The Health and Psychosocial Profiles of Adults Who Sought Mental Health and Addiction Specialty Services Through a Centralized Intake Process in Nova Scotia in 2020 and 2021.

IF 3.3 3区 医学 Q2 PSYCHIATRY
JianLi Wang, Lu Yang, Phil Tibbo, Patryk Simon, Michele Bullerwell
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引用次数: 0

Abstract

Objectives: (1) To calculate the proportions of people who sought mental health and addiction (MHA) specialty services in Nova Scotia, overall and by sex and age. (2) To describe the health and psychosocial profiles of the MHA Intake clients. (3) To identify factors associated with acceptance for MHA services.

Methods: The data of the Nova Scotia MHA Intake clients aged 19 to 64 years old in 2020 (N = 10,178) and in 2021 (N = 12,322) were used. The proportions of unique clients in the general population were calculated based on 2021 census data. The percentages of primary presenting concerns, the presence and frequency of psychiatric symptoms in the past month, suicide risk levels, current or past provisional psychiatric diagnosis, medical problems, and psychosocial stressors were calculated. Logistic regression was conducted to identify factors associated with the acceptance of MHA services after the assessment.

Results: It was found that 1.48% and 2.33% of Nova Scotians aged 19 to 64 contacted the MHA Intake in 2020 and 2021. Over 66% were self-referrals, followed by physician referrals (28.34%). Mood (28.3%), anxiety (25.17%), and substance use (19.81%) were the top three presenting concerns for the contact. Many clients had a current or past provisional psychiatric diagnosis (58.7% in 2020, 61.8% in 2021). Among the clients, 74.67% and 68.29% reported at least 1 psychosocial stressor in 2020 and 2021, respectively. The clients with a current or past psychiatric diagnosis, suicide risk, and 2 or more psychosocial stressors, those who lived outside of Central Zone, and who had employee assistance program benefits/private insurance, were more likely to be qualified and accepted for MHA services than others.

Conclusions: The Intake clients have complex health and psychosocial profiles. Future studies are needed to monitor the trajectories of the clients to reduce inequities in receiving MHA services and improve client outcomes.

2020 年和 2021 年新斯科舍省通过集中受理流程寻求心理健康和成瘾专业服务的成年人的健康和社会心理概况。
目标:(1) 计算新斯科舍省寻求心理健康和成瘾(MHA)专业服务的总人数比例,并按性别和年龄进行分类。(2) 描述心理健康和成瘾(MHA)接收客户的健康和社会心理状况。(3) 确定接受 MHA 服务的相关因素:方法:使用新斯科舍省 2020 年(N = 10,178 人)和 2021 年(N = 12,322 人)19 至 64 岁 MHA 接纳客户的数据。根据 2021 年的人口普查数据,计算了特殊客户在总人口中的比例。此外,还计算了主要问题的百分比、过去一个月中出现精神症状的情况和频率、自杀风险水平、当前或过去的临时精神诊断、医疗问题以及社会心理压力因素。结果发现,1.48%的受访者在评估后接受了心理健康和心理咨询服务:结果发现,在2020年和2021年,分别有1.48%和2.33%的19至64岁新斯科舍省人联系了MHA收治中心。66%以上为自我转介,其次是医生转介(28.34%)。情绪(28.3%)、焦虑(25.17%)和药物使用(19.81%)是联系人提出的三大主要问题。许多服务对象目前或过去都有临时精神病诊断(2020 年为 58.7%,2021 年为 61.8%)。在客户中,分别有 74.67% 和 68.29% 的人在 2020 年和 2021 年报告了至少一种社会心理压力。与其他人相比,目前或过去有精神病诊断、有自杀风险、有 2 个或更多心理社会压力源、居住在中心区以外、有员工援助计划福利/私人保险的客户更有可能符合条件并接受 MHA 服务:收治对象的健康和社会心理状况复杂。未来的研究需要对服务对象的轨迹进行监测,以减少在接受 MHA 服务方面的不公平现象,并改善服务对象的结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
7.00
自引率
2.50%
发文量
69
审稿时长
6-12 weeks
期刊介绍: Established in 1956, The Canadian Journal of Psychiatry (The CJP) has been keeping psychiatrists up-to-date on the latest research for nearly 60 years. The CJP provides a forum for psychiatry and mental health professionals to share their findings with researchers and clinicians. The CJP includes peer-reviewed scientific articles analyzing ongoing developments in Canadian and international psychiatry.
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