PAPER #1:  Advancing the Agenda for Collaborative Mental Health Care

Mental illness is one of the most significant disabilities facing Canadians, and many people are not getting the care that they need. This paper provides a snapshot of the barriers for people who need access to mental health services.  A description of collaborative mental health care is presented, along with a description of barriers that impede its implementation. Activities being undertaken by the Canadian Collaborative Mental Health Initiative (CCMHI) to advance the agenda of collaborative mental health care are described.

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PAPER #2: What Is Collaborative Mental Health Care? An Introduction to the Collaborative Mental Health Care Framework

This paper describes the conceptual framework created by the Canadian Collaborative Mental Health Initiative (CCMHI) to reach a common understanding of collaborative mental health care, defined as fundamentals and key elements.

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PAPER #3: Annotated Bibliography of Collaborative Mental Health Care

The Canadian Collaborative Mental Health Initiative has produced a comprehensive annotated bibliography of research publications (2000 - 2004) related to the integration of mental health and primary health care.  Over 800 relevant articles found in journals and grey literature were reviewed.  The annotated bibliography provides a discussion and summary of key themes.

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PAPER #4:  Better Practices in Collaborative Mental Health Care: An Analysis of the Evidence Base

The authors identify better practices to enhance and develop collaborative activities in primary health care by policy makers, providers and other key stakeholders. A comprehensive review of Canadian and international literature using Medline and PsycInfo databases yielded over 800 related reports, of which, 31 studies met the inclusion criteria. Most of the studies reviewed were multifaceted, multidisciplinary and randomized controlled trials.  A systematic evaluation and descriptive analysis are presented, resulting in several key conclusions and best practices.  

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PAPER #5:  Collaborative Mental Health Care in Primary Health Care: A Review of Canadian Initiatives

This paper offers a comprehensive resource to support providers, planners and policy makers in the development and/or enhancement of collaborative mental health care initiatives. The analysis is based on descriptions collected from over 100 collaborative mental health care initiatives across Canada.  These initiatives include community health centres in urban centres, programs focused on children and adolescents, geriatric outreach teams, teaching programs, programs supporting the transition to primary care from psychiatric hospitals, clinics of psychotic disorders, and programs focused on Aboriginal communities.

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DOWNLOAD Volume II: Resource Guide, Part I (3.5 MB, 247 pages)

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PAPER #6: Collaborative Mental Health Care in Primary Health Care Across Canada: A Policy Review

This research paper summarizes a review of mental health and primary health care policies and legislation in each province and territory.  This paper includes a summary of relevant policies, organized by province and territory, and describes the opportunities and challenges each jurisdiction is facing with respect to the integration of mental health and primary health care policy.

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PAPER #7: Collaborative Mental Health Care: A Review of Selected International Initiatives

[Internal document, unpublished]

PAPER #8: Health Human Resources in Collaborative Mental Health Care

This paper provides an understanding of the key health human resources issues and trends in collaborative mental health care in Canada.  Health human resource barriers concerning collaborative mental health care include legislation and policy, remuneration, scope of practice and liability.  There are also barriers that affect interprofessional education and peer support. The approaches and solutions to overcoming these barriers are summarized based on Canadian and international experiences.  The paper concludes by identifying information gaps requiring further research and providing key recommendations.

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PAPER #9:  Prevalence of Mental Health and Related Service Utilization in Canada: An Analysis of the Canadian Community Health Survey

As part of its analysis of the current state of collaborative mental health care in Canada, the Canadian Collaborative Mental Health Initiative undertook a review of mental health prevalence and service utilization patterns, using data from the Canadian Community Health Survey Cycle 1.2: Mental Health and Well-Being (2002) and other sources. The purpose of this Canadian Community Health Survey is to obtain timely and reliable  cross-sectional estimates of mental health determinants, mental health status and mental health system utilization across Canada and to determine prevalence rates of selected mental disorders.

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PAPER #10:  Interprofessional Education Initiatives in Collaborative Mental Health Care

What is being done to promote collaboration in the education of health professionals?   How do health care providers from different professions learn about one another and how do they learn to collaborate? In response to these questions, changes are being made to the health professional curricula and in the design and implementation of continuing education activities.

On behalf of the Canadian Collaborative Mental Health Initiative, the Centre for Collaborative Health Professional Education conducted online surveys (summer and fall, 2004) on current collaborative mental health care education in Canadian universities and colleges; national and provincial professional/territorial associations; national and provincial/territorial regulatory associations; and mental health advocacy societies and associations. The key purpose of the surveys was to examine the level of collaborative mental health care in interprofessional activities.
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PAPER #11: Providing Mental Health Services to Aboriginal Peoples through Collaborative Mental Health Care: A Situation Report

[Internal document, unpublished]

PAPER #12: Current State of Collaborative Mental Health Care

What can we learn from the research, literature review, surveys and consultations about the current status of collaborative mental health care?   There is a growing awareness of the critical importance of quality mental health service delivery within primary health care. This overview provides a synthesis of nine reports commissioned by the Canadian Collaborative Mental Health Initiative to identify the current state of collaborative mental health care.
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