Collaborative Mental Health Care in Canada: Looking Back and Looking Ahead

KatesNick,; GagnéMarie-Anik,; Melville, WhyteJayne

doi:10.7870/cjcmh-2008-0011

Cited by 9 publications

(7 citation statements)

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“…These recommendations have in some part been put into practice. Across Canada, there has been an increase in collaborative care practices between GPs and other health professionals, including psychiatrists, social workers, pharmacists, nurses, and other health professionals over the past decade (Gagne, 2005;Kates, Gagne, & Whyte, 2008). This sentiment is echoed in the newly released Ontario Comprehensive Mental Health and Addictions Strategy that emphasizes an integrated, collaborative approach to mental health care (OMHLTC, 2011).…”

Section: Discussionmentioning

confidence: 99%

“…This sentiment is echoed by Roy Romanow, author of the Commission on the Future of Health Care in Canada (see Romanow, 2002), who summarizes that psychotherapy is an evidence-based practice that has been shown to be effective, is less costly than pharmacotherapy, would alleviate the financial pressure on the health care system, and should be incorporated into routine health care (Romanow & Marchildon, 2003). These recommendations have in some part been put into practice as there are increasingly more and more collaborative care practices between GPs, psychiatrists, social workers, occupational therapists, nutritionists, pharmacists, nurses, and other health professionals across Canada over the past decade (Gagne, 2005;Kates, Gagne, & Whyte, 2008).…”

Section: The Effectiveness Of Psychotherapy For Mental Illness and Barriers To Medicare Fundingmentioning

confidence: 99%

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Examining the Effectiveness of Psychotherapy Provided at a Canadian University Counselling Centre : Preliminary Results

Rouse¹

2023

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Psychotherapy is an effective treatment for a variety of mental illnesses. Despite this evidence, the average Canadian does not have access to psychotherapy because Medicare does not generally cover the costs. However, Canadians attending post-secondary education can generally access psychotherapy at no direct cost. Currently, there is limited Canadian research on the effectiveness of psychotherapy provided at university counselling centres (UCCs). The present study examined the effectiveness of individual counselling provided at a Toronto university counselling centre and the preliminary results are presented. Participants experienced a statistically significant decrease in mental health-related symptoms as measured by the Outcome Questionnaire 45.2 (OQ-45), overall current symptom severity, and severity of symptom interference in daily life from pre- to post-counselling. Current medication, supplement, and vitamin use and family social support were not significant predictors of OQ-45 score changes. Participants also gave general feedback indication that counselling was effective and beneficial.

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Section: Discussionmentioning

confidence: 99%

Section: The Effectiveness Of Psychotherapy For Mental Illness and Barriers To Medicare Fundingmentioning

confidence: 99%

Examining the Effectiveness of Psychotherapy Provided at a Canadian University Counselling Centre : Preliminary Results

Rouse¹

2023

Preprint

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“…Furthermore, in this study the patient voice was represented by the health care providers and not by the patient themselves. Future research on the interprofessional collaborative relationships should include asking patients directly for their perspective [ 84 ].…”

Section: Discussionmentioning

confidence: 99%

Collaborating in the context of co-location: a grounded theory study

Wener¹,

Woodgate²

2016

BMC Fam Pract

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Background: Most individuals with mental health concerns seek care from their primary care provider, who may lack comfort, knowledge, and time to provide care. Interprofessional collaboration between providers improves access to primary mental health services and increases primary care providers' comfort offering these services. Building and sustaining interprofessional relationships is foundational to collaborative practice in primary care settings. However, little is known about the relationship building process within these collaborative relationships. The purpose of this grounded theory study was to gain a theoretical understanding of the interprofessional collaborative relationship-building process to guide health care providers and leaders as they integrate mental health services into primary care settings. Methods: Forty primary and mental health care providers completed a demographic questionnaire and participated in either an individual or group interview. Interviews were audio-recorded and transcribed verbatim. Transcripts were reviewed several times and then individually coded. Codes were reviewed and similar codes were collapsed to form categories using using constant comparison. All codes and categories were discussed amongst the researchers and the final categories and core category was agreed upon using constant comparison and consensus. Results: A four-stage developmental interprofessional collaborative relationship-building model explained the emergent core category of Collaboration in the Context of Co-location. The four stages included 1) Looking for Help, 2) Initiating Co-location, 3) Fitting-in, and 4) Growing Reciprocity. A patient-focus and communication strategies were essential processes throughout the interprofessional collaborative relationship-building process. Conclusions: Building interprofessional collaborative relationships amongst health care providers are essential to delivering mental health services in primary care settings. This developmental model describes the process of how these relationships are co-created and supported by the health care region. Furthermore, the model emphasizes that all providers must develop and sustain a patient-focus and communication strategies that are flexible. Applying this model, health care providers can guide the creation and sustainability of primary care interprofessional collaborative relationships. Moreover, this model may guide health care leaders and policy makers as they initiate interprofessional collaborative practice in other health care settings.

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“… 12 13 16 18 As such, CMHC has the potential to impact the lives of millions of people affected by major depression and anxiety disorders. Yet, patients and experts argue that not nearly enough is being done to involve patients and their families in this care, 27 54 and engagement of these partners is not yet recognised as a core component of CMHC interventions. Our realist review will address major knowledge gaps in this area and support the design, implementation and evaluation of models of CMHC that consider patients and families as active partners in care.…”

Section: Discussion and Disseminationmentioning

confidence: 99%

Strategies and impacts of patient and family engagement in collaborative mental healthcare: protocol for a systematic and realist review

et al. 2016

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IntroductionCollaborative mental healthcare (CMHC) has garnered worldwide interest as an effective, team-based approach to managing common mental disorders in primary care. However, questions remain about how CMHC works and why it works in some circumstances but not others. In this study, we will review the evidence on one understudied but potentially critical component of CMHC, namely the engagement of patients and families in care. Our aims are to describe the strategies used to engage people with depression or anxiety disorders and their families in CMHC and understand how these strategies work, for whom and in what circumstances.Methods and analysisWe are conducting a review with systematic and realist review components. Review part 1 seeks to identify and describe the patient and family engagement strategies featured in CMHC interventions based on systematic searches and descriptive analysis of these interventions. We will use a 2012 Cochrane review of CMHC as a starting point and perform new searches in multiple databases and trial registers to retrieve more recent CMHC intervention studies. In review part 2, we will build and refine programme theories for each of these engagement strategies. Initial theory building will proceed iteratively through content expert consultations, electronic searches for theoretical literature and review team brainstorming sessions. Cluster searches will then retrieve additional data on contexts, mechanisms and outcomes associated with engagement strategies, and pairs of review authors will analyse and synthesise the evidence and adjust initial programme theories.Ethics and disseminationOur review follows a participatory approach with multiple knowledge users and persons with lived experience of mental illness. These partners will help us develop and tailor project outputs, including publications, policy briefs, training materials and guidance on how to make CMHC more patient-centred and family-centred.PROSPERO registration numberCRD42015025522.

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Collaborative Mental Health Care in Canada: Looking Back and Looking Ahead

Cited by 9 publications

References 0 publications

Examining the Effectiveness of Psychotherapy Provided at a Canadian University Counselling Centre : Preliminary Results

Examining the Effectiveness of Psychotherapy Provided at a Canadian University Counselling Centre : Preliminary Results

Collaborating in the context of co-location: a grounded theory study

Strategies and impacts of patient and family engagement in collaborative mental healthcare: protocol for a systematic and realist review

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