This Analysis in Brief by the Canadian Institute for Health Information looks at symptoms and diagnoses of depression in a sample of nearly 50,000 seniors living in 550 Canadian residential care facilities (also known as long-term care, nursing or personal care homes) in Nova Scotia, Ontario, Manitoba, Saskatchewan and the Yukon. Relationships between depression and medical conditions, functional and social factors, quality of life and use of health services are explored, comparing those who have symptoms and/or a diagnosis of depression with other residents. The analysis concludes with a discussion of opportunities to improve the quality of care for seniors with symptoms of depression using new information available from the CCRS at CIHI.
The purpose of this analysis by the Canadian Institute for Health Information was to identify various factors related to whether or not a person was readmitted following a first-ever stay in hospital for the treatment of depression. To do this, the analysis examined various socio-demographic, treatment, clinical and discharge environment characteristics and assessed their relationship to hospital readmission during various time periods following the first admission.
According to a new analysis from the Canadian Institute for Health Information (CIHI), 38% of patients discharged with a diagnosis of schizophrenia from a general hospital in Canada had unplanned readmissions (through emergency departments) for a mental illness within one year of their discharge. The analysis also found that 12% of schizophrenia patients (or one in eight patients) were readmitted to hospital within 30 days of their initial discharge, in the years 2003 to 2005.
Canada is the only advanced industrial country that does not have a national strategy or plan on mental health. As a result, people in Canada suffer unnecessary disability and mortality from mental illness, addictions, and poor mental health, and system costs continue to rise. One in five people in Canada experience mental illness and are dependent on support from their families, communities, the economy, and a stretched social service system. This paper explains why a national mental health strategy is urgently needed.
In its pre-budget consultations for the fall of 2005, the Standing Committee of Finance indicated an interest in receiving input on how improvements to Canada’s productivity performance contributes to the economic growth of the nation. In this submission, the Canadian Mental Health Association challenged the committee to look outside of the traditional business/economic model of small, medium and large businesses to consider whether Canada is making the most out of the potential of all its citizens.
The report focuses on individuals who were separated from hospital in 2002–2003 following an inpatient stay for a mental illness, covering the separation diagnosis categories of schizophrenia, mood disorders, substance related disorders, personality disorders, anxiety disorders, organic disorders, and other disorders. Given that an inpatient stay is a condition of inclusion, such separations generally represent the most severe among the population of individuals living with mental illness.
In this 2004 submission to the House of Commons Standing Committee on Finance, the Canadian Mental Health Association outlines the need for a Pan-Canadian Strategy on Mental Illness and Mental Health under federal leadership.
For the purpose of this study, the Committee adopted a broad approach towards examining mental health, mental illness and addiction in terms of: the prevalence of mental disorders and their economic impact on various sectors of the Canadian society, including business, education and health care systems; relevant federal and provincial policies and programs; mental health strategies in other countries; mental health promotion, mental illness and suicide prevention; mental health related disease surveillance and research; access to and delivery of mental health services and addiction treatment; support to families and caregivers; and the potential for the development of a national action plan on mental health, mental illness and addiction in Canada.
A health problem of the scope and importance of mental illness requires a comprehensive surveillance system to monitor progress in achieving policy and program goals. A workshop held in September, 1999, co-sponsored by Health Canada and the Canadian Alliance on Mental Illness and Mental Health (CAMIMH), developed a comprehensive indicator framework for a Mental Illnesses and Mental Health Surveillance System. This report responds to the recommendations from the workshop to collate existing data in order to begin the process of creating a picture of mental illnesses in Canada.
The implications of a growing population of seniors and a growing home care sector are significant for health care policy generally, but also for mental health policy specifically. In the research conducted for this guide, key stakeholders across Canada were emphatic regarding the need for a holistic model of care – incorporating both medical and psychosocial supports – to meet the needs of seniors today and in the future. The research also demonstrated that there is considerable potential for home care to play a greater role in implementing such a model, and in doing so, support the mental health and well-being of seniors in Canada.