Systematic Screening for Perinatal Mood and Anxiety Disorders to Promote Onsite Mental Health Consultations: A Quality Improvement Report

2021 ◽  
Author(s):  
Amber Johnson ◽  
Eleanor Stevenson ◽  
Loralie Moeller ◽  
Jacquelyn McMillian‐Bohler
Keyword(s):  
Mental Health ◽  
Quality Improvement ◽  
Anxiety Disorders ◽  
Systematic Screening ◽  
Mood And Anxiety Disorders ◽  
Mental Health Consultations

scholarly journals A growing need for youth mental health services in Canada: examining trends in youth mental health from 2011 to 2018

2020 ◽  
Vol 29 ◽  
Author(s):  
K. Wiens ◽  
A. Bhattarai ◽  
P. Pedram ◽  
A. Dores ◽  
J. Williams ◽  
...  
Keyword(s):  
Mental Health ◽  
Young Adult ◽  
Mental Health Services ◽  
Health Services ◽  
Anxiety Disorders ◽  
Youth Mental Health ◽  
Adult Females ◽  
Mood And Anxiety Disorders ◽  
Mental Health Consultations ◽  
Over Time

Abstract Aims The mental health of youth is continually changing and requires reliable monitoring to ensure that adequate social and economic resources are allocated. This study assessed trends in mental health among Canadian youth, 12–24 years old. Specifically, we examined the prevalence of poor/fair perceived mental health, diagnosis of mood and anxiety disorders, suicidality, perceived stress and sleep problems, substance use, and mental health consultations. Methods Data were collected from eight cycles of the annual Canadian Community Health Survey (2011–2018). Prevalence of mental health outcomes was calculated from each survey, and meta-regression was used to assess trends over time. In the absence of a significant trend over time, the eight cycles were pooled together using meta-analysis techniques to gain precision. Trends in prevalence were assessed for the overall sample of youth (12–24 years) and separately for male and female adolescents (12–18 years) and young adults (19–24 years). Results The prevalence of poor/fair perceived mental health, diagnosed mood and anxiety disorders, and past-year mental health consultations increased from 2011 to 2018, most strongly among young adult females. Past-year suicidality increased among young adult females but did not change for other age and sex groups. Notably, the prevalence of binge drinking decreased by 2.4% per year for young adult males, 1.0% for young adult females and 0.7% per year for adolescent males, while staying relatively stable for adolescent females. Prevalence of cannabis use declined among adolescents before legalisation (2011–2017); however, this trend did not persist in 2018. Instead, the 2018 prevalence was 5.6% higher than the 2017 prevalence (16.3 v. 10.7%). The combined prevalence of other illicit drug use was stable at 4.6%; however, cocaine use and hallucinogens increased by approximately 0.2% per year. Conclusions Our findings highlight a growing need for youth mental health services, as indicated by a rise in the prevalence of diagnosed mood and anxiety disorders and past-year mental health consultations. The reason for these observed increases is less apparent – it may represent a true rise in the prevalence of mental illness, or be an artefact of change in diagnostic practices, mental health literacy or diminishing stigma. Nonetheless, the findings indicate a need for the health care system to respond to the rising demand for mental health services among youth.

Recovery from mood and anxiety disorders: The influence of positive mental health

2019 ◽  
Vol 252 ◽  
pp. 107-113 ◽  
Author(s):  
Marijke Schotanus-Dijkstra ◽  
Corey L.M. Keyes ◽  
Ron de Graaf ◽  
Margreet ten Have
Keyword(s):  
Mental Health ◽  
Anxiety Disorders ◽  
Positive Mental Health ◽  
Mood And Anxiety Disorders

scholarly journals Mood and anxiety disorders across the adult lifespan: a European perspective

2013 ◽  
Vol 44 (4) ◽  
pp. 707-722 ◽  
Author(s):  
R. D. McDowell ◽  
A. Ryan ◽  
B. P. Bunting ◽  
S. M. O'Neill ◽  
J. Alonso ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Anxiety Disorders ◽  
Age Groups ◽  
Adult Lifespan ◽  
Mood And Anxiety Disorders ◽  
World Mental Health Survey ◽  
Dsm Iv ◽  
Conducting Research ◽  
The Relationship

BackgroundThe World Mental Health Survey Initiative (WMHSI) has advanced our understanding of mental disorders by providing data suitable for analysis across many countries. However, these data have not yet been fully explored from a cross-national lifespan perspective. In particular, there is a shortage of research on the relationship between mood and anxiety disorders and age across countries. In this study we used multigroup methods to model the distribution of 12-month DSM-IV/CIDI mood and anxiety disorders across the adult lifespan in relation to determinants of mental health in 10 European Union (EU) countries.MethodLogistic regression was used to model the odds of any mood or any anxiety disorder as a function of age, gender, marital status, urbanicity and employment using a multigroup approach (n = 35500). This allowed for the testing of specific lifespan hypotheses across participating countries.ResultsNo simple geographical pattern exists with which to describe the relationship between 12-month prevalence of mood and anxiety disorders and age. Of the adults sampled, very few aged ⩾80 years met DSM-IV diagnostic criteria for these disorders. The associations between these disorders and key sociodemographic variables were relatively homogeneous across countries after adjusting for age.ConclusionsFurther research is required to confirm that there are indeed stages in the lifespan where the reported prevalence of mental disorders is low, such as among younger adults in the East and older adults in the West. This project illustrates the difficulties in conducting research among different age groups simultaneously.

scholarly journals Mental Health Professional Consultations and the Prevalence of Mood and Anxiety Disorders Among Immigrants: Multilevel Analysis of the Canadian Community Health Survey (Preprint)

2020 ◽  
Author(s):  
Chinenye Nmanma Nwoke ◽  
Udoka Okpalauwaekwe ◽  
Hauwa Bwala
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Anxiety Disorders ◽  
Health Professional ◽  
Community Health ◽  
Mental Health Professional ◽  
Canadian Community Health Survey ◽  
Mood And Anxiety Disorders ◽  
Community Health Survey

BACKGROUND There is a significant body of evidence on the link between migration and mental health stressors. However, there has been very little research on the use of mental health services by immigrants in Canada. The prevalence of mental health professional consultations among immigrants, as well as its correlations, are not well understood and remain largely unknown. OBJECTIVE This study aims to examine how specialist mental health visits (to a psychiatrist) differ from general mental health visits (to a family doctor or general practitioner) from immigrants, when compared to visits from those born in Canada, in a nationally representative sample of Canadian adults. This study also examines which group—immigrant or Canadian-born—suffers more from depression or anxiety, 2 of the more common mental health conditions. METHODS We used data from the Canadian Community Health Survey (CCHS) between the years 2015 and 2016. The outcome variables included consultation with any mental health professional, consultation with a specialist (psychiatrist), and the prevalence of mood and anxiety disorders. The independent variable was immigrant status. Other variables of interest were adjusted for in the analyses. Multilevel regression models were developed, and all analyses were performed with Stata IC statistical software (version 13.0, StataCorp). RESULTS The prevalence of mood and anxiety disorders was significantly lower among immigrants compared with individuals born in Canada; the prevalence of mood disorders was 5.24% (389,164/7,422,773) for immigrants vs. 9.15% (2,001,829/21,885,625) for individuals born in Canada, and the prevalence of anxiety disorders was 4.47% (330,937/7,410,437) for immigrants vs. 9.51% (2,083,155/21,898,839) for individuals born in Canada. It is expected that individuals with a lower prevalence of mood or anxiety disorders would use mental health services less frequently. However, results show that immigrants, while less likely to consult with any mental health professional (OR=0.80, 95% CI 0.72-0.88, <i>P</i>&lt;.001), were more likely to consult with a psychiatrist (OR=1.24, 95% CI 1.04-1.48, <i>P</i>=.02) for their mental health visits when compared to individuals born in Canada. CONCLUSIONS The results of this study reveal an unusual discord between the likelihood of mental health professional consultations with any mental health professional and mental health visits with psychiatrists among immigrants compared to nonimmigrants in Canada. Mental health initiatives need to be cognizant of the differences in the associated characteristics of consultations for immigrants to better tailor mental health services to be responsive to the unique needs of immigrant populations in Canada.

scholarly journals Health status, activity limitations, work-related restrictions and level of disability among Canadians with mood and/or anxiety disorders

2016 ◽  
Vol 36 (12) ◽  
pp. 289-301 ◽  
Author(s):  
Lidia Loukine ◽  
Siobhan O’Donnell ◽  
E. M. Goldner ◽  
Louise McRae ◽  
H. Allen
Keyword(s):  
Mental Health ◽  
Anxiety Disorders ◽  
Population Based ◽  
Individual Characteristics ◽  
Severe Disability ◽  
Activity Limitations ◽  
Physical And Mental Health ◽  
Concurrent Disorders ◽  
Work Related ◽  
Mood And Anxiety Disorders

Introduction This study provides the first overview of the perceived general and mental health, activity limitations, work-related restrictions and level of disability, as well as factors associated with disability severity, among Canadian adults with mood and/or anxiety disorders, using a population-based household sample. Methods We used data from the 2014 Survey on Living with Chronic Diseases in Canada– Mood and Anxiety Disorders Component. The sample consists of Canadians aged 18 years and older with self-reported mood and/or anxiety disorders from the 10 provinces (n = 3361; response rate 68.9%). We conducted descriptive and multinomial multivariate logistic regression analyses. Results Among Canadian adults with mood and/or anxiety disorders, over one-quarter reported “fair/poor” general (25.3%) and mental (26.1%) health; more than one-third (36.4%) reported one or more activity limitations; half (50.3%) stated a job modification was required to continue working; and more than one-third (36.5%) had severe disability. Those with concurrent mood and anxiety disorders reported poorer outcomes: 56.4% had one or more activity limitations; 65.8% required a job modification and 49.6% were severely disabled. Upon adjusting for individual characteristics, those with mood and/or anxiety disorders who were older, who had a household income in the lowest or lower-middle adequacy quintile or who had concurrent disorders were more likely to have severe disability. Conclusion Findings from this study affirm that mood and/or anxiety disorders, especially concurrent disorders, are associated with negative physical and mental health outcomes. Results support the role of public health policy and programs aimed at improving the lives of people living with these disorders, in particular those with concurrent disorders.

scholarly journals Primary Care and Access to Mental Health Consultations among Immigrants and Nonimmigrants with Mood or Anxiety Disorders: Soins de première ligne et accès aux consultations en santé mentale chez les immigrants et les non-immigrants souffrant de troubles de l’humeur ou anxieux

2020 ◽  
pp. 070674372095223
Author(s):  
Joanna Marie B. Rivera ◽  
Joseph H. Puyat ◽  
Mei-ling Wiedmeyer ◽  
M. Ruth Lavergne
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Mental Health Services ◽  
Health Services ◽  
Anxiety Disorders ◽  
Mental Health Consultation ◽  
Recent Immigrants ◽  
Health Consultation ◽  
Solo Practice ◽  
Mental Health Consultations

Objective: To examine the association between usual place of primary care and mental health consultation among those with self-reported mood or anxiety disorders. We also describe access to mental health services among people who are recent immigrants, longer-term immigrants, and nonimmigrants and determine whether the association with place of primary care differs by immigration group. Methods: We used data from the Canadian Community Health Survey (2015 to 2016) to identify a representative sample of individuals with self-reported mood or anxiety disorders. We used logistic regression, with models stratified by immigration group (recent, longer-term, nonimmigrant), to examine the association between usual place of primary care and receiving a mental health consultation in the previous 12 months. Results: Higher percentages of recent and longer-term immigrants see a doctor in solo practice, and a higher percentage of recent immigrants use walk-in clinics as a usual place of care. Compared with people whose usual place of care was a community health center or interdisciplinary team, adjusted odds of a mental health consultation were significantly lower for people whose usual place of care was a solo practice doctor’s office (AOR = 0.71; 95% CI, 0.62 to 0.82), a walk-in clinic (AOR = 0.75; 95% CI, 0.66 to 0.85), outpatient clinic/other place (AOR = 0.72 95% CI, 0.59 to 0.88), and lowest among people reporting no usual place other than the emergency room (AOR = 0.59; 95% CI, 0.51 to 0.67). Differences in access to mental health consultations by usual place of primary care were greatest among immigrants, especially recent immigrants. Conclusions: People with mood or anxiety disorders who have access to team-based primary care are more likely to report mental health consultations, and this is especially true for immigrants. Expanded access to team-based primary health care may help reduce barriers to mental health services, especially among immigrants.

Ethnic density of regions and psychiatric disorders among ethnic minority individuals

2017 ◽  
Vol 64 (2) ◽  
pp. 130-144 ◽  
Author(s):  
Scott Daniel Emerson ◽  
Anita Minh ◽  
Martin Guhn
Keyword(s):  
Mental Health ◽  
Anxiety Disorders ◽  
Ethnic Minority ◽  
Psychiatric Disorders ◽  
Ethnic Minorities ◽  
Sense Of Community ◽  
Ethnic Density ◽  
Lower Odds ◽  
Mood And Anxiety Disorders ◽  
Community Belonging

Background: Ethnic minorities form an increasingly large proportion of Canada’s population. Living in areas of greater ethnic density may help protect mental health among ethnic minorities through psychosocial pathways such as accessibility to culturally appropriate provision of mental health care, less discrimination and a greater sense of belonging. Mood and anxiety disorders are common psychiatric disorders. Aim: This study examined whether ethnic density of regions was related to mood and anxiety disorders among ethnic minorities in Canada. Method: Responses by ethnic minority individuals to the 2011–2014 administrations of the Canadian Community Health Survey ( n =  33,201) were linked to health region ethnic density data. Multilevel logistic regression was employed to model the odds of having mood and/or anxiety disorders associated with increasing region-level ethnic density and to examine whether sense of community belonging helped explain variance in such associations. Analyses were adjusted for individual-level demographic factors as well as region-level socio-economic factors. Results: Higher ethnic density related to lower odds of mood and/or anxiety disorders for Canadian-born (but not foreign-born) ethnic minorities. Sense of community belonging did not help explain such associations, but independently related to lower odds of mood and/or anxiety disorders. These findings remained after adjusting for regional population density and after excluding (rural/remote) regions of very low ethnic density. Conclusion: Ethnic density of regions in Canada may be an important protective factor against mental illness among Canadian-born ethnic minorities. It is important to better understand how, and for which specific ethno-cultural groups, ethnic density may influence mental health.

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