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Authors:Evangeline Danseco, Gabrielle Lucente, Julia Kurzawa Pages: 1 - 22 Abstract: Canadian Journal of Community Mental Health, Ahead of Print. Organizational practices to advance racial equity are needed to address the systemic nature of racism. Implementation science frameworks offer a comprehensive approach when implementing complex initiatives. We describe the development of a tool to assess organizational practices in advancing racial equity (OPARE). Findings on the acceptability, reliability and preliminary validity are presented based on 98 responses from child and youth mental health agencies across Ontario. The OPARE shows promise as a valid and reliable organizational assessment tool for helping plan, implement and evaluate racial equity efforts in community mental health settings. Citation: Canadian Journal of Community Mental Health PubDate: 2023-05-23T07:00:00Z DOI: 10.7870/cjcmh-2023-008
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Authors:Andrea E. Thomson, Candice Waddell-Henowitch, Rachel Herron, Donna Epp, Kyrra Rauch, Kimberley D. Ryan, Sharran Mullins Pages: 1 - 14 Abstract: Canadian Journal of Community Mental Health, Ahead of Print. Rural residence has been identified as a risk factor for suicide, especially for men. Little qualitative research exists on rural suicide, which might help deepen understandings of prevention strategies within rural places. Therefore, virtual focus groups were held across six Canadian provinces to give voice to rural community members and service workers about suicide prevention. Barriers to accessing services and the need to strengthen rural support networks were discussed. Enhancing peer support was highlighted as a strategy to better address the needs of rural Canadians. Citation: Canadian Journal of Community Mental Health PubDate: 2023-05-10T07:00:00Z DOI: 10.7870/cjcmh-2023-003
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Authors:Maryam Gholamrezaei, Nancy L. Heath, Liane Pereira, Jack De Stefano, Bilun Naz Böke Pages: 1 - 1 Abstract: Canadian Journal of Community Mental Health, Ahead of Print.
Citation: Canadian Journal of Community Mental Health PubDate: 2023-05-10T07:00:00Z DOI: 10.7870/cjcmh-2023-012
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Authors:Kyrra Rauch, Kim Ryan, Doug Ramsey, Donna Epp, Stacey Lee, Rachel Herron, Sharran Mullins, Andrea E. Thomson, Candice Waddell-Henowitch Pages: 1 - 17 Abstract: Canadian Journal of Community Mental Health, Ahead of Print. A scoping review of research about suicidality in rural and remote Canadian communities, published between 2009 and July 2020 was conducted by searching Embase, Medline, CINAHL, PsychInfo, SocIndex, Geobase, and PsycArticles databases. Included articles were reviewed and charted using data extraction. Thirty-nine Canadian, non-Indigenous articles met inclusion. Most publications were based on quantitative research (23). Apart from one intervention study, articles were prevention focused, with suicidality risk and protective factors noted to be of particular interests. The most frequently referenced suicidality risk factor was rural residence. It is anticipated that results of this review will inform future research, particularly the need to include qualitative and mixed methodologies, protocol, and evaluations of interventions as well as postvention research, with further consideration of different Canadian settings and populations. Citation: Canadian Journal of Community Mental Health PubDate: 2023-04-05T07:00:00Z DOI: 10.7870/cjcmh-2023-005
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Authors:Rosanra Yoon, April Furlong, Julia Bloomenfeld, Karina Biasia, Sarah Innis, Michelle Coombs Pages: 1 - 5 Abstract: Canadian Journal of Community Mental Health, Ahead of Print. Canadian women with alcohol use disorder have limited access to anti-craving medication, despite its effectiveness in reducing alcohol use. This article describes the results of a pilot program developed to improve access to integrated medical assessment and management of anti-craving medication and traumainformed relapse prevention counselling in a community setting. Citation: Canadian Journal of Community Mental Health PubDate: 2023-03-31T07:00:00Z DOI: 10.7870/cjcmh-2023-001
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Authors:Krystle Martin, Wendy Stanyon, Korri Bickle Pages: 1 - 5 Abstract: Canadian Journal of Community Mental Health, Ahead of Print. Police services have frequent contact with people living with mental disorders, substance misuse, or homelessness. This paper describes a specialized service within a police service in Ontario, Canada, aimed to support the needs of these vulnerable individuals. Implications for police services considering implementing a similar program are discussed. Citation: Canadian Journal of Community Mental Health PubDate: 2023-03-31T07:00:00Z DOI: 10.7870/cjcmh-2023-002
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Authors:Maryam Gholamrezaei, Nancy L. Heath, Jack De Stefano, Bilun Naz Böke, Liane Pereira Pages: 1 - 26 Abstract: Canadian Journal of Community Mental Health, Ahead of Print. We aimed to investigate non-suicidal self-injury (NSSI), help-seeking, and cultural responses to NSSI among a diverse sample of university students in Canada. NSSI prevalence was examined in a sample of students (n = 5,450; 63.9% women), which yielded a follow-up sample of ethnic minority students with a history of self-injury (n = 101; 81.2% women), to study service use and cultural responses to NSSI. Asian, Southeast Asian, White, and multiracial backgrounds were at the most risk for NSSI engagement. Three categories of responses to NSSI emerged: responses embedded in stigma, emotional, and constructive responses. Implications for cultural differences in help-seeking and attitudes towards NSSI are discussed. Citation: Canadian Journal of Community Mental Health PubDate: 2023-03-31T07:00:00Z DOI: 10.7870/cjcmh-2023-004
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Authors:Louise Cournoyer, Patrice Fugah Pages: 1 - 18 Abstract: Canadian Journal of Community Mental Health, Volume 41, Issue 4, Page 1-18, October 2022. One in five Canadians currently experience mental health problems, and although effective psychotherapy treatment is currently available, patients’ decision to end therapy before completing treatment impacts limited resources. This qualitative study explored the experiences of 15 patients who either did not attend a scheduled intake appointment or had dropped out of service prematurely from an outpatient mental health clinic. Overall, the overarching themes identified were overall experience with service and access, multiple factors and external circumstances, experience with group structure, group processes and interactions, and age-related differences. Younger participants shared a need for flexible and spontaneous service. Citation: Canadian Journal of Community Mental Health PubDate: 2022-12-21T08:00:00Z DOI: 10.7870/cjcmh-2022-028 Issue No:Vol. 41, No. 4 (2022)
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Authors:Alexandra Giroux, Sophie Meunier, Amélie Doucet, François Lauzier-Jobin, Stéphanie Radziszewski, Simon Coulombe, Janie Houle Pages: 19 - 35 Abstract: Canadian Journal of Community Mental Health, Volume 41, Issue 4, Page 19-35, October 2022. Les travailleurs œuvrant auprès d’organismes communautaires sont essentiels pour le fonctionnement de la société puisqu’ils octroient des services aux clientèles vulnérables. Cependant, la littérature indique que ces travailleurs vivent à la fois plus de détresse et de bien-être que leurs homologues des secteurs publics et privés. Grâce à des groupes de discussion réalisés auprès de travailleurs communautaires québécois (n = 20), cette étude identifie des demandes et des ressources au travail ayant des répercussions sur leur santé psychologique. Les résultats contribuent à une meilleure compréhension des facteurs influençant la santé psychologique des travailleurs et à une réflexion sur l’amélioration de leurs conditions de travail. Citation: Canadian Journal of Community Mental Health PubDate: 2022-12-21T08:00:00Z DOI: 10.7870/cjcmh-2022-029 Issue No:Vol. 41, No. 4 (2022)
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Authors:Christophe Tremblay, Lisa Ellington Pages: 36 - 53 Abstract: Canadian Journal of Community Mental Health, Volume 41, Issue 4, Page 36-53, October 2022. La guérison autochtone fait présentement l’objet d’un intérêt inégalé dans le champ de la santé mentale. En parallèle, les services réguliers en santé mentale au Québec et au Canada restent marqués par le paradigme du rétablissement. Si ces approches partagent plusieurs traits communs, elles présentent aussi des particularités et des nuances importantes à maîtriser pour les intervenant.es. Le présent article propose ainsi une comparaison conceptuelle en profondeur de ces deux approches. Quatre dimensions ont permis de les rapprocher et de les contraster, soit : 1) la pluralité de leurs assises conceptuelles ; 2) la globalité de leur vision des problématiques et de l’intervention ; 3) la non-linéarité des cheminements personnels et collectifs ; 4) la non-directivité des processus de changement. En discussion, nous abordons les implications pratiques de l’analyse conceptuelle. En conclusion, l’article soutien une hybridation possible, voire souhaitable entre les approches autochtones et occidentales dans le domaine de la santé mentale. Citation: Canadian Journal of Community Mental Health PubDate: 2022-12-21T08:00:00Z DOI: 10.7870/cjcmh-2022-030 Issue No:Vol. 41, No. 4 (2022)
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Authors:Christa Sato, Ferdinand Espina, David Este, Ilyan Ferrer Pages: 54 - 66 Abstract: Canadian Journal of Community Mental Health, Volume 41, Issue 4, Page 54-66, October 2022. In Canada, there is a dearth of comprehensive literature on the specific needs for the health and well-being of racialized newcomers, especially for mental health in the rapidly growing Filipino-Canadian diaspora. Using two focus groups with 14 participants, this article identified the following themes: Filipino-Canadian men’s conceptualization of mental illness, health, and stigma; gender and intergenerational expectations as a form of mental health stigma; and motivations for joining the Strength In Unity (SIU) project. The insights from these Filipino men should inform approaches to addressing mental health in Filipino communities in Canada. Citation: Canadian Journal of Community Mental Health PubDate: 2022-12-21T08:00:00Z DOI: 10.7870/cjcmh-2022-031 Issue No:Vol. 41, No. 4 (2022)
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Authors:Corentin Montiel, François Lauzier-Jobin, Stephanie Radziszewski, Julie Bordeleau, Annie Beaudin, Pasquale Roberge, Martin D. Provencher, Catherine Hudon, Hélène Provencher, Janie Houle Pages: 67 - 74 Abstract: Canadian Journal of Community Mental Health, Volume 41, Issue 4, Page 67-74, October 2022. This brief report focuses on the experience of service users in the context of a new public institutional framework limiting the number of psychosocial intervention sessions offered per person. Qualitative data of nine group discussions composed of 12 past service users and 12 professionals working in local community health centres were analyzed with content analysis. The study revealed that service users expressed mostly negative emotions and views attributed to session limits. This brief report suggests that rigid session-limited psychosocial interventions are perceived negatively and could have adverse consequences on recovery in vulnerable individuals. Citation: Canadian Journal of Community Mental Health PubDate: 2022-12-21T08:00:00Z DOI: 10.7870/cjcmh-2022-032 Issue No:Vol. 41, No. 4 (2022)
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Authors:Roxy Helliker O’Rourke, Denver Brown, Kathleen A. Martin Ginis, Kelly P. Arbour-Nicitopoulos Pages: 75 - 103 Abstract: Canadian Journal of Community Mental Health, Volume 41, Issue 4, Page 75-103, October 2022. Children and youth with disabilities (CYD) are more likely to experience poor mental health compared to non-disabled peers. Disability type may impact mental health outcomes; however, a more comprehensive understanding of mental health outcomes in CYD with diverse disability types is needed. This study examined the mental health status of CYD. Parents of 473 CYD completed a survey including a measure of mental health indicators. Approximately 72% of the sample had above average total difficulties scores. Boys scored higher than girls on the hyperactivity subscale, and those with comorbid disabilities scored the highest on total difficulties. Overall, the results indicate CYD experience mental health challenges at rates well above population norms. Research exploring interventions that may buffer these effects is warranted. Citation: Canadian Journal of Community Mental Health PubDate: 2022-12-21T08:00:00Z DOI: 10.7870/cjcmh-2022-033 Issue No:Vol. 41, No. 4 (2022)
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Authors:Julie Lane, Melissa Goodfellow, François Lauzier-Jobin, Danyka Therriault, Alexis Thibault, et Félix Berrigan Pages: 104 - 120 Abstract: Canadian Journal of Community Mental Health, Volume 41, Issue 4, Page 104-120, October 2022. Le programme Mindfulness-Based Stress Reduction (MBSR) permet le développement des compétences psychosociales comme la gestion du stress. Par contre, ce programme n’a pas encore été évalué auprès d’une population de jeunes vivant en contexte de vulnérabilité. Un devis de recherche mixte a permis de mesurer les effets du programme MBSR sur le stress perçu et le sentiment d’autoefficacité des participants (questionnaires standardisés) et de documenter l’implantation du programme auprès de jeunes en contexte de vulnérabilité (entrevues de groupe et individuelles avec les participants, la formatrice et une intervenante). Différentes applications du programme MBSR sont discutées. Citation: Canadian Journal of Community Mental Health PubDate: 2022-12-21T08:00:00Z DOI: 10.7870/cjcmh-2022-034 Issue No:Vol. 41, No. 4 (2022)
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Authors:Patrick Luyindula, Catherine Des Rivières-Pigeon Pages: 121 - 143 Abstract: Canadian Journal of Community Mental Health, Volume 41, Issue 4, Page 121-143, October 2022. La forte demande d’intervention comportementale intensive (ICI) en autisme, s’associant à des ressources publiques limitées au Québec, donne lieu à une sélection des bénéficiaires de services. Nous abordons dans cet article les enjeux d’une justice sociale en analysant la durée d’attente de service et l’accès au programme pour 715 demandeurs de service âgés de 0 à 5 ans. Les résultats démontrent qu’il y a un lien significatif entre, d’une part, l’âge de l’enfant au moment de la demande, la source de revenu/langue d’usage des parents, ainsi que la durée d’attente de services, et, d’autre part, entre l’âge de l’enfant et l’accès aux services. Les enfants plus âgés sont proportionnellement plus nombreux à attendre longtemps avant d’accéder aux services (p < 0,0001), et aussi plus nombreux à ne pas accéder aux services (p < 0,0001). Les enfants dont les parents n’ont pas de revenu d’emploi (p = 0,010) ou possèdent une langue d’usage autre que le français (p = 0,006) débutent plus rapidement les services. Ces résultats orientent vers l’implication des déterminants sociaux dans l’accès sélectif aux programmes d’ICI. Citation: Canadian Journal of Community Mental Health PubDate: 2022-12-21T08:00:00Z DOI: 10.7870/cjcmh-2022-035 Issue No:Vol. 41, No. 4 (2022)
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Pages: 1 - 1 Abstract: Canadian Journal of Community Mental Health, Ahead of Print.
Citation: Canadian Journal of Community Mental Health PubDate: 2022-11-23T08:00:00Z DOI: 10.7870/cjcmh-2022-a01