A5029561619- Homelessness and Social Issues
- Housing, Finance, and Neoliberalism
- Mental Health and Patient Involvement
- Geriatric Care and Nursing Homes
- Food Security and Health in Diverse Populations
- Emergency and Acute Care Studies
- Urban, Neighborhood, and Segregation Studies
- Psychiatric care and mental health services
- Healthcare Decision-Making and Restraints
- Mental Health Treatment and Access
- Primary Care and Health Outcomes
- Schizophrenia research and treatment
- Innovations in Medical Education
- Health Policy Implementation Science
- Health disparities and outcomes
- Adolescent and Pediatric Healthcare
- Community Health and Development
- Criminal Justice and Corrections Analysis
- Mental Health and Psychiatry
- Employment and Welfare Studies
- COVID-19 and Mental Health
- Palliative Care and End-of-Life Issues
- Healthcare professionals’ stress and burnout
- Intimate Partner and Family Violence
- Health Systems, Economic Evaluations, Quality of Life
Centre for Addiction and Mental Health
2016-2025
University of Toronto
2016-2025
Health Solutions (Sweden)
2017-2023
St. Michael's Hospital
2013-2022
St Michaels Hospital
2007-2022
Canadian Mental Health Association
2022
Unity Health Toronto
2020-2022
Institute of Health Services and Policy Research
2022
Canada Research Chairs
2021
Public Health Ontario
2015-2021
The coronavirus disease-19 (COVID-19) global pandemic has already had an unprecedented impact on populations around the world, and is anticipated to have a disproportionate burden people with schizophrenia related disorders. We discuss implications of COVID-19 respect to: (1) increased risk infection poor outcomes among schizophrenia, (2) adverse mental health consequences for (3) considerations service delivery in inpatient outpatient settings, (4) potential clinical research schizophrenia....
<h3>Importance</h3> Scattered-site housing with Intensive Case Management (ICM) may be an appropriate and less-costly option for homeless adults mental illness who do not require the treatment intensity of Assertive Community Treatment. <h3>Objective</h3> To examine effect scattered-site ICM services on stability generic quality life among moderate support needs health services. <h3>Design, Setting, Participants</h3> The At Home/Chez Soi project was unblinded, randomized trial. From October...
Housing First with assertive community treatment (ACT) is a promising approach to assist people serious mental illness exit homelessness. The article presents two-year findings from multisite trial on the effectiveness of ACT.The study design was randomized controlled conducted in five Canadian cities. A sample 950 participants who were absolutely homeless or precariously housed randomly assigned receive either ACT (N=469) as usual (N=481).Housing spent more time stable housing than (71%...
Background Physician burnout has a direct impact on the delivery of high-quality health care, with information technology tools such as electronic records (EHRs) adding to burden practice inefficiencies. Objective The aim this study was determine extent among physicians and learners (residents fellows); identify significant EHR-related contributors physician burnout; explore differences between regard factors time spent in EHR, documentation styles, proficiency, training, perceived...
Research on discrimination in healthcare settings has primarily focused health implications of race-based among ethno-racial minority groups. Little is known about experiences other marginalized populations, particularly groups facing multiple disadvantages who may be subjected to other/multiple forms discrimination. Objectives: (1) To examine the prevalence perceived due homelessness/poverty, mental illness/alcohol/drug related problems, and race/ethnicity/skin color while seeking past year...
<h3>Importance</h3> Previous studies suggest that depression and anxiety are common in patients with hidradenitis suppurativa (HS), more so than other dermatological conditions. Yet, to the authors' knowledge, no previous systematic review or meta-analysis has estimated prevalence odds ratio (OR) for those psychiatric comorbidities this population. <h3>Objective</h3> To assess HS. <h3>Data Sources</h3> From July 25 September 30, 2018, observational investigating adults HS were systematically...
Housing First (HF) is being widely disseminated in efforts to end homelessness among homeless adults with psychiatric disabilities. This study evaluates the effectiveness of HF Intensive Case Management (ICM) ethnically diverse an urban setting. 378 participants were randomized ICM or treatment-as-usual (TAU) Toronto (Canada), and followed for 24 months. Measures included housing stability, physical (EQ5D-VAS) mental (CSI, GAIN-SS) health, social functioning (MCAS), quality life (QoLI20),...
[See related article at [www.cmaj.ca/lookup/doi/10.1503/cmaj.200199][2]][2] KEY POINTS Homeless and vulnerably housed populations are heterogeneous[1][2] continue to grow in numbers urban rural settings as forces of urbanization collide with gentrification austerity policies.[2][3]
Abstract This commentary highlights two cross-cultural issues identified from our global mental health (GMH) research, RECOLLECT (Recovery Colleges Characterisation and Testing) 2: self-enhancement ingroup biases. Self-enhancement is a tendency to maintain express unrealistically positive self-views. Ingroup biases are differences in one’s evaluation of others belonging the same social group. These discussed context GMH research using self-report measures across cultures. GMH, field evolving...
The At Home/Chez Soi (AH/CS) Project is a randomized controlled trial of Housing First intervention to meet the needs homeless individuals with mental illness in five cities across Canada. objectives this paper are examine approach participant recruitment and community engagement at Toronto site AH/CS Project, describe baseline demographics participants Toronto. Homeless (n = 575) either high 197) or moderate 378) for health support were recruited through service providers city Participants...
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.
We studied the impact of a Housing First (HF) intervention on housing, contact with justice system, healthcare usage and health outcomes among At Home/Chez Soi randomised trial participants in Toronto, city an extensive service network for social services individuals who are experiencing homelessness mental illness.Participants identified as high needs were to receive either which provided them housing supports by assertive community treatment team (HF+ACT) or usual (TAU). Participants...
Objective This study examines neurocognitive functioning in a large, well‐characterized sample of homeless adults with mental illness and assesses demographic clinical factors associated performance. Method A total 1500 enrolled the At Home Chez Soi completed neuropsychological measures assessing speed information processing, memory, executive functioning. Sociodemographic data were also collected. Linear regression analyses conducted to examine Results Approximately half our met criteria...
"Housing First" has been shown to improve housing stability in homeless individuals with mental illness, but had not empirically tested youth. We aimed evaluate the effect of on youth aged 18 24 years participating At Home/Chez Soi, a 24-month randomized trial 5 Canadian cities.Homeless illness were receive (combined assertive community treatment or intensive case management depending their level need) as usual. defined our primary outcome, stability, percent days stably housed proportion...
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...