Implementation-sensitive approaches to school mental health have been proposed as being responsive to the needs of the education system. We worked with a group of expert stakeholders to identify a wide range of characteristics of implementation-sensitive approaches. These statements (n = 50) were sorted into concepts by 20 participants. Participants also ranked the importance of each statement. Group concept mapping created a six-concept solution including (1) Justice, Equity, Diversity and Inclusion, (2) Implementation Informed from the Outset, (3) Intervention Characteristics, (4) Evidence, Theory, and Practice-Informed, (5) Authentic Stakeholder Engagement, and (6) Ongoing Learning and Sustainability. We subsequently conducted two focus groups to gather feedback and contextualize the clusters.
{"title":"A Structured Conceptualization of Implementation-Sensitive Interventions for School Mental Health","authors":"Claire V. Crooks, Caely I Dunlop, Kathy Short","doi":"10.7870/cjcmh-2022-018","DOIUrl":"https://doi.org/10.7870/cjcmh-2022-018","url":null,"abstract":"Implementation-sensitive approaches to school mental health have been proposed as being responsive to the needs of the education system. We worked with a group of expert stakeholders to identify a wide range of characteristics of implementation-sensitive approaches. These statements (n = 50) were sorted into concepts by 20 participants. Participants also ranked the importance of each statement. Group concept mapping created a six-concept solution including (1) Justice, Equity, Diversity and Inclusion, (2) Implementation Informed from the Outset, (3) Intervention Characteristics, (4) Evidence, Theory, and Practice-Informed, (5) Authentic Stakeholder Engagement, and (6) Ongoing Learning and Sustainability. We subsequently conducted two focus groups to gather feedback and contextualize the clusters.","PeriodicalId":79815,"journal":{"name":"Canadian journal of community mental health = Revue canadienne de sante mentale communautaire","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83221217","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}
D. Exner‐Cortens, Elizabeth Baker, Cristina Fernandez Conde, Marisa Van Bavel, Mili Roy, Chris Pawluk
One Tier 2 approach to school-based youth suicide prevention is gatekeeper training, where teachers and school staff learn to respond to students in distress. Although promising, implementation-sensitive prevention efforts could be advanced by providing additional training to natural leaders in the school building, so they can support and coach others. The purpose of this study is to describe the development and initial mixed-methods pilot evaluation of a natural leader training to support the real-world implementation of QPR® gatekeeper training, a Tier 2 (selective) intervention. This study underscores the importance of creating implementation approaches to meet the needs of real-world school contexts.
{"title":"School-Based Suicide Prevention through Gatekeeper Training: The Role of Natural Leaders","authors":"D. Exner‐Cortens, Elizabeth Baker, Cristina Fernandez Conde, Marisa Van Bavel, Mili Roy, Chris Pawluk","doi":"10.7870/cjcmh-2022-020","DOIUrl":"https://doi.org/10.7870/cjcmh-2022-020","url":null,"abstract":"One Tier 2 approach to school-based youth suicide prevention is gatekeeper training, where teachers and school staff learn to respond to students in distress. Although promising, implementation-sensitive prevention efforts could be advanced by providing additional training to natural leaders in the school building, so they can support and coach others. The purpose of this study is to describe the development and initial mixed-methods pilot evaluation of a natural leader training to support the real-world implementation of QPR® gatekeeper training, a Tier 2 (selective) intervention. This study underscores the importance of creating implementation approaches to meet the needs of real-world school contexts.","PeriodicalId":79815,"journal":{"name":"Canadian journal of community mental health = Revue canadienne de sante mentale communautaire","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75997810","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 current paper reports on a pilot investigation of a novel Compassion Focused Therapy protocol for parents and caregivers of young people with mental health difficulties. Results suggest improvements in parental burnout, self-criticism, and self-reassurance as well as improvements in child mental health.
{"title":"The Compassion Focused Caregiver Protocol: A Pilot Investigation","authors":"Eli Cwinn, Katarina M. Guillen","doi":"10.7870/cjcmh-2022-009","DOIUrl":"https://doi.org/10.7870/cjcmh-2022-009","url":null,"abstract":"The current paper reports on a pilot investigation of a novel Compassion Focused Therapy protocol for parents and caregivers of young people with mental health difficulties. Results suggest improvements in parental burnout, self-criticism, and self-reassurance as well as improvements in child mental health.","PeriodicalId":79815,"journal":{"name":"Canadian journal of community mental health = Revue canadienne de sante mentale communautaire","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77759430","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}
Therapy dogs visit nearly every university campus in Canada to support student mental health, but they rarely, if ever, visit during a class. We introduced therapy dogs to an undergraduate Sociology of Addictions course. Our findings offer insight on how therapy dogs can support student mental health in the classroom.
{"title":"A Novel Approach to Supporting Student Mental Health in the University Classroom with Therapy Dogs","authors":"C. Dell, Sheryl Mills, Harper Goodfellow, M. Cruz","doi":"10.7870/cjcmh-2022-010","DOIUrl":"https://doi.org/10.7870/cjcmh-2022-010","url":null,"abstract":"Therapy dogs visit nearly every university campus in Canada to support student mental health, but they rarely, if ever, visit during a class. We introduced therapy dogs to an undergraduate Sociology of Addictions course. Our findings offer insight on how therapy dogs can support student mental health in the classroom.","PeriodicalId":79815,"journal":{"name":"Canadian journal of community mental health = Revue canadienne de sante mentale communautaire","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87499062","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}
Claire V. Crooks, Alexandra Fortier, Rachelle Graham, Morena E. Hernandez, Eve Chapnik, C. Cadieux, Kristy A. Ludwig
This paper describes the implementation of BRISC, a brief evidence-based intervention within an implementation framework; specifically, we provide a 5-year retrospective on the successes and remaining gaps of the approach. Interviews were conducted with 13 clinical team leads from diverse school boards in Ontario. Seven themes emerged from our coding: BRISC being seen as an effective and efficient practice, clinicians’ attitudes and self-efficacy, promoting system readiness, high-quality training, data-informed decision-making, effective clinical supervision, and communities of practice to create ongoing learning and professional development. These themes highlight the importance of considering different levels and systems in developing an implementation plan.
{"title":"Implementing a Brief Evidence-Based Tier 2 School Mental Health Intervention: The Enablers and Barriers as Seen through a Clinical Team Supervisor Lens","authors":"Claire V. Crooks, Alexandra Fortier, Rachelle Graham, Morena E. Hernandez, Eve Chapnik, C. Cadieux, Kristy A. Ludwig","doi":"10.7870/cjcmh-2022-017","DOIUrl":"https://doi.org/10.7870/cjcmh-2022-017","url":null,"abstract":"This paper describes the implementation of BRISC, a brief evidence-based intervention within an implementation framework; specifically, we provide a 5-year retrospective on the successes and remaining gaps of the approach. Interviews were conducted with 13 clinical team leads from diverse school boards in Ontario. Seven themes emerged from our coding: BRISC being seen as an effective and efficient practice, clinicians’ attitudes and self-efficacy, promoting system readiness, high-quality training, data-informed decision-making, effective clinical supervision, and communities of practice to create ongoing learning and professional development. These themes highlight the importance of considering different levels and systems in developing an implementation plan.","PeriodicalId":79815,"journal":{"name":"Canadian journal of community mental health = Revue canadienne de sante mentale communautaire","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81153931","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}
Kathy Short, H. Bullock, Claire V. Crooks, Katholiki Georgiades
The Covid-19 pandemic has provoked a turbulent and uncertain time, especially for young people. Globally, schools have responded to the evolving pandemic using the best available insights, data, and practices. This response has included a renewed focus on the importance of school mental health as a protective and stabilizing influence. In Ontario, strategic investments in school mental health, inclusive of foundational infrastructure, scalable evidence-informed interventions, and embedded implementation supports, allowed school boards to mobilize quickly during Covid-19, and to act within the context of an overarching multi-tiered strategy. In this article, we describe foundational elements that contributed to rapid mobilization and response in school mental health service provision in Ontario schools during Covid-19.
{"title":"Using Implementation Science to Optimize School Mental Health During the Covid-19 Pandemic","authors":"Kathy Short, H. Bullock, Claire V. Crooks, Katholiki Georgiades","doi":"10.7870/cjcmh-2022-021","DOIUrl":"https://doi.org/10.7870/cjcmh-2022-021","url":null,"abstract":"The Covid-19 pandemic has provoked a turbulent and uncertain time, especially for young people. Globally, schools have responded to the evolving pandemic using the best available insights, data, and practices. This response has included a renewed focus on the importance of school mental health as a protective and stabilizing influence. In Ontario, strategic investments in school mental health, inclusive of foundational infrastructure, scalable evidence-informed interventions, and embedded implementation supports, allowed school boards to mobilize quickly during Covid-19, and to act within the context of an overarching multi-tiered strategy. In this article, we describe foundational elements that contributed to rapid mobilization and response in school mental health service provision in Ontario schools during Covid-19.","PeriodicalId":79815,"journal":{"name":"Canadian journal of community mental health = Revue canadienne de sante mentale communautaire","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88003608","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}
M. Young, K. J. Chan, Marie-Pier Vandette, Rebecca A. Cherner, T. Hatchard, D. Shah, C. Kogan
Canadians from diverse ethnocultural backgrounds have specific mental health needs. Cultural competence in mental health care enhances client satisfaction and improves outcomes for individuals from minority groups. Few studies examine cultural competence at the organizational level. This program evaluation examined organizational cultural competence of a university-based psychology clinic. Surveys were completed by internal stakeholders and clients. Results suggest a high level of commitment to cultural competence among internal stakeholders. Clients reportedly felt welcomed and that their cultural needs were met. Challenges related to cultural competency training, educational opportunities, policies, and procedures will be discussed. Recommendations have implications for psychology clinics.
{"title":"Evaluating the Organizational Cultural Competence of a Clinical Psychology Training Clinic: Findings and Implications for Training Sites","authors":"M. Young, K. J. Chan, Marie-Pier Vandette, Rebecca A. Cherner, T. Hatchard, D. Shah, C. Kogan","doi":"10.7870/cjcmh-2022-016","DOIUrl":"https://doi.org/10.7870/cjcmh-2022-016","url":null,"abstract":"Canadians from diverse ethnocultural backgrounds have specific mental health needs. Cultural competence in mental health care enhances client satisfaction and improves outcomes for individuals from minority groups. Few studies examine cultural competence at the organizational level. This program evaluation examined organizational cultural competence of a university-based psychology clinic. Surveys were completed by internal stakeholders and clients. Results suggest a high level of commitment to cultural competence among internal stakeholders. Clients reportedly felt welcomed and that their cultural needs were met. Challenges related to cultural competency training, educational opportunities, policies, and procedures will be discussed. Recommendations have implications for psychology clinics.","PeriodicalId":79815,"journal":{"name":"Canadian journal of community mental health = Revue canadienne de sante mentale communautaire","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80431640","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}
Muslims in Canada may have unmet psychological service needs, but little is known about their past use of, and future preferences for, mental health services. We addressed this gap with an online survey of 238 Canadian Muslims. Analyses investigated differences in intentions to seek support from various informal and formal sources. A majority (65%) of the sample reported at least moderate levels of current distress but only 48.7% sought professional treatment in their lifetimes. Participants preferred dealing with future psychological concerns themselves or with friends/family, closely followed by professional help. Imams were the least preferred source of support.
{"title":"Mental Health Service Utilization and Psychological Help-Seeking Preferences Among Canadian Muslims","authors":"Belal Zia, Shahad Abdulrazaq, C. Mackenzie","doi":"10.7870/cjcmh-2022-003","DOIUrl":"https://doi.org/10.7870/cjcmh-2022-003","url":null,"abstract":"Muslims in Canada may have unmet psychological service needs, but little is known about their past use of, and future preferences for, mental health services. We addressed this gap with an online survey of 238 Canadian Muslims. Analyses investigated differences in intentions to seek support from various informal and formal sources. A majority (65%) of the sample reported at least moderate levels of current distress but only 48.7% sought professional treatment in their lifetimes. Participants preferred dealing with future psychological concerns themselves or with friends/family, closely followed by professional help. Imams were the least preferred source of support.","PeriodicalId":79815,"journal":{"name":"Canadian journal of community mental health = Revue canadienne de sante mentale communautaire","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84683713","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}
Léonie Archambault, Julien Thibault-Lévesque, B. Rivard, Marie-Ève Goyer, Michel Perreault
Cet article recense les rôles adoptés par les pairs dans le domaine des services aux personnes qui utilisent des drogues par injection (notamment en lien avec l’éducation, l’intervention, la référence et la recherche), ainsi que les facteurs qui facilitent ou entravent leur intégration dans les équipes de soins (tels que la clarté et la flexibilité des rôles, la formation et la supervision). La démarche a permis de soutenir les travaux d’un groupe d’experts (constitué de pairs) chargé de développer des recommandations pour l’intégration des pairs dans le cadre de l’implantation d’un programme de traitement par agoniste opioïde injectable au Québec.
{"title":"Recension des écrits sur l’intervention par les pairs pour soutenir leur intégration dans le traitement par agoniste opioïde injectable","authors":"Léonie Archambault, Julien Thibault-Lévesque, B. Rivard, Marie-Ève Goyer, Michel Perreault","doi":"10.7870/cjcmh-2022-007","DOIUrl":"https://doi.org/10.7870/cjcmh-2022-007","url":null,"abstract":"Cet article recense les rôles adoptés par les pairs dans le domaine des services aux personnes qui utilisent des drogues par injection (notamment en lien avec l’éducation, l’intervention, la référence et la recherche), ainsi que les facteurs qui facilitent ou entravent leur intégration dans les équipes de soins (tels que la clarté et la flexibilité des rôles, la formation et la supervision). La démarche a permis de soutenir les travaux d’un groupe d’experts (constitué de pairs) chargé de développer des recommandations pour l’intégration des pairs dans le cadre de l’implantation d’un programme de traitement par agoniste opioïde injectable au Québec.","PeriodicalId":79815,"journal":{"name":"Canadian journal of community mental health = Revue canadienne de sante mentale communautaire","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84478610","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}
Rebecca A. Cherner, Alexia Polillo, Jonathan Samosh, J. Sylvestre, J. Rae, Donna Pettey, T. Aubry
Inappropriate emergency department (ED) use is costly. A system navigation service was developed to connect individuals with repeated ED presentations due to mental health or substance use to community services. Management, staff, and clients (n = 37) participated in interviews or focus groups to identify implementation challenges and associated solutions. Referrals were improved through ED staff support and automating the process. The outreach process, decreased service duration, and prompt support with connection to services facilitated program delivery. Two newly funded programs addressed the limited capacity of other services, and technology facilitated communication. Attention to partnerships and flexibility in the design were essential.
{"title":"Bridging the Gap Between Hospital and Community Mental Health Services for Frequent Emergency Department Visitors","authors":"Rebecca A. Cherner, Alexia Polillo, Jonathan Samosh, J. Sylvestre, J. Rae, Donna Pettey, T. Aubry","doi":"10.7870/cjcmh-2022-001","DOIUrl":"https://doi.org/10.7870/cjcmh-2022-001","url":null,"abstract":"Inappropriate emergency department (ED) use is costly. A system navigation service was developed to connect individuals with repeated ED presentations due to mental health or substance use to community services. Management, staff, and clients (n = 37) participated in interviews or focus groups to identify implementation challenges and associated solutions. Referrals were improved through ED staff support and automating the process. The outreach process, decreased service duration, and prompt support with connection to services facilitated program delivery. Two newly funded programs addressed the limited capacity of other services, and technology facilitated communication. Attention to partnerships and flexibility in the design were essential.","PeriodicalId":79815,"journal":{"name":"Canadian journal of community mental health = Revue canadienne de sante mentale communautaire","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81902034","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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