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"Research design. Following a literature review of models of psychiatric outreach, a mixed methods survey of psychiatric outreach consultants was conducted. A multi-mode survey was designed to examine existing models of service delivery used by psychiatric outreach consultants. A total of 27 questionnaires on outreach practices were completed by 25 consultants between October 2008 and February 2009; the majority were affiliated with the Ontario Psychiatric Program (OPOP). In addition, two focus group discussions were conducted in Fall 2008, one with OPOP-affiliated consultants, and one with a combination of northern-based psychiatric outreach consultants (with and without an OPOP outreach program affiliation), and some OPOP administrators. Topics of discussion centred on five themes: The service delivery setting, challenges in the outreach practice, collaboration and teamwork, linkages with tertiary care centres, and enhancing the OPOP model."--Executive summary.
Mental Health Services in Smaller Northern Ontario Communities: A Survey of Psychiatric Outreach Consultants Jill E. Sherman Raymond W. Pong J. Robert Swenson Margaret G. Delmege Abraham Rudnick Robert G. Cooke Paula Ravitz Phyllis Montgomery Centre for Rural and Northern Health Research In collaboration with The Ontario Psychiatric Outreach Program [...] D. School of Nursing, Laurentian University Mental Health Services in Smaller Northern Ontario Communities: A Survey of Psychiatric Outreach Consultants CONTENTS Acknowledgements. [...] PCP - patient not previously seen 35 PCP - additional information 30 PCP - systems navigation * Other - 3rd party information needs * Multiple responses possible. *
"This study, commissioned by the Ontario Mental Health Foundation, reviewed issues around integrating mental health services into primary care settings, with particular reference to the small cities, industrial towns, rural settlements and First Nation communities of northern Ontario. The evaluation involved a comprehensive review of 474 articles and reports, published in Canada or internationally, that deal with some aspect of integrating mental health services into primary care settings and an environmental scan that examined the use of primary care health teams to deliver mental health services in Canada. The latter involved in-depth telephone interviews with 41 key informants in the northern territories and provinces (other than Ontario), as well as with 29 administrators and care providers working at 11 community-based primary care clinics across northern Ontario; five community health centres, a group health centre, and five Aboriginal health access centres."--cranhr.ca.
Vols. for 1963- include as pt. 2 of the Jan. issue: Medical subject headings.
Based on a recently completed project of cultural consultation in Montreal, Cultural Consultation presents a model of multicultural and applicable health care. This model used clinicians and consultants to provide in-depth assessment, treatment planning, and limited interventions in consultation with frontline primary care and mental health practitioners working with immigrants, refugees, and members of indigenous and ethnocultural communities. Evaluation of the service has demonstrated that focused interventions by consultants familiar with patients’ cultural backgrounds could improve the relationship between the patient and the primary clinician. This volume presents models for intercultural work in psychiatry and psychology in primary care, general hospital and specialty mental health settings. The editors highlight crucial topics such as: - Discussing the social context of intercultural mental health care, conceptual models of the role of culture in psychopathology and healing, and the development of a cultural consultation service and a specialized cultural psychiatric service - Examining the process of intercultural work more closely with particular emphasis oto strategies of consultation, the identity of the clinician, the ways in which gender and culture position the clinician, and interaction of the consultant with family systems and larger institutions - Highlighting special situations that may place specific demands on the clinician: working with refugees and survivors of torture or political violence, with separated families, and with patients with psychotic episodes This book is of valuable use to mental health practitioners who are working in multidisciplinary settings who seek to understand cultural difference in complex cases. Psychiatrists, psychologists, social workers, nurse practitioners, primary care providers and trainees in these disciplines will make thorough use of the material covered in this text.