changing Directions, Changing Lives: The Mental Health Strategy for Canada

Cited by 45 publications

References 56 publications

Pathways to First-Episode Care for Psychosis in African-, Caribbean-, and European-Origin Groups in Ontario

Pathways to First-Episode Care for Psychosis in African-, Caribbean-, and European-Origin Groups in Ontario

Five Challenges of Designing Disability Income Support for People with Mental Illnesses: A Qualitative Case Study of Australia and Ontario

Symptom profiles and explanatory models of first‐episode psychosis in African‐, Caribbean‐ and European‐origin groups in Ontario

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