scholarly journals Evaluating the Complex: Alternative Models and Measures for Evaluating Collaboration among Substance use Services with Mental Health, Primary Care and other Services and Sectors

2014 ◽  
Vol 31 (1) ◽  
pp. 27-44 ◽  
Author(s):  
Brian Rush
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Substance Use ◽  
Alternative Models ◽  
Substance Use Services

scholarly journals Going virtual: youth attitudes toward and experiences of virtual mental health and substance use services during the COVID-19 pandemic

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Lisa D. Hawke ◽  
Natasha Y. Sheikhan ◽  
Karen MacCon ◽  
Joanna Henderson
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Youth Mental Health ◽  
Research Process ◽  
Clinical Samples ◽  
Future Research ◽  
Advantages And Disadvantages ◽  
Substance Use Services ◽  
Youth Attitudes ◽  
Virtual Services

Abstract Background During the COVID-19 pandemic, youth mental health and substance use services rapidly moved to virtual modalities to meet social distancing requirements. It is important to understand youth attitudes toward and experience of virtual services. Objective This study examined the attitudes toward and experiences of virtual mental health and substance use services among youth drawn from clinical and non-clinical samples. Method Four hundred nine youth completed a survey including questions about their attitudes toward and experience of virtual services. The survey included quantitative and open-ended questions on virtual care, as well as a mental health and substance use screener. Results The majority of youth with mental health or substance use challenges would be willing to consider individual virtual services, but fewer would consider group virtual services. However, many have not received virtual services. Youth are interested in accessing a wide variety of virtual services and other supportive wellness services. Advantages and disadvantages of virtual services are discussed, including accessibility benefits and technological barriers. Discussion As youth mental health and substance use services have rapidly gone virtual during the COVID-19 pandemic, it is essential that we hear the perspectives of youth to promote service utilization among those in need. Diverse, accessible, technologically stable virtual services are required to meet the needs of different youth, possibly with in-person options for some youth. Future research, engaging youth in the research process, is needed to evaluate the efficacy of virtual services to plan for the sustainability of some virtual service gains beyond the pandemic period.

scholarly journals What makes mental health and substance use services youth friendly? A scoping review of literature

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Lisa D. Hawke ◽  
Kamna Mehra ◽  
Cara Settipani ◽  
Jaqueline Relihan ◽  
Karleigh Darnay ◽  
...  
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Scoping Review ◽  
Review Of Literature ◽  
Substance Use Services ◽  
Youth Friendly

scholarly journals Health Plan Requirements for Mental Health and Substance Use Screening in Primary Care

2007 ◽  
Vol 22 (7) ◽  
pp. 930-936 ◽  
Author(s):  
Constance M. Horgan ◽  
Deborah W. Garnick ◽  
Elizabeth L. Merrick ◽  
Alex Hoyt
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Substance Use ◽  
Health Plan

scholarly journals Patient and Family Engagement

2021 ◽  
Vol 2 (2) ◽  
Author(s):  
Bonnie Hope Cai
Keyword(s):  
Mental Health ◽  
Health Promotion ◽  
Substance Use ◽  
Lived Experience ◽  
Patient Engagement ◽  
Family Engagement ◽  
Public Mental Health ◽  
System Level ◽  
Project Coordinator ◽  
Substance Use Services

British Columbia Mental Health and Substance Use Services (BCMHSUS) provides mental health services, education, and health promotion initiatives to people with mental health and substance use issues across the province of BC. As a Project Coordinator in the Patient and Community Engagement portfolio, I performed a variety of work to support patient and family engagement under the newly created Patient Engagement Framework. Engaging patients and families as active participants and co-designers of their own care is an important component of patient-centred care that improves healthcare quality, health outcomes, and overall experiences of care at a system level. To work towards this goal, I developed a trauma-informed policy and procedure for BCMHSUS on patient and family engagement to serve as a guideline for giving patients and families a voice in the design and delivery of their mental health care. I also drafted two patient engagement playbooks called Managing Conflict and Respecting Emotions and Engaging Mandated and Incarcerated Patients, which focus on barriers and solutions to engaging patients in vulnerable circumstances. Moreover, I worked with provincial stakeholders to write the annual report for the BC Partners, which is a collaborative mental health promotion partnership between BCMHSUS and 7 provincial organizations with different mental health and substance use specialties (e.g. BC Schizophrenia Society, The Mood Disorders Association of BC, Canadian Institute for Substance Use Research, etc.). I also performed a literature review of the evidence supporting family engagement in patient- and family-centred care, and I made infographics and other visual designs to translate research and knowledge in visually appealing ways. Overall, my practicum helped me contribute towards advancing public mental health by valuing patients' knowledge, skills, and lived experience in the health system and working on a variety of initiatives to promote mental health in the province.

scholarly journals How Much Do Mental Health and Substance Use/Addiction Affect Use of General Medical Services? Extent of Use, Reason for Use, and Associated Costs

2016 ◽  
Vol 62 (1) ◽  
pp. 48-56 ◽  
Author(s):  
Kathryn Graham ◽  
Joyce Cheng ◽  
Sharon Bernards ◽  
Samantha Wells ◽  
Jürgen Rehm ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Substance Use ◽  
Health Care Costs ◽  
Emergency Departments ◽  
Primary Care Physicians ◽  
Service Use ◽  
Cross Sectional ◽  
Care Costs

Objective: To measure service use and costs associated with health care for patients with mental health (MH) and substance use/addiction (SA) problems. Methods: A 5-year cross-sectional study (2007-2012) of administrative health care data was conducted (average annual sample size = 123,235 adults aged >18 years who had a valid Ontario health care number and used at least 1 service during the year; 55% female). We assessed average annual use of primary care, emergency departments and hospitals, and overall health care costs for patients identified as having MH only, SA only, co-occurring MH and SA problems (MH+SA), and no MH and/or SA (MH/SA) problems. Total visits/admissions and total non-MH/SA visits (i.e., excluding MH/SA visits) were regressed separately on MH, SA, and MH+SA cases compared to non-MH/SA cases using the 2011-2012 sample ( N = 123,331), controlling for age and sex. Results: Compared to non-MH/SA patients, MH/SA patients were significantly ( P < 0.001) more likely to visit primary care physicians (1.82 times as many visits for MH-only patients, 4.24 for SA, and 5.59 for MH+SA), use emergency departments (odds, 1.53 [MH], 3.79 [SA], 5.94 [MH+SA]), and be hospitalized (odds, 1.59 [MH], 4.10 [SA], 7.82 [MH+SA]). MH/SA patients were also significantly more likely than non-MH/SA patients to have non-MH/SA-related visits and accounted for 20% of the sample but over 30% of health care costs. Conclusions: MH and SA are core issues for all health care settings. MH/SA patients use more services overall and for non-MH/SA issues, with especially high use and costs for MH+SA patients.

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