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A Contemporary Model of Care for Forensic Mental Health Services in Ontario. 安大略省法医精神卫生服务的当代护理模式。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2025-01-01 DOI: 10.12927/hcq.2025.27584
Treena Wilkie, Stephanie Penney, Roland Jones, Sumeeta Chatterjee, Tania Saccoccio, Alexander I F Simpson
{"title":"A Contemporary Model of Care for Forensic Mental Health Services in Ontario.","authors":"Treena Wilkie, Stephanie Penney, Roland Jones, Sumeeta Chatterjee, Tania Saccoccio, Alexander I F Simpson","doi":"10.12927/hcq.2025.27584","DOIUrl":"https://doi.org/10.12927/hcq.2025.27584","url":null,"abstract":"<p><p>Forensic mental health services (FMHSs) are high-risk and high-cost tertiary services, serving people with serious mental illness and criminal justice involvement, often with histories of violence and co-occurring substance use. FMHSs are expected to develop agreed-upon standards that are guided by an overarching model of care (MOC). A MOC integrates organizational processes with best-known practices and innovations to guide the development and evaluation of clinical services. We describe a MOC developed in a Canadian forensic program that included standards for clinical pathways and processes, treatment resourcing and outcome measurement. A MOC is imperative to a FMHS fulfilling its mandated role of public protection.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"27 4","pages":"33-39"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
From the Editors. 来自编辑。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2025-01-01 DOI: 10.12927/hcq.2025.27592
Anne Wojtak, Richard Lewanczuk
{"title":"From the Editors.","authors":"Anne Wojtak, Richard Lewanczuk","doi":"10.12927/hcq.2025.27592","DOIUrl":"https://doi.org/10.12927/hcq.2025.27592","url":null,"abstract":"<p><p>Emerging from the worst global pandemic in a century, we now face significant new threats and uncertainty through worldwide political upheaval. As Canadians, we have become acutely aware of what it means to have highly interdependent relationships threatened by an innate imbalance of power. The situation is making us reflect on what lies within our locus of control and how to build more resiliency into our society and our systems. This conversation is as relevant to healthcare as it is to virtually every aspect of our economy and society.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"27 4","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Recent Stresses and Underlying System Causes of the Primary Care Crisis Point Toward Policy Solutions. 最近的压力和潜在的系统原因的初级保健危机指向政策解决方案。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2025-01-01 DOI: 10.12927/hcq.2025.27591
Richard H Glazier, Michael E Green
{"title":"Recent Stresses and Underlying System Causes of the Primary Care Crisis Point Toward Policy Solutions.","authors":"Richard H Glazier, Michael E Green","doi":"10.12927/hcq.2025.27591","DOIUrl":"https://doi.org/10.12927/hcq.2025.27591","url":null,"abstract":"<p><p>Across Canada, millions of people are struggling to find a family doctor, nurse practitioner or primary care clinic and millions more are attached to a clinician who is over the age of 65. Research led by INSPIRE-PHC and analyzed at ICES has demonstrated the growing number of unattached people and their higher likelihood of being of lower income, racialized and having newly arrived in Ontario. Recent stresses include population growth, declining volume of services per physician and decreased attractiveness of comprehensive primary care, while underlying system causes point to the need for organized accountable systems designed to look after the entire population.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"27 4","pages":"7-10"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144130006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Health Quality 5.0: The Counterforce in Advancing Integrated Care - Our Path to Transformation. 健康质量5.0：推进综合护理的反作用力——我们的转型之路。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2025-01-01 DOI: 10.12927/hcq.2025.27582
Leslee J Thompson, Jodeme Goldhar
{"title":"Health Quality 5.0: The Counterforce in Advancing Integrated Care - Our Path to Transformation.","authors":"Leslee J Thompson, Jodeme Goldhar","doi":"10.12927/hcq.2025.27582","DOIUrl":"https://doi.org/10.12927/hcq.2025.27582","url":null,"abstract":"<p><p>Fragmented care remains a critical issue in health systems, leading to significant gaps and poor outcomes. This article highlights real-world consequences and the inefficacy of current patchwork solutions, exposing the gap between policy intent and practical impact. An urgent shift to integrated, people-centred care is needed, embracing social determinants of health, learning health systems and collective leadership. While pockets of excellence exist, sustainable transformation requires valuing and investing in the counterforce: co-creation, relational reciprocity and radical collaboration. This is our path to transformation - supporting the necessary conditions and capabilities for whole systems change.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"27 4","pages":"47-52"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reintegration After Incarceration for People with Mental Illness: A Pilot Community Mental Health Bridging Service. 精神病患者入狱后重返社会：试点社区精神健康过渡性服务。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2025-01-01 DOI: 10.12927/hcq.2025.27583
Roland M Jones, Kiran Patel, Alexander I F Simpson, Cory Gerritsen, Tanya Connors, Tania Saccoccio, Treena Wilkie
{"title":"Reintegration After Incarceration for People with Mental Illness: A Pilot Community Mental Health Bridging Service.","authors":"Roland M Jones, Kiran Patel, Alexander I F Simpson, Cory Gerritsen, Tanya Connors, Tania Saccoccio, Treena Wilkie","doi":"10.12927/hcq.2025.27583","DOIUrl":"https://doi.org/10.12927/hcq.2025.27583","url":null,"abstract":"<p><p>The prevalence of serious mental illness in correctional facilities is approximately eight times higher than in the general population. The difficulties experienced by people with serious mental illness and correctional involvement are often compounded by substance abuse, homelessness, lack of support and stigma. While psychiatric treatment is provided in custody, rapid access to mental health services upon release is essential to ensure continuity of prescribed medications, monitoring and support in areas such as finances and housing. However, there are barriers to accessing services upon release, resulting in high rates of return to custody. In addition, there is a shortage of community psychiatrists and often long waiting lists for assertive community treatment teams. In this paper, we describe the development of an innovative community service to fill this gap. For the past 10 years, the Forensic Early Intervention Service (FEIS) has provided mental health consultation and case management services within two correctional centres in Toronto. The service has now been expanded into the community to provide continuity of care for individuals released from custody who otherwise have no existing mental health service provider. We describe the structure of the new service and the gap it seeks to fill.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"27 4","pages":"40-46"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144130008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
IFIC Canada: Transforming Care Through Integration. 加拿大国际护理协会：通过整合改变护理。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2025-01-01 DOI: 10.12927/hcq.2025.27581
Anne Wojtak, Richard Lewanczuk
{"title":"IFIC Canada: Transforming Care Through Integration.","authors":"Anne Wojtak, Richard Lewanczuk","doi":"10.12927/hcq.2025.27581","DOIUrl":"10.12927/hcq.2025.27581","url":null,"abstract":"<p><p>The International Foundation for Integrated Care (IFIC) Canada has taken a leadership role in advancing our understanding of what integrated care and population health is and why it is so important and their potential to transform how healthcare is organized and delivered - to the benefit of patients, caregivers and the health system, itself. <i>Healthcare Quarterly</i> editors, Anne Wojtak and Richard Lewanczuk, recently spoke with IFIC Canada founders, Jodeme Goldhar and Walter Wodchis, about the work they are doing and its potential impact.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"27 4","pages":"53-58"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Essential Readings and Continuous Learning in Healthcare Policy. 医疗保健政策的基本阅读和持续学习。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2025-01-01 DOI: 10.12927/hcq.2025.27589
Neil Seeman
{"title":"Essential Readings and Continuous Learning in Healthcare Policy.","authors":"Neil Seeman","doi":"10.12927/hcq.2025.27589","DOIUrl":"https://doi.org/10.12927/hcq.2025.27589","url":null,"abstract":"<p><p>Using structured e-mail interviews with healthcare system leaders, this essay identifies essential readings that can guide today's policy makers toward meaningful healthcare reform. Combining qualitative analysis of expert recommendations with citation impact assessment, the study highlights key themes, including integration, community engagement, technological innovation and equity. Findings suggest that reform requires balancing structural changes with grassroots solutions and emphasizes adaptability in policy making. The research advocates a health systems reading feedback loop that continuously updates knowledge by integrating new insights and revisiting historical perspectives. This iterative approach underscores the need for dynamic, reflective strategies in addressing contemporary healthcare challenges for sustainable progress.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"27 4","pages":"14-16"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Developing Personas to Enable Tailored Public Health Communications: The Case of Organ Donation in Québec. 发展人物角色，以实现量身定制的公共卫生传播：以quacimac的器官捐赠为例。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2025-01-01 DOI: 10.12927/hcq.2025.27579
Malvina Klag, Annie-Carole Martel, Matthew Weiss, Martine Bouchard
{"title":"Developing Personas to Enable Tailored Public Health Communications: The Case of Organ Donation in Québec.","authors":"Malvina Klag, Annie-Carole Martel, Matthew Weiss, Martine Bouchard","doi":"10.12927/hcq.2025.27579","DOIUrl":"https://doi.org/10.12927/hcq.2025.27579","url":null,"abstract":"<p><p>In the context of long organ wait lists and few registered organ donors, Transplant Québec aimed to understand public views on deceased organ donation, as a basis for public-facing communications. It formulated four personas representing subgroups with varying views and behaviours related to organ donation. They were iteratively built via triangulation of findings from literature reviews, populational data, public polls, an expert panel and focus groups. Personas offer a more human approach to characterizing groups than statistics, which is particularly helpful for sensitive issues such as organ donation. This work may assist other organizations in tailoring public health communications.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"27 4","pages":"64-71"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Issues in Mental Health Law for Health Leaders. 健康领袖的精神卫生法问题
Healthcare quarterly (Toronto, Ont.) Pub Date : 2025-01-01 DOI: 10.12927/hcq.2025.27587
Gail Czukar
{"title":"Issues in Mental Health Law for Health Leaders.","authors":"Gail Czukar","doi":"10.12927/hcq.2025.27587","DOIUrl":"https://doi.org/10.12927/hcq.2025.27587","url":null,"abstract":"<p><p>Healthcare leaders addressing homelessness and mental illness in Canada may find mental health laws challenging. This paper explores the limitations of the existing system, including insufficient hospital services, community resources and long-term housing solutions. It critiques proposals for forced treatment and confinement, arguing that they are costly, legally contentious and ineffective in providing sustainable care. Instead, it advocates for increased investment in community-based mental health services, stable housing and income support and coordinated care between hospitals and community programs. By shifting focus from detention to prevention and support, health leaders can create a more humane and effective system for individuals with mental illness and addiction.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"27 4","pages":"18-23"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144130004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mental Health in the Court System: An Interview with Judge Renée Cochard. 法庭系统中的心理健康：对rensame Cochard法官的访谈。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2025-01-01 DOI: 10.12927/hcq.2025.27585
Ruby Brown, Anne Wojtak
{"title":"Mental Health in the Court System: An Interview with Judge Renée Cochard.","authors":"Ruby Brown, Anne Wojtak","doi":"10.12927/hcq.2025.27585","DOIUrl":"10.12927/hcq.2025.27585","url":null,"abstract":"<p><p>People living with mental illness and/or substance use disorders are disproportionally represented in Canadian courts and prisons. According to recent data, 25% of people in Canada's prisons have a mental health disorder (Mental Health Commission of Canada 2020). It is also estimated that up to 80% of individuals incarcerated in federal penitentiaries have a drug or alcohol dependence disorder (Department of Justice Canada 2021). Recognizing that Canada's court system is not designed to support these populations, many provinces have introduced mental health courts that are intended to divert people with mental health and substance use disorders out of the traditional system and into supports and programs focused on treatment and rehabilitation.</p>","PeriodicalId":520276,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"27 4","pages":"29-32"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144130005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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