A5054585943- Homelessness and Social Issues
- Food Security and Health in Diverse Populations
- Health disparities and outcomes
- Substance Abuse Treatment and Outcomes
- Mental Health and Patient Involvement
- Housing, Finance, and Neoliberalism
- Geriatric Care and Nursing Homes
- Community Health and Development
- HIV, Drug Use, Sexual Risk
- Cannabis and Cannabinoid Research
- Psychiatric care and mental health services
- Prenatal Substance Exposure Effects
- Health Policy Implementation Science
- Urban, Neighborhood, and Segregation Studies
- Opioid Use Disorder Treatment
- Primary Care and Health Outcomes
- Global Public Health Policies and Epidemiology
- Intimate Partner and Family Violence
- Smoking Behavior and Cessation
- Interprofessional Education and Collaboration
- Criminal Justice and Corrections Analysis
- Gestational Diabetes Research and Management
- Child Abuse and Trauma
- Healthcare innovation and challenges
- Suicide and Self-Harm Studies
Wilfrid Laurier University
2015-2025
University of Toronto
2013-2024
Public Health Ontario
2010-2024
Regent Park Community Health Centre
2023
St. Michael's Hospital
2009-2023
Toronto Metropolitan University
2023
Home and Community Care Support Services
2014-2016
American Institutes for Research
2016
SRI International
2016
American Association of State Colleges and Universities
2016
This qualitative study examined how homeless individuals with mental illness experience pathways into homelessness. Study participants were enrolled in the At Home/Chez Soi project, a Pan-Canadian Randomized Controlled Trial comparing Housing First approach Treatment as Usual for individuals. inquiry is grounded social ecological perspective, which considers interactions between individual and structural factors. Findings from consumer narrative interviews ( n = 219) revealed that factors,...
Hope is widely embraced as an important factor in the recovery process. The role of housing inspiring hope and facilitating has been explored with homeless populations but not well understood. This study explores perspectives on hopes for these from perspective adults experiencing mental illness participating a multisite Housing First randomised controlled trial Canada. draws data in-depth qualitative interviews participants Toronto, Ontario site 'At Home/Chez Soi' Project.
Abstract As police officers are often the first responders to mental health crises, a number of approaches have emerged support skilled crisis responses. One such approach is police–mental co‐responding team model, whereby nurses and jointly respond crises in community. In present mixed‐method study, we evaluated outcomes interactions at large Canadian urban centre by analysing administrative data for 2743 interactions, where comparison were available, compared them 16 226 police‐only To...
This study compared the life changes of homeless people with mental illness participating in Housing First or treatment as usual and examined factors related to various changes.Semistructured narrative interviews were conducted 219 participants five Canadian cities at baseline; 197 interviewed again 18 months after random assignment (N=119) (N=78). Interviews coded across 13 domains, each participant was categorized reporting positive, mixed-neutral, negative changes. respect change...
Although methadone treatment has been available in North America for decades, only a small proportion of opiate addicts (some 25% estimated users Canada) are receiving treatment. Many have tried treatment, often multiple times, but leave prematurely. Others would not consider it as worthwhile option themselves. This exploratory study examines regular users' attitudes towards and experiences with Canada, primarily setting out to determine what makes an unsuccessful or even undesirable...
Background: Mobile Crisis Intervention Teams (MCITs) have emerged as a police and mental health system co-response to assist in responding individuals experiencing crises. There is gap knowledge regarding the critical program components that contribute successful MCIT implementation.Aims: This evaluation study aimed understand processes of implementation multi-site large urban center identify strengths challenges, well levels satisfaction service delivery.Methods: Fifty-seven stakeholders...
Intimate partner violence (IPV) is a growing public health problem, and gaps exist in knowledge with respect to appropriate prevention treatment strategies. A body of research evidence suggests that beyond individual factors (e.g., socio-economic status, psychological processes, substance abuse problems), neighborhood characteristics, such as economic disadvantage, high crime rates, unemployment social disorder, are associated increased risk for IPV. However, existing this area has focused...
Evidence supports the effectiveness of Housing First (HF) programmes for people who are experiencing homelessness and mental illness; however, questions remain about its use in with comorbid substance disorders (SUD). The aim this project was to test whether SUD modifies an HF intervention.Secondary analysis data from a randomized controlled trial versus treatment-as-usual (TAU) 24-month follow-up, comparing those without at entry.Vancouver, Toronto, Winnipeg, Moncton Montreal, Canada.A...
Qualitative narrative interviews were conducted with 195 participants histories of homelessness and mental illness at baseline an 18-month follow-up. Participants randomly assigned to Housing First (HF; n = 119) or treatment as usual (TAU; 76) in five Canadian cities. Changes consumers' narratives over time examined for 13 life domains (e.g., housing stability, typical day, social relationships). HF showed superior stability that led three important transitions their recovery journeys: (1)...
The COVID-19 pandemic forced many mental health service providers to switch virtual methods of provision. Grief and bereavement supports are no exception, with both peer professional being offered online. A goal this study was examine grievers experiences online or support. Grounded in social support theory, research implemented a qualitative design involving semistructured interviews 25 participants who received and/or grief Midwestern Ontario, Canada. Ten support, seven eight types, all...
Housing First for Youth (HF4Y) is a youth-focused adaptation of the well-established (HF) approach to housing and service provision individuals experiencing homelessness. Given that youth homelessness associated with an increased likelihood substance use issues, central tenet HF4Y framework harm reduction use. However, research on has yet examine how specifically being implemented in these settings. This study addresses this gap by examining principles philosophies were operationalized...
Efficient and coordinated health care responses to intimate partner violence (IPV) are essential, given that settings a major entry point for abused women who seek professional services. However, there is lack of evidence on how IPV referrals effectively made within settings. In order help program planners providers across sectors address the complex chronic issue IPV, greater understanding post-IPV identification referral process essential. A scoping review programs processes in was...
Policy Points Policymakers interested in advancing integrated models of care may benefit from understanding how integration itself is generated. Integration analyzed as the generation connectivity and consensus-the coming together people, practices, things. was mediated by chosen program structures generated establishing partnerships, building trust, developing thoughtful models, engaging clinicians strategies, sharing data across systems. This study provides examples on-the-ground...
ACADEMIC EMERGENCY MEDICINE 2010; 17:1–9 © 2010 by the Society for Academic Emergency Medicine Abstract Objectives: departments (EDs) see a high number of youths injured violence. In Ontario, most common cause injury visiting EDs is assault. Secondary prevention strategies using teachable moment (i.e., events that can lead individuals to make positive changes in their lives) are ideal use clinicians. An opportunity exists take advantage ED an effort prevent future occurrences at‐risk youths....