Jennifer E. Thannhauser, Hayley Brillon, David Nordstokke, Andrew C. H. Szeto, Keith S. Dobson
Patient-oriented health research approaches are growing in popularity; however, there is a lack of literature describing how patient-oriented research is being utilized to enhance mental health programming for students. The current study reports on a participant-oriented approach to development and evaluation of an innovative, holistic, multi-disciplinary program designed to empower post-secondary students to actively maintain their health and well-being and support academic success. Results demonstrated significant increase in self-reported resilience and anxiety symptoms, but no change in depression symptoms. Prevention programs co-designed with intended users show promise as an effective approach to supporting students with sub-clinical mental health challenges.
{"title":"Evaluation of a Multidisciplinary Resilience Program for Post-Secondary Students: A Pilot Study","authors":"Jennifer E. Thannhauser, Hayley Brillon, David Nordstokke, Andrew C. H. Szeto, Keith S. Dobson","doi":"10.7870/cjcmh-2023-019","DOIUrl":"https://doi.org/10.7870/cjcmh-2023-019","url":null,"abstract":"Patient-oriented health research approaches are growing in popularity; however, there is a lack of literature describing how patient-oriented research is being utilized to enhance mental health programming for students. The current study reports on a participant-oriented approach to development and evaluation of an innovative, holistic, multi-disciplinary program designed to empower post-secondary students to actively maintain their health and well-being and support academic success. Results demonstrated significant increase in self-reported resilience and anxiety symptoms, but no change in depression symptoms. Prevention programs co-designed with intended users show promise as an effective approach to supporting students with sub-clinical mental health challenges.","PeriodicalId":79815,"journal":{"name":"Canadian journal of community mental health = Revue canadienne de sante mentale communautaire","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135666208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Félix Diotte, Raphaelle Merlo, Audrey Livet, Gabrielle Riopel, Chanelle Lefebvre, Amal Abdel-Baki, Philippe Tibbo, Marc-André Roy, Donna Lang, Marie Villeneuve, Vina Goghari, Chris Summerville, Tania Lecomte
Clinical teams working with clients with psychotic disorders have turned to teletherapy to continue offering services to their clients during the Covid-19 pandemic. However, few studies have focused on the challenges of teletherapy by professionals. We conducted a brief online survey with professionals working with clients with a psychotic disorder across Canada. Qualitative analysis of open-ended questions was conducted. Around 86% of the professionals we surveyed began using teletherapy at the beginning of the pandemic. Most professionals (83%) said that they would keep using teletherapy after the end of the pandemic. Numerous advantages and challenges of teletherapy were also discussed.
{"title":"Use of Teletherapy for the Treatment of People with Psychotic Disorders During Covid-19 Confinement: Acceptability, Feasibility, and Challenges","authors":"Félix Diotte, Raphaelle Merlo, Audrey Livet, Gabrielle Riopel, Chanelle Lefebvre, Amal Abdel-Baki, Philippe Tibbo, Marc-André Roy, Donna Lang, Marie Villeneuve, Vina Goghari, Chris Summerville, Tania Lecomte","doi":"10.7870/cjcmh-2023-021","DOIUrl":"https://doi.org/10.7870/cjcmh-2023-021","url":null,"abstract":"Clinical teams working with clients with psychotic disorders have turned to teletherapy to continue offering services to their clients during the Covid-19 pandemic. However, few studies have focused on the challenges of teletherapy by professionals. We conducted a brief online survey with professionals working with clients with a psychotic disorder across Canada. Qualitative analysis of open-ended questions was conducted. Around 86% of the professionals we surveyed began using teletherapy at the beginning of the pandemic. Most professionals (83%) said that they would keep using teletherapy after the end of the pandemic. Numerous advantages and challenges of teletherapy were also discussed.","PeriodicalId":79815,"journal":{"name":"Canadian journal of community mental health = Revue canadienne de sante mentale communautaire","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135745165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
There is growing evidence that a number of children and youth experience persistent mental health symptoms and repeated service use over time. Collectively, these children and youth are deemed to have “complex mental health needs” and they are the most difficult cases encountered by providers. However, there has been significant confusion surrounding the terminology used to refer to this group and these cases are often defined by their outcomes, impeding identification efforts. This article provides a commentary on current conceptualizations and discusses ways to advance our conceptual understanding of complexity to improve outcomes.
{"title":"Mental Health Complexity Among Children and Youth: Current Conceptualizations and Future Directions","authors":"Caitlyn Gallant, Dawn Good","doi":"10.7870/cjcmh-2023-018","DOIUrl":"https://doi.org/10.7870/cjcmh-2023-018","url":null,"abstract":"There is growing evidence that a number of children and youth experience persistent mental health symptoms and repeated service use over time. Collectively, these children and youth are deemed to have “complex mental health needs” and they are the most difficult cases encountered by providers. However, there has been significant confusion surrounding the terminology used to refer to this group and these cases are often defined by their outcomes, impeding identification efforts. This article provides a commentary on current conceptualizations and discusses ways to advance our conceptual understanding of complexity to improve outcomes.","PeriodicalId":79815,"journal":{"name":"Canadian journal of community mental health = Revue canadienne de sante mentale communautaire","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134886260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Colleen Murphy, J. Hogarth, Kristin A. Reynolds, Chelsea Wood-Ross, Tammy Vanrooy, C. Bowie
We investigated the feasibility and effectiveness of an Action-Based Cognitive Remediation group within an outpatient early psychosis program. Sixteen participants completed the group including pre-post measures to assess quantitative outcomes of improvement. Eight participants completed individual, semistructured, qualitative interviews at 3–6 months post-intervention to assess feasibility and acceptability. The group was well tolerated. Significant improvements were observed in general cognition and functional capacity, which extended to psychiatric symptoms and illness stigma. Participants identified themes related to improved cognition and self-esteem, as well as generalizing skills to everyday activities. Action-Based Cognitive Remediation is a feasible and efficacious intervention for early psychosis.
{"title":"Implementation of Action-Based Cognitive Remediation in First Episode Psychosis: A Multi-Method Evaluation of Feasibility and Efficacy","authors":"Colleen Murphy, J. Hogarth, Kristin A. Reynolds, Chelsea Wood-Ross, Tammy Vanrooy, C. Bowie","doi":"10.7870/cjcmh-2023-015","DOIUrl":"https://doi.org/10.7870/cjcmh-2023-015","url":null,"abstract":"We investigated the feasibility and effectiveness of an Action-Based Cognitive Remediation group within an outpatient early psychosis program. Sixteen participants completed the group including pre-post measures to assess quantitative outcomes of improvement. Eight participants completed individual, semistructured, qualitative interviews at 3–6 months post-intervention to assess feasibility and acceptability. The group was well tolerated. Significant improvements were observed in general cognition and functional capacity, which extended to psychiatric symptoms and illness stigma. Participants identified themes related to improved cognition and self-esteem, as well as generalizing skills to everyday activities. Action-Based Cognitive Remediation is a feasible and efficacious intervention for early psychosis.","PeriodicalId":79815,"journal":{"name":"Canadian journal of community mental health = Revue canadienne de sante mentale communautaire","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78175314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Joshua Delleman, Meredith Charbonneau, Minnie Teng, T. Jarus
Modular housing is a temporary and transitional housing program in British Columbia. This qualitative study gathered the perceived needs of residents at modular housing sites to determine how service delivery impacts care continuity and well-being. Twenty-five residents at four modular housing sites in an urban setting participated in focus groups and semi-structured interviews. Thematic content analysis was used to summarize key findings. Themes highlight the need for flexible, person-centred, and tailored supports. Participants also voiced the importance of communication during times of transition into modular housing, as well as the impact of the environment on safety and autonomy.
{"title":"Resident Perspectives on Modular Housing: The Need for Progression, Collaboration, and Autonomy","authors":"Joshua Delleman, Meredith Charbonneau, Minnie Teng, T. Jarus","doi":"10.7870/cjcmh-2023-013","DOIUrl":"https://doi.org/10.7870/cjcmh-2023-013","url":null,"abstract":"Modular housing is a temporary and transitional housing program in British Columbia. This qualitative study gathered the perceived needs of residents at modular housing sites to determine how service delivery impacts care continuity and well-being. Twenty-five residents at four modular housing sites in an urban setting participated in focus groups and semi-structured interviews. Thematic content analysis was used to summarize key findings. Themes highlight the need for flexible, person-centred, and tailored supports. Participants also voiced the importance of communication during times of transition into modular housing, as well as the impact of the environment on safety and autonomy.","PeriodicalId":79815,"journal":{"name":"Canadian journal of community mental health = Revue canadienne de sante mentale communautaire","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84077274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aly Kassam, Michaela Beder, John Maher, Saadia Sediqzadah, Nicole Kirwan, Madeleine Ritts, Matthew Levy, Samuel Law
Assertive Community Treatment (ACT) teams provide the most intensive care for patients with serious mental illness. This online study surveyed the 88 ACT and Flexible ACT (FACT) teams in Ontario, Canada (144/232 surveys, 62.1%) during the height of Covid-19 in 2021, and qualitative thematic analysis on impact of team function and patient outcome showed challenges of teams switching to virtual care, reduced psychosocial services, division to smaller groups, staff redeployment, having unequal compensations, and exacerbated regional differences; there were also increased patient stress, loneliness, hospital and ER visits, substance use and related deaths, and police/crisis team involvement. There was limited morbidity related to actual Covid-19; and positive adaptations included observed independence and resilience, increased interdependence with community partners, and new communication formats.
{"title":"The Impact of the Covid-19 Pandemic on Assertive Community Treatment Team Functions, Clinical Services, and Observable Outcomes—A Provincial Survey in Ontario, Canada","authors":"Aly Kassam, Michaela Beder, John Maher, Saadia Sediqzadah, Nicole Kirwan, Madeleine Ritts, Matthew Levy, Samuel Law","doi":"10.7870/cjcmh-2023-016","DOIUrl":"https://doi.org/10.7870/cjcmh-2023-016","url":null,"abstract":"Assertive Community Treatment (ACT) teams provide the most intensive care for patients with serious mental illness. This online study surveyed the 88 ACT and Flexible ACT (FACT) teams in Ontario, Canada (144/232 surveys, 62.1%) during the height of Covid-19 in 2021, and qualitative thematic analysis on impact of team function and patient outcome showed challenges of teams switching to virtual care, reduced psychosocial services, division to smaller groups, staff redeployment, having unequal compensations, and exacerbated regional differences; there were also increased patient stress, loneliness, hospital and ER visits, substance use and related deaths, and police/crisis team involvement. There was limited morbidity related to actual Covid-19; and positive adaptations included observed independence and resilience, increased interdependence with community partners, and new communication formats.","PeriodicalId":79815,"journal":{"name":"Canadian journal of community mental health = Revue canadienne de sante mentale communautaire","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72516914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Violent encounters and safety concerns are common among paramedics attending to 911 emergency calls. These concerns are particularly salient for paramedics attending to mental health and substance use calls. This article draws on data from a qualitative case study. Findings include paramedics’ reported perceptions and experiences of violence experienced on mental health calls, success with de-escalation of those in distress, and paramedics challenging the notion that all individuals with mental distress are violent. The article explores tensions between attention to care providers’ and care recipients’ safety, the contexts in which this care takes place, and equity concerns related to appropriately managing mental health emergencies.
{"title":"Enhancing Safety and Mitigating Violence on Prehospital Mental Health Calls: For the Care Providers and Care Recipients","authors":"Polly C. Ford-Jones","doi":"10.7870/cjcmh-2023-014","DOIUrl":"https://doi.org/10.7870/cjcmh-2023-014","url":null,"abstract":"Violent encounters and safety concerns are common among paramedics attending to 911 emergency calls. These concerns are particularly salient for paramedics attending to mental health and substance use calls. This article draws on data from a qualitative case study. Findings include paramedics’ reported perceptions and experiences of violence experienced on mental health calls, success with de-escalation of those in distress, and paramedics challenging the notion that all individuals with mental distress are violent. The article explores tensions between attention to care providers’ and care recipients’ safety, the contexts in which this care takes place, and equity concerns related to appropriately managing mental health emergencies.","PeriodicalId":79815,"journal":{"name":"Canadian journal of community mental health = Revue canadienne de sante mentale communautaire","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73116171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This article describes the process used by Youth Wellness Hubs Ontario to integrate the rigour of conventional funding allocation processes with authentic engagement and equity-centred processes in youth mental health. This approach may provide a model for others aiming to implement equity and engagement funding allocation processes for integrated care.
{"title":"Youth Wellness Hubs Ontario: An Innovative Model for Engagement and Equity-Based Considerations in Funding Allocations in Youth Mental Health","authors":"J. Henderson, Debbie Chiodo","doi":"10.7870/cjcmh-2023-011","DOIUrl":"https://doi.org/10.7870/cjcmh-2023-011","url":null,"abstract":"This article describes the process used by Youth Wellness Hubs Ontario to integrate the rigour of conventional funding allocation processes with authentic engagement and equity-centred processes in youth mental health. This approach may provide a model for others aiming to implement equity and engagement funding allocation processes for integrated care.","PeriodicalId":79815,"journal":{"name":"Canadian journal of community mental health = Revue canadienne de sante mentale communautaire","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83840722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This article explores how school staff may enhance their capacity to support and affirm 2SLGBTQIA+ youth by meaningfully participating in hands-on professional development and implementing structured mental health promotion and healthy relationships programming in gender and sexuality alliances or other educational venues.
{"title":"Enhancing 2SLGBTQIA+ Student Support Through Practical Professional Development and Structured GSA Programming","authors":"Alicia Lapointe","doi":"10.7870/cjcmh-2023-017","DOIUrl":"https://doi.org/10.7870/cjcmh-2023-017","url":null,"abstract":"This article explores how school staff may enhance their capacity to support and affirm 2SLGBTQIA+ youth by meaningfully participating in hands-on professional development and implementing structured mental health promotion and healthy relationships programming in gender and sexuality alliances or other educational venues.","PeriodicalId":79815,"journal":{"name":"Canadian journal of community mental health = Revue canadienne de sante mentale communautaire","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76289418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The challenge of providing a virtual Dialectical Behavior Therapy (DBT) group to high-risk youth involves managing the neurodiverse needs and attention struggles of participants. This initiative focused on enhancing youth engagement in a DBT virtual group program by developing an asynchronous learning approach to a DBT skills program and including a parent/guardian component.
{"title":"A Virtual DBT Group for High-Risk Youth: An Asynchronous Learning Approach","authors":"J. Radford, Emilia Pacholec, Debbie Chiodo","doi":"10.7870/cjcmh-2023-010","DOIUrl":"https://doi.org/10.7870/cjcmh-2023-010","url":null,"abstract":"The challenge of providing a virtual Dialectical Behavior Therapy (DBT) group to high-risk youth involves managing the neurodiverse needs and attention struggles of participants. This initiative focused on enhancing youth engagement in a DBT virtual group program by developing an asynchronous learning approach to a DBT skills program and including a parent/guardian component.","PeriodicalId":79815,"journal":{"name":"Canadian journal of community mental health = Revue canadienne de sante mentale communautaire","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77564914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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