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.
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 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.
The Canadian Mental Health Association believes that people who may need mental health care deserve the full range of informed choices surrounding the best possible care. This includes the choice to reject treatment. Self-help options and informal personal supports may complement or supplant the full range of formal psychosocial and medical treatments, in accordance with the wishes of the individual. It cannot be assumed that medical treatment is the only or best option for individuals.
Individuals need support from the community to assume greater control over their own lives, and to utilize the resources within their natural environment. Equally important is the deepening and strengthening of the community’s capacity to respond to people who have previously been rejected.