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.
Although lower socio-economic status (SES) has been linked consistently with higher rates of mental illness, it has not always been associated with higher rates of mental health service use. In this Analysis in Brief the relationship between SES, as measured by neighbourhood income, and inpatient hospital mental health service use for depression was examined in persons age 15 to 64 in 13 cities across Canada. The results suggest an inverse relationship such that individuals from lower-SES neighbourhoods were more likely to be hospitalized for depression than those in higher-SES neighbourhoods. However, no relationship was observed between SES and hospital length of stay or hospital readmission rates, suggesting that differences in SES were not linked with differences in severity of illness or persistence of treatment.
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.
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.
The Canadian Institute for Health Information (CIHI) tracks health spending by each source of finance in the National Health Expenditure Database (NHEX). This database contains a historical series of macro level health expenditure statistics by province and territory beginning in 1960. The Canadian Institute for Health Information assumed responsibility for the national health accounts, including the National Health Expenditure database, in 1995. National Health Expenditure Trends (1975–2005) is CIHI’s ninth annual health expenditure trends publication and provides detailed, updated information on health expenditure in Canada.
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.