Continuum of care for persons with common mental health disorders in Nunavik: a descriptive study.
BACKGROUND: Changing Directions, Changing Lives, the Mental Health Strategy for Canada, prioritizes the development of coordinated continuums of care in mental health that will bridge the gap in services for Inuit populations. OBJECTIVE: In order to target ways of improving the services provided in...
Published in: | International Journal of Circumpolar Health |
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Language: | English |
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2015
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Online Access: | https://serval.unil.ch/notice/serval:BIB_E73285F7137B https://doi.org/10.3402/ijch.v74.27186 https://serval.unil.ch/resource/serval:BIB_E73285F7137B.P001/REF.pdf http://nbn-resolving.org/urn/resolver.pl?urn=urn:nbn:ch:serval-BIB_E73285F7137B2 |
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ftunivlausanne:oai:serval.unil.ch:BIB_E73285F7137B 2024-02-11T10:02:56+01:00 Continuum of care for persons with common mental health disorders in Nunavik: a descriptive study. Lessard, L. Fournier, L. Gauthier, J. Morin, D. 2015 application/pdf https://serval.unil.ch/notice/serval:BIB_E73285F7137B https://doi.org/10.3402/ijch.v74.27186 https://serval.unil.ch/resource/serval:BIB_E73285F7137B.P001/REF.pdf http://nbn-resolving.org/urn/resolver.pl?urn=urn:nbn:ch:serval-BIB_E73285F7137B2 eng eng info:eu-repo/semantics/altIdentifier/doi/10.3402/ijch.v74.27186 info:eu-repo/semantics/altIdentifier/pmid/25979200 info:eu-repo/semantics/altIdentifier/eissn/2242-3982 info:eu-repo/semantics/altIdentifier/urn/urn:nbn:ch:serval-BIB_E73285F7137B2 https://serval.unil.ch/notice/serval:BIB_E73285F7137B doi:10.3402/ijch.v74.27186 urn:issn:1239-9736 https://serval.unil.ch/resource/serval:BIB_E73285F7137B.P001/REF.pdf http://nbn-resolving.org/urn/resolver.pl?urn=urn:nbn:ch:serval-BIB_E73285F7137B2 info:eu-repo/semantics/openAccess Copying allowed only for non-profit organizations https://serval.unil.ch/disclaimer International Journal of Circumpolar Health, vol. 74, pp. 27186 info:eu-repo/semantics/article article info:eu-repo/semantics/publishedVersion 2015 ftunivlausanne https://doi.org/10.3402/ijch.v74.27186 2024-01-22T00:56:14Z BACKGROUND: Changing Directions, Changing Lives, the Mental Health Strategy for Canada, prioritizes the development of coordinated continuums of care in mental health that will bridge the gap in services for Inuit populations. OBJECTIVE: In order to target ways of improving the services provided in these contexts to individuals in Nunavik with depression or anxiety disorders, this research examines delays and disruptions in the continuum of care and clinical, individual and organizational characteristics possibly associated with their occurrences. DESIGN: A total of 155 episodes of care involving a common mental disorder (CMD), incident or recurring, were documented using the clinical records of 79 frontline health and social services (FHSSs) users, aged 14 years and older, living in a community in Nunavik. Each episode of care was divided into 7 stages: (a) detection; (b) assessment; (c) intervention; (d) planning the first follow-up visit; (e) implementation of the first follow-up visit; (f) planning a second follow-up visit; (g) implementation of the second follow-up visit. Sequential analysis of these stages established delays for each one and helped identify when breaks occurred in the continuum of care. Logistic and linear regression analysis determined whether clinical, individual or organizational characteristics influenced the breaks and delays. RESULTS: More than half (62%) the episodes of care were interrupted before the second follow-up. These breaks mostly occurred when planning and completing the first follow-up visit. Episodes of care were more likely to end early when they involved anxiety disorders or symptoms, limited FHSS teams and individuals over 21 years of age. The median delay for the first follow-up visit (30 days) exceeded guideline recommendations significantly (1-2 weeks). CONCLUSION: Clinical primary care approaches for CMDs in Nunavik are currently more reactive than preventive. This suggests that recovery services for those affected are suboptimal. Article in Journal/Newspaper Circumpolar Health International Journal of Circumpolar Health inuit Nunavik Université de Lausanne (UNIL): Serval - Serveur académique lausannois Canada Nunavik International Journal of Circumpolar Health 74 1 27186 |
institution |
Open Polar |
collection |
Université de Lausanne (UNIL): Serval - Serveur académique lausannois |
op_collection_id |
ftunivlausanne |
language |
English |
description |
BACKGROUND: Changing Directions, Changing Lives, the Mental Health Strategy for Canada, prioritizes the development of coordinated continuums of care in mental health that will bridge the gap in services for Inuit populations. OBJECTIVE: In order to target ways of improving the services provided in these contexts to individuals in Nunavik with depression or anxiety disorders, this research examines delays and disruptions in the continuum of care and clinical, individual and organizational characteristics possibly associated with their occurrences. DESIGN: A total of 155 episodes of care involving a common mental disorder (CMD), incident or recurring, were documented using the clinical records of 79 frontline health and social services (FHSSs) users, aged 14 years and older, living in a community in Nunavik. Each episode of care was divided into 7 stages: (a) detection; (b) assessment; (c) intervention; (d) planning the first follow-up visit; (e) implementation of the first follow-up visit; (f) planning a second follow-up visit; (g) implementation of the second follow-up visit. Sequential analysis of these stages established delays for each one and helped identify when breaks occurred in the continuum of care. Logistic and linear regression analysis determined whether clinical, individual or organizational characteristics influenced the breaks and delays. RESULTS: More than half (62%) the episodes of care were interrupted before the second follow-up. These breaks mostly occurred when planning and completing the first follow-up visit. Episodes of care were more likely to end early when they involved anxiety disorders or symptoms, limited FHSS teams and individuals over 21 years of age. The median delay for the first follow-up visit (30 days) exceeded guideline recommendations significantly (1-2 weeks). CONCLUSION: Clinical primary care approaches for CMDs in Nunavik are currently more reactive than preventive. This suggests that recovery services for those affected are suboptimal. |
format |
Article in Journal/Newspaper |
author |
Lessard, L. Fournier, L. Gauthier, J. Morin, D. |
spellingShingle |
Lessard, L. Fournier, L. Gauthier, J. Morin, D. Continuum of care for persons with common mental health disorders in Nunavik: a descriptive study. |
author_facet |
Lessard, L. Fournier, L. Gauthier, J. Morin, D. |
author_sort |
Lessard, L. |
title |
Continuum of care for persons with common mental health disorders in Nunavik: a descriptive study. |
title_short |
Continuum of care for persons with common mental health disorders in Nunavik: a descriptive study. |
title_full |
Continuum of care for persons with common mental health disorders in Nunavik: a descriptive study. |
title_fullStr |
Continuum of care for persons with common mental health disorders in Nunavik: a descriptive study. |
title_full_unstemmed |
Continuum of care for persons with common mental health disorders in Nunavik: a descriptive study. |
title_sort |
continuum of care for persons with common mental health disorders in nunavik: a descriptive study. |
publishDate |
2015 |
url |
https://serval.unil.ch/notice/serval:BIB_E73285F7137B https://doi.org/10.3402/ijch.v74.27186 https://serval.unil.ch/resource/serval:BIB_E73285F7137B.P001/REF.pdf http://nbn-resolving.org/urn/resolver.pl?urn=urn:nbn:ch:serval-BIB_E73285F7137B2 |
geographic |
Canada Nunavik |
geographic_facet |
Canada Nunavik |
genre |
Circumpolar Health International Journal of Circumpolar Health inuit Nunavik |
genre_facet |
Circumpolar Health International Journal of Circumpolar Health inuit Nunavik |
op_source |
International Journal of Circumpolar Health, vol. 74, pp. 27186 |
op_relation |
info:eu-repo/semantics/altIdentifier/doi/10.3402/ijch.v74.27186 info:eu-repo/semantics/altIdentifier/pmid/25979200 info:eu-repo/semantics/altIdentifier/eissn/2242-3982 info:eu-repo/semantics/altIdentifier/urn/urn:nbn:ch:serval-BIB_E73285F7137B2 https://serval.unil.ch/notice/serval:BIB_E73285F7137B doi:10.3402/ijch.v74.27186 urn:issn:1239-9736 https://serval.unil.ch/resource/serval:BIB_E73285F7137B.P001/REF.pdf http://nbn-resolving.org/urn/resolver.pl?urn=urn:nbn:ch:serval-BIB_E73285F7137B2 |
op_rights |
info:eu-repo/semantics/openAccess Copying allowed only for non-profit organizations https://serval.unil.ch/disclaimer |
op_doi |
https://doi.org/10.3402/ijch.v74.27186 |
container_title |
International Journal of Circumpolar Health |
container_volume |
74 |
container_issue |
1 |
container_start_page |
27186 |
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1790599031285612544 |