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Canada has long been recognized as a leader in the field of psychiatric epidemiology, the study of the factors affecting mental health in populations. However, there has never been a book dedicated to the study of mental disorder at a population level in Canada. This collection of essays by leading scholars in the discipline uses data from the country's first national survey of mental disorder, the Canadian Community Health Survey of 2005, to fill that gap. Mental Disorder in Canada explores the history of psychiatric epidemiology, evaluates methodological issues, and analyzes the prevalence of several significant mental disorders in the population. The collection also includes essays on stigma, mental disorder and the criminal justice system, and mental health among women, children, workers, and other demographic groups. Focusing specifically on Canadian scholarship, yet wide-reaching in scope, Mental Disorder in Canada is an important contribution to the dissemination and advancement of knowledge on psychiatric epidemiology.
`An unparalleled national accomplishment, Mental Disorder in Canada is a vital contribution to what we know about the distribution of mental disorders in Canada. Drawing mainly on the findings of the Canadian Community Health Survey (one of the largest national studies of mental disorders ever undertaken), the chapters reflect the analysis and interpretation of almost every major psychiatric epidemiologist across the country. This is a must read for all who are interested in those types of disorders that cut sharply into quality of life and which deserve more public health attention than they often receive.'
Canada has long been recognized as a leader in the field of psychiatric epidemiology, the study of the factors affecting mental health in populations. However, there has never been a book dedicated to the study of mental disorder at a population level in Canada. This collection of essays by leading scholars in the discipline uses data from the country's first national survey of mental disorder, the Canadian Community Health Survey of 2005, to fill that gap. Mental Disorder in Canada explores the history of psychiatric epidemiology, evaluates methodological issues, and analyzes the prevalence of several significant mental disorders in the population. The collection also includes essays on stigma, mental disorder and the criminal justice system, and mental health among women, children, workers, and other demographic groups. Focusing specifically on Canadian scholarship, yet wide-reaching in scope, Mental Disorder in Canada is an important contribution to the dissemination and advancement of knowledge on psychiatric epidemiology.
In Canada, at least 5 percent of the population suffers from a serious, persistent mental illness such as schizophrenia or bipolar disorder. While recent years have seen many changes and improvements in the way we respond to the needs of mentally ill persons, there remain divisions of opinion among stakeholder groups about the way mental health services are delivered. Community Mental Health in Canada offers a timely, critical overview of the provision of public mental health services in Canada, looking at where we have come from, the current situation, and where we may be heading. Concise, yet comprehensive, coverage includes: the prevalence and impact of mental illness in Canada the complementary and conflicting interests of stakeholder groups, such as mental health professionals, clients, families, government, and drug companies current and developing initiatives in treatment, rehabilitation, housing, and criminal justice programs the clinical benefits and costs of particular interventions, among them pharmacotherapy and cognitive-behavioural treatments the recovery model diversity and cultural competence the legal and ethical basis of mental health practice, particularly as it applies to the use of coercion and involuntary treatment Community Mental Health in Canada fills a gap in the literature in its analysis of both clinical mental health practice as well as the structural context within which it is situated. An indispensable resource for students, practitioners, and policymakers, it also is essential reading for all those interested in how services are provided to our most vulnerable citizens.
This report is designed to raise the profile of mental illness in Canada among government & non-governmental organizations and the industry, education, workplace, & academic sectors. It describes major mental illnesses and outlines their incidence & prevalence, causation, impact, stigma, and prevention & treatment. Data presented are based on currently available provincial studies & data on mortality and hospitalizations. Five mental illnesses have been selected for inclusion in the report by virtue of their high prevalence rates or because of the magnitude of their health, social, & economic impact: mood disorders, schizophrenia, anxiety disorders, personality disorders, and eating disorders. While not in itself a mental illness, suicidal behaviour is also included since it is highly correlated with mental illness and raises many similar issues. The appendix includes information on data sources and a call for action on building consensus for a national action plan on mental illness & mental health.
The human suffering associated with mental illness is something that more than one in five Canadians face at some point in their life.
In Mental Health and Canadian Society leading researchers challenge generalisations about the mentally ill and the history of mental health in Canada. Considering the period from colonialism to the present, they examine such issues as the rise of the insanity plea, the Victorian asylum as a tourist attraction, the treatment of First Nations people in western mental hospitals, and post-World War II psychiatric research into LSD.
This book is a primer on Stepped Care 2.0. It is the first book in a series of three. This primer addresses the increased demand for mental health care by supporting stakeholders (help-seekers, providers, and policy-makers) to collaborate in enhancing care outcomes through work that is both more meaningful and sustainable. Our current mental health system is organized to offer highly intensive psychiatric and psychological care. While undoubtedly effective, demand far exceeds the supply for such specialized programming. Many people seeking to improve their mental health do not need psychiatric medication or sophisticated psychotherapy. A typical help seeker needs basic support. For knee pain, a nurse or physician might first recommend icing and resting the knee, working to achieve a healthy weight, and introducing low impact exercise before considering specialist care. Unfortunately, there is no parallel continuum of care for mental health and wellness. As a result, a person seeking the most basic support must line up and wait for the specialist along with those who may have very severe and/or complex needs. Why are there no lower intensity options? One reason is fear and stigma. A thorough assessment by a specialist is considered best practice. After all, what if we miss signs of suicide or potential harm to others? A reasonable question on the surface; however, the premise is flawed. First, the risk of suicide, or threat to others, for those already seeking care, is low. Second, our technical capacity to predict on these threats is virtually nil. Finally, assessment in our current culture of fear tends to focus more on the identification of deficits (as opposed to functional capacities), leading to over-prescription of expensive remedies and lost opportunities for autonomy and self-management. Despite little evidence linking assessment to treatment outcomes, and no evidence supporting our capacity to detect risk for harm, we persist with lengthy intake assessments and automatic specialist referrals that delay care. Before providers and policy makers can feel comfortable letting go of risk assessment, however, they need to understand the forces underlying the risk paradigm that dominates our society and restricts creative solutions for supporting those in need.