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Authors:Clark Banack, Kyle Y. Whitfield, Serena Isley Pages: 1 - 20 Abstract: Canadian Journal of Community Mental Health, Volume 42, Issue 4, Page 1-20, December 2023. Rural regions across North America continue to suffer from a lack of community-level mental health supports. This exploratory study explores whether Men’s Sheds, bottom-up, community-driven groups designed to support retired and older men’s mental health by mimicking the social and collaborative aspects of “work-life” by creating opportunities to engage in project-based woodworking, metalworking or mechanics, are generating positive mental health outcomes for their members in rural communities in Alberta, Canada. Relying on a set of semi-structured interviews with participants across two rural Alberta Men’s Sheds, in addition to a sociodemographic and self-rating questionnaire, we demonstrate that the participants in these Sheds enjoy clear and significant mental health benefits by generating opportunities for camaraderie, a sense of purpose and a sense of inclusion. Although not an appropriate substitute for more formal mental health supports in certain situations, we conclude that supporting the formation of new Men’s Sheds throughout rural areas represents a worthwhile investment in the mental health of a group of vulnerable citizens. Citation: Canadian Journal of Community Mental Health PubDate: 2024-02-19T08:00:00Z DOI: 10.7870/cjcmh-2023-026 Issue No:Vol. 42, No. 4 (2024)
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Authors:Christine Polihronis, Laura Ziebell, Paula Cloutier, Ashley Radomski, Purnima Sundar, Sandie Leith, Jodie Stewart, Mario Cappelli Pages: 21 - 47 Abstract: Canadian Journal of Community Mental Health, Volume 42, Issue 4, Page 21-47, December 2023. Findings from a novel Primary Care (PC) Mental Health (MH) pathway for children and young people in Northern Ontario, Canada are presented. Overall, 166 MH referrals from PC to a community-based child and youth MH and addictions agency (CB-CYMHA) occurred, with outstanding PC uptake (100%) and faxing referral outcomes (99%) from the CB-CYMHA to the PC provider. Half of referral outcomes (50%) were returned within 2 weeks and 83% of contacted clients reported satisfaction with services received. This successful pilot serves as an example for care pathway improvements and mobilizes knowledge for other pathway sites across Ontario. Citation: Canadian Journal of Community Mental Health PubDate: 2024-02-19T08:00:00Z DOI: 10.7870/cjcmh-2023-027 Issue No:Vol. 42, No. 4 (2024)
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Authors:Emily E. Levitt, Roula Markoulakis, Staci Weingust, Kendyl Dobbin, Anthony J. Levitt Pages: 49 - 62 Abstract: Canadian Journal of Community Mental Health, Volume 42, Issue 4, Page 49-62, December 2023. This study explored factors impacting caregiver burden (CB) in families of youth with mental health and/or addiction (MHA) issues through a cross-sectional survey of Ontario caregivers (n = 259). Zero-order correlations explored caregiver, youth, and service factors and CB. Regressions explored contributions of significant factors to the variance in CB. Barriers to services, number of youth symptoms, and waitlist status significantly predicted CB. The specific barriers that were significantly associated with CB were service costs, service availability, and youth motivation to participate in services. Tailoring interventions and policies to reduce service waitlists and barriers may alleviate CB and improve youth and family outcomes. Citation: Canadian Journal of Community Mental Health PubDate: 2024-02-19T08:00:00Z DOI: 10.7870/cjcmh-2023-028 Issue No:Vol. 42, No. 4 (2024)
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Authors:Guillaume Descary, Elizabeth Olivier, Éliane Thouin, Rubab Arim, Véronique Dupéré, Isabelle Archambault, Kristel Tardif-Grenier Pages: 63 - 72 Abstract: Canadian Journal of Community Mental Health, Volume 42, Issue 4, Page 63-72, December 2023. Using a series of nationally representative cross-sectional surveys, this study shows that younger Canadian adults (aged 18–34) rated their own mental health positively (as “very good” or “excellent”) less often than older adults (i.e., 35+), both before and during the pandemic. Also, younger adults’ positive mental health ratings declined particularly sharply following the onset of the pandemic, with declines of more than 25 percent between the pre-pandemic (60.9% [95% CI 59.3-62.4]), and the pandemic (e.g., 43.8% [95% CI 38.7-49.0]) periods. Young adult women appeared particularly vulnerable, but immigrant youth showed signs of resilience. Citation: Canadian Journal of Community Mental Health PubDate: 2024-02-19T08:00:00Z DOI: 10.7870/cjcmh-2023-029 Issue No:Vol. 42, No. 4 (2024)
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Authors:Mia Tulli-Shah, Odion Welch, Emmanuel Onah Pages: 73 - 89 Abstract: Canadian Journal of Community Mental Health, Volume 42, Issue 4, Page 73-89, December 2023. In this qualitative study, researchers interviewed 10 participants (five mentees and five mentors) of the 2020–2021 Artemo Black Youth Mentorship program session. The Artemo program takes place with Black youth across Alberta, with a focus in Edmonton, Calgary, and Fort McMurray. The program focuses on providing supports for a mental health preventative approach, employment/educational supports, and a gender intersectionality focus throughout Alberta. To assess the program, organizers hired an independent researcher to maintain anonymity. Findings from the interviews spoke to larger themes related to Black youth mental health and well-being, as well as community-based approaches to supporting them. Our findings offer three key themes. First, youth offered their own perceptions of mental wellness. Second, they explained stigma, a lack of cultural competency and representation among service providers, and financial costs, as significant barriers to mental health and wellness. Third they discussed opportunities for youth mentorship to fill service gaps and act as a form of resistance. Opportunities include strategies to navigate mental health stigma, opportunities to build trust, benefits of centralizing experiences of race and culture, and benefits of non-medicalized mental wellness support. Citation: Canadian Journal of Community Mental Health PubDate: 2024-02-19T08:00:00Z DOI: 10.7870/cjcmh-2023-030 Issue No:Vol. 42, No. 4 (2024)
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Authors:Bonnie Leadbeater, Mattie Walker, François Bowen, Skye Barbic, Claire Crooks, Steve Mathias, Marlene Moretti, Paweena Sukhawathanakul, Debra Pepler, Kelly Angelius, Wendy Carr, Patricia Conrod, Ian Pike, Theresa Cummingham, Molly Stewart Lawlor, Patrick McGrath, Patricia Lingley-Pottie Pages: 91 - 136 Abstract: Canadian Journal of Community Mental Health, Volume 42, Issue 4, Page 91-136, December 2023. Post pandemic increases in mental illness and waitlists for mental health services highlight the urgent need to prevent and mitigate mental health problems in children and youth living in Canada. We describe current dissemination and implementation strategies of evidence-based preventive interventions (EBPIs) for children and youth in Canada that are designed to improve health and well-being. Based on written case studies from 18 Canadian researchers and stakeholders, we examined their approaches to development, dissemination, and implementation of EBPIs. We also summarized the opportunities and challenges faced by these researchers, particularly in sustaining the dissemination and implementing of their evidence-based programs over time. Typically, researchers take responsibility for program dissemination, and they have created a variety of approaches to overcoming costs and challenges. However, despite the availability of many strong, developmentally appropriate EBPIs to support child and youth mental health and well-being, systemic gaps between their development and implementation impede equitable access to and sustainability of these resources. Citation: Canadian Journal of Community Mental Health PubDate: 2024-02-19T08:00:00Z DOI: 10.7870/cjcmh-2023-031 Issue No:Vol. 42, No. 4 (2024)
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Authors:Jeffrey Ansloos, Shanna Peltier, Nona Marchand Pages: 137 - 142 Abstract: Canadian Journal of Community Mental Health, Volume 42, Issue 4, Page 137-142, December 2023. This article explores the integration of cultural continuity in health programs for Indigenous youth, leveraging insights from Indigenous Youth Wellness Facilitators, in the Culture Is Healing program. It identifies four practices and their impacts, strengthening community and identity among Indigenous youth. The findings provide valuable recommendations for practitioners and policymakers. Citation: Canadian Journal of Community Mental Health PubDate: 2024-02-19T08:00:00Z DOI: 10.7870/cjcmh-2023-032 Issue No:Vol. 42, No. 4 (2024)
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Authors:Penny Corkum, Gabrielle Rigney, Melissa McGonnell, Carolin Van Voorst Pages: 1 - 29 Abstract: Canadian Journal of Community Mental Health, Ahead of Print. The journey of obtaining a diagnosis and treatment for children and youth with ADHD can be challenging for all those involved. Focus groups were conducted with parents (n = 21), educators (n = 76), and healthcare providers (n = 39) to gather information regarding perceptions of this journey, especially as it relates to treatment utilization and adherence. Three cross-cutting categories emerged: the impact of socio-economic variables, the lack of integrated and continuity of care for ADHD, and the stigma surrounding ADHD and treatments. The results help to determine what is needed to support families to facilitate successful treatment for their child with ADHD. Citation: Canadian Journal of Community Mental Health PubDate: 2024-07-25T07:00:00Z DOI: 10.7870/cjcmh-2024-010
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Authors:Jonathan Samosh, Donna Pettey, John Sylvestre, Tim Aubry Pages: 1 - 7 Abstract: Canadian Journal of Community Mental Health, Ahead of Print. Frequent emergency department users with mental illness or addiction often struggle to find the services they need. A pre-test/post-test design assessed outcomes for these individuals after participating in a novel community-based stepped-care program delivering individualized intensive case management services. Results indicated improvement in overall functioning and severity of anxious and depressive symptoms. Citation: Canadian Journal of Community Mental Health PubDate: 2024-07-08T07:00:00Z DOI: 10.7870/cjcmh-2024-009
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Authors:Josiah Osagie, Yvonne Bergmans, Aly Kassam, Michaela Beder, Madeleine Ritts, Juveria Zaheer, Kate Wren, Melissa Button, Nicole Kirwan, Matthew Levy, Samuel Law Pages: 1 - 18 Abstract: Canadian Journal of Community Mental Health, Ahead of Print. People with borderline personality disorder (BPD) are typically excluded from assertive community treatment (ACT) teams, the intensive model that typically serves people with serious psychotic and mood disorders. Nevertheless, many people with BPD are on ACT teams for clinical comorbidity or other reasons. Suitability and ability of ACT to provide their care is understudied. Our scoping literature review shows a limited body of research, with strong but mixed opinions on this dilemma, but notable incorporation of training and skills (e.g., dialectical behavioral therapy) into ACT may improve care for this population whose presence on ACT teams is a clinical reality. Citation: Canadian Journal of Community Mental Health PubDate: 2024-05-03T07:00:00Z DOI: 10.7870/cjcmh-2024-003
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Authors:Cara Evans, Janelle Panday, Heather Bullock, Mary Anne Levasseur, Christopher Canning, Laura Tripp, Julia Abelson, Meredith Vanstone Pages: 1 - 20 Abstract: Canadian Journal of Community Mental Health, Ahead of Print. Partnering with patients and family caregivers (commonly referred to as patient partnership) is increasingly common in health services, research, education, and policy. In the field of mental health, service user involvement intersects with distinct historical trajectories and as such, may take on unique forms. This review draws on a broader systematic review of literature on patient partnership. We ask: How does literature on patient partnership in mental health and addictions describe the history of service user involvement and the roles of service users' Two broad frames for service user involvement are identified, which offer contrasting perspectives about the history, value, and power relations involved in service user involvement. Future research can consider implications of these perspectives, and opportunities for synthesis. Citation: Canadian Journal of Community Mental Health PubDate: 2024-04-12T07:00:00Z DOI: 10.7870/cjcmh-2024-001
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Authors:Fardowsa Ahmed, Heba Ragheb, Nazila Isgandarova, Jibran Khokhar, Marwa Azab, Allie Ali, Abd Alfatah Twakkal, Ahmed N. Hassan Pages: 1 - 5 Abstract: Canadian Journal of Community Mental Health, Ahead of Print. Canadian Muslims are a growing population at an increased risk of addiction who have been found to underutilize health services. The Canadian-Muslim Addiction Program (C-MAP) offers an innovative intervention serving as a practice for public-health education to transform addiction care in this population by reducing stigma and increasing help-seeking. Citation: Canadian Journal of Community Mental Health PubDate: 2024-03-08T08:00:00Z DOI: 10.7870/cjcmh-2024-007
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Authors:Guillaume Tremblay, Nicole C. Rodrigues Pages: 1 - 5 Abstract: Canadian Journal of Community Mental Health, Ahead of Print. To support population mental health, mental hygiene propounds a universal public recommendation. March 2022 was the inaugural mental hygiene challenge where community members were invited to spend 10 minutes a day throughout the month engaged in mental hygiene activities. The outcomes suggest daily mental hygiene supports mental well-being. Citation: Canadian Journal of Community Mental Health PubDate: 2024-03-04T08:00:00Z DOI: 10.7870/cjcmh-2024-008
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Authors:Philippe Roy, Dominic Bizot, Chloé Lévesque, Sophie Parent Pages: 1 - 5 Abstract: Canadian Journal of Community Mental Health, Ahead of Print. Cet article présente le modèle des Men’s Shed, ou ateliers pour hommes, comme pratique innovante en santé mentale communautaire. Il détaille les problématiques auxquelles ils répondent, leur fonctionnement et les défis. Nous soulignons le besoin de littérature scientifique en français sur la question. Citation: Canadian Journal of Community Mental Health PubDate: 2024-02-23T08:00:00Z DOI: 10.7870/cjcmh-2024-005
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Authors:Kayla Hamel, Kyla McDonald, Sean Kidd, Alexia Jaouich, Kaitlin Saxton, AnnMarie Churchill Pages: 1 - 5 Abstract: Canadian Journal of Community Mental Health, Ahead of Print. This article describes a novel framework for the provision of individual psychotherapy for youth with histories of homelessness. We discuss the value of a one-at-a-time therapy approach in stepped care contexts through the Housing Outreach Project—Collaborative (HOPC), a comprehensive program for young people transitioning out of homelessness in Toronto, Canada. Citation: Canadian Journal of Community Mental Health PubDate: 2024-02-23T08:00:00Z DOI: 10.7870/cjcmh-2024-006