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Duncan A, Kirst M, Dainty KN, Wodchis WP, Stergiopoulos V. Case managers' reflections of a brief case management intervention in Canada. Front Psychiatry 2023; 14:1151904. [PMID: 37448491 PMCID: PMC10336220 DOI: 10.3389/fpsyt.2023.1151904] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/26/2023] [Accepted: 06/12/2023] [Indexed: 07/15/2023] Open
Abstract
Introduction As demand for intensive case management services continues to outpace supply, community mental health agencies in Toronto, Ontario, introduced Short-Term Case Management (STCM). Objective This study sought to explore case managers' perspectives and experiences with this new service delivery model. Methods Focus groups were conducted with twenty-one case managers, and transcripts analyzed using thematic analysis. Results Emerging themes suggest that despite embracing a recovery approach, case managers expressed mixed views on the acceptability and appropriateness of this service delivery model as an intervention. Conclusion The ideal population for this intervention are adults with mental health issues in need of system navigation, and those motivated to address their goals. Further research is needed to establish fidelity criteria.
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Affiliation(s)
- Andrea Duncan
- Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, ON, Canada
| | - Maritt Kirst
- Community Psychology, Wilfrid Laurier University, Waterloo, ON, Canada
| | - Katie N Dainty
- Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada
| | - Walter P Wodchis
- Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada
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Duncan A, Dainty KN, Kirst M, Stergiopoulos V, Wodchis WP. Service Needs of Clients Before and After Short Term Community Mental Health Case Management. Community Ment Health J 2023; 59:325-334. [PMID: 35908257 DOI: 10.1007/s10597-022-01010-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/16/2021] [Accepted: 07/12/2022] [Indexed: 01/25/2023]
Abstract
This study evaluated level of service need before and after a short-term community mental health case management intervention from the perspective of both clients and case managers. Ontario Common Assessment of Need data were used to describe client needs. McNemar's test was applied to assess differences in pre- and post- need scores. Psychological distress, company, daytime activities, and physical health were most commonly rated by clients as unmet needs at enrolment. At discharge, there was a significant change in psychological distress from the perspective of clients, and in psychological distress and daytime activities from the perspective of case managers. Statistically significant changes were observed for Total Need, Total Unmet Need and Met Need scores from the perspective of case managers. While both clients and case managers reported changes in total service needs between admission and discharge from short-term case management, clients were less likely to report a difference in needs.
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Affiliation(s)
- Andrea Duncan
- Department of Occupational Science and Occupational Therapy, University of Toronto, 500 University Ave, Toronto, ON, M5G 1V7, Canada.
| | - Katie N Dainty
- Patient-Centred Outcomes, Research Chair North York General Hospital, 4001 Leslie Street, Toronto, ON, M2K 1E1, Canada
| | - Maritt Kirst
- Department of Psychology, Community Psychology Program, Wilfrid Laurier University, 75 University Avenue West, Waterloo, ON, N2L 3C5, Canada
| | - Vicky Stergiopoulos
- Physician in Chief, Center for Addiction and Mental Health, 1001, 1025, 1051 Queen Street West, Toronto, ON, M6J 1H4, Canada
| | - Walter P Wodchis
- Institute of Health Policy Management and Evaluation, University of Toronto, 155 College Street, Suite 425, Toronto, ON, M5T 3M6, Canada.,Research Chair, Implementation and Evaluation Science, Institute for Better Health, Trillium Health Partners, Mississauga, ON, Canada
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Castelpietra G, Simon J, Gutiérrez-Colosía MR, Rosenberg S, Salvador-Carulla L. Disambiguation of psychotherapy: a search for meaning. Br J Psychiatry 2021; 219:532-537. [PMID: 33143767 DOI: 10.1192/bjp.2020.196] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
This analysis identifies the significant problem of ambiguity, variation and vagueness in relation to the intervention described as 'psychotherapy'. Its purpose is to raise international awareness of this problem and alternative solutions.
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Affiliation(s)
- Giulio Castelpietra
- In-patient and Out-patient Care Service, Central Health Directorate, Regione Autonoma Friuli Venezia Giulia, Trieste; and Department of Medicine (DAME), University of Udine, Italy
| | - Judit Simon
- Department of Health Economics, Center for Public Health, Medical University of Vienna, Austria; and Department of Psychiatry, University of Oxford; and Oxford Health NHS Trust, Warneford Hospital, Oxford, UK
| | | | - Sebastian Rosenberg
- Centre for Mental Health Research, Research School of Population Health, ANU College of Health and Medicine, Australian National University, Canberra, Australia
| | - Luis Salvador-Carulla
- Centre for Mental Health Research, Research School of Population Health, ANU College of Health and Medicine, Australian National University, Canberra; and Menzies Centre for Health Policy, Faculty of Medicine and Health, University of Sydney, Australia
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Noble JM, Vuong W, Surood S, Urichuk L, Greenshaw AJ, Agyapong VIO. Text4Support Mobile-Based Programming for Individuals Accessing Addictions and Mental Health Services-Retroactive Program Analysis at Baseline, 12 Weeks, and 6 Months. Front Psychiatry 2021; 12:640795. [PMID: 34122173 PMCID: PMC8192801 DOI: 10.3389/fpsyt.2021.640795] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/12/2020] [Accepted: 04/28/2021] [Indexed: 12/15/2022] Open
Abstract
Objective: Where traditional approaches fall short, widely accessible and accepted, yet under leveraged, digital technologies such as text messaging present novel opportunities to solve a range of health care solutions. The following provides a preliminary analysis of the Text4Support program, a text-messaging intervention using the principles of cognitive behavioral therapy, which seeks to support the health and well-being of individuals seeking support for addiction or mental health concerns. The goal of this study was to assess whether the Text4Support program improved the perceived overall mental well-being of participants. Methods: The evaluation analyzes survey responses of individuals who were enrolled in the Text4Support program beginning in July 2019, who had completed the 6-months program by May 2020. Participants were asked to provide responses to three surveys during their time in the program-at baseline, 12-weeks and 6-months, which included questions documenting demographic information, general satisfaction with the program, and a participants' level of "global distress" through use of the Clinical Outcomes Routine Evaluation System (CORE-10)-a validated brief 10-item assessment and outcome measurement tool used to assess conditions including anxiety, depression, physical problems, and risk to self. Results and Conclusions: This data set did not include a large enough sample of participants to reach statistical significance. Nevertheless, the study provides some preliminary analysis, and identifies opportunities for the future analysis and research.
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Affiliation(s)
- Jasmine M Noble
- Department of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada
| | - Wesley Vuong
- Addiction and Mental Health, Alberta Health Services, Edmonton, AB, Canada
| | - Shireen Surood
- Addiction and Mental Health, Alberta Health Services, Edmonton, AB, Canada
| | - Liana Urichuk
- Department of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada.,Addiction and Mental Health, Alberta Health Services, Edmonton, AB, Canada
| | - Andrew J Greenshaw
- Department of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada
| | - Vincent I O Agyapong
- Department of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada.,Addiction and Mental Health, Alberta Health Services, Edmonton, AB, Canada
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Malla A, Shah J, Iyer S, Boksa P, Joober R, Andersson N, Lal S, Fuhrer R. Youth Mental Health Should Be a Top Priority for Health Care in Canada. CANADIAN JOURNAL OF PSYCHIATRY. REVUE CANADIENNE DE PSYCHIATRIE 2018; 63. [PMID: 29528719 PMCID: PMC5894919 DOI: 10.1177/0706743718758968] [Citation(s) in RCA: 82] [Impact Index Per Article: 13.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
Abstract
In this article we have provided a perspective on the importance and value of youth mental health services for society and argued that advancing youth mental health services should be the number one priority of health services in Canada. Using the age period of 12-25 years for defining youth, we have provided justification for our position based on scientific evidence derived from clinical, epidemiological and neurodevelopmental studies. We have highlighted the early onset of most mental disorders and substance abuse as well as their persistence into later adulthood, the long delays experienced by most help seekers and the consequence of such delays for young people and for society in general. We have also provided a brief review of the current gross inadequacies in access and quality of care available in Canada. We have argued for the need for a different conceptual framework of youth mental disorders as well as for a transformation of the way services are provided in order not only to reduce the unmet needs but also to allow a more meaningful exploration of the nature of such problems presenting in youth and the best way to treat them. We have offered some ideas based on previous work completed in this field as well as current initiatives in Canada and elsewhere. Any transformation of youth mental health services in Canada must take into consideration the significant geographic, cultural and political diversity across the provinces, territories and indigenous peoples across this country.
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Affiliation(s)
- Ashok Malla
- 1 Department of Psychiatry, McGill University, Montreal, QC, Canada.,2 Douglas Mental Health University Institute, Verdun, QC, Canada.,3 ACCESS Open Minds Network, Montreal, QC, Canada
| | - Jai Shah
- 1 Department of Psychiatry, McGill University, Montreal, QC, Canada.,2 Douglas Mental Health University Institute, Verdun, QC, Canada
| | - Srividya Iyer
- 1 Department of Psychiatry, McGill University, Montreal, QC, Canada.,2 Douglas Mental Health University Institute, Verdun, QC, Canada.,3 ACCESS Open Minds Network, Montreal, QC, Canada
| | - Patricia Boksa
- 1 Department of Psychiatry, McGill University, Montreal, QC, Canada.,2 Douglas Mental Health University Institute, Verdun, QC, Canada
| | - Ridha Joober
- 2 Douglas Mental Health University Institute, Verdun, QC, Canada.,4 Program of Early intervention and Prevention of Psychoses, Montreal, QC, Canada
| | - Neil Andersson
- 5 Department of Family, Medicine, McGill University, Montreal, QC, Canada.,6 Community Information and Epidemiological Technologies (CIET) Institute and Participatory Research at McGill (PRAM), Montreal, QC, Canada.,7 McGill Institute of Human Development and Well-being, McGill University, Montreal, QC, Canada
| | - Shalini Lal
- 2 Douglas Mental Health University Institute, Verdun, QC, Canada.,8 School of Rehabilitation, Faculty of Medicine, University of Montreal, QC, Canada.,9 Health Innovation and Assessment Hub, University of Montreal Hospital Research Center (CRCHUM), Montreal, QC, Canada
| | - Rebecca Fuhrer
- 10 Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, QC, Canada
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Wang J, Jacobs P, Ohinmaa A, Dezetter A, Lesage A. Public Expenditures for Mental Health Services in Canadian Provinces: Dépenses publiques pour les services de santé mentale dans les provinces canadiennes. CANADIAN JOURNAL OF PSYCHIATRY. REVUE CANADIENNE DE PSYCHIATRIE 2018; 63:250-256. [PMID: 29228821 PMCID: PMC5894915 DOI: 10.1177/0706743717741059] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
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 provincial mental health services in FY 2013 and compared them to the estimates for FY 2003 from a previously published report. Our data were obtained from publicly accessible databases. The cross-year cost comparisons for provincial mental health services were restricted to general and psychiatric hospital inpatients, clinical payments to physicians and psychologists, and prescribed psychotropic medications. Total public expenditures were inflation adjusted and expressed per capita and as a percentage of the total provincial health spending. RESULTS Total public spending for mental health and addiction programs/services was estimated to be $6.75 billion for FY 2013. The largest component of the expenditures was hospital inpatient services ($4.02 billion, 59.6%), followed by clinical payments to physicians or psychologists ($1.69 billion, 25%), and then publicly funded prescribed psychotherapeutic medications ($1.04 billion, 15.4%). Nationally, the portion of total public spending on health that was spent on mental health decreased from FY 2003 to FY 2013 from 5.4% to 4.9%. CONCLUSION Our results reveal that mental health spending, as a proportion of public health care expenditures, decreased in the decade from FY 2003 to FY 2013. Due to large differences in how the provinces report community mental health services, we still lack a comprehensive picture of the mental health system.
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Affiliation(s)
- Jian Wang
- 1 School of Public Health, University of Alberta, Edmonton, Alberta
| | - Philip Jacobs
- 2 Department of Medicine, University of Alberta, Edmonton, Alberta.,3 Institute of Health Economics, Edmonton, Alberta
| | - Arto Ohinmaa
- 1 School of Public Health, University of Alberta, Edmonton, Alberta.,3 Institute of Health Economics, Edmonton, Alberta
| | - Anne Dezetter
- 4 Department of Health and Community Health Sciences, Université de Moncton, New Brunswick
| | - Alain Lesage
- 5 Université de Montréal, Institut Universitaire de Santé Mentale de Montréal, Montréal, Québec
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Populational and individual perspective on needs. Epidemiol Psychiatr Sci 2017; 26:609-611. [PMID: 29039301 PMCID: PMC6998985 DOI: 10.1017/s204579601700049x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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