Director of the Office of Transformative Global Health (OTGH) in the Institute for Mental Health Policy Research at the Centre for Addiction and Mental Health (CAMH) in Toronto, Ont, and Assistant Professor in the Dalla Lana School of Public Health at the University of Toronto.
Doctoral student in the Community-Engaged Research on Culture and Health Laboratory in the Department of Psychology at Ryerson University in Toronto and worked closely with the OTGH at CAMH.
Can Fam Physician. 2017 Oct;63(10):e416-e424.
In recent years, there has been increased recognition in Canada of the need to strengthen mental health services in primary health care (PHC). Collaborative models, including partnerships between PHC and specialized mental health care providers, have emerged as effective ways for improving access to mental health care and strengthening clinical capacity. Primary health care physicians and other health professionals are well positioned to facilitate the early detection of mental disorders and provide appropriate treatment and follow-up care, helping to tackle stigma toward mental health problems in the process.
This 4-year mental health and addiction capacity-building initiative for PHC addressed competency needs at the individual, interprofessional, and organizational levels.
The program included 5 key components: a needs assessment; interprofessional education; mentoring; development of organizational mental health and addiction action plans for each participating community health centre; and creation of an advanced resource manual to support holistic and culturally competent collaborative mental health care. A comprehensive evaluation framework using a mixed-methods approach was applied from the initiation of the program. A total of 184 health workers in 10 community health centres in Ontario participated in the program, including physicians, nurses, social workers, and administrative staff.
Evaluation findings demonstrated high satisfaction with the training, improved competencies, and individual behavioural and organizational changes. By building capacity to integrate holistic and culturally appropriate care, this competency-based program is a promising model with strong potential to be adapted and scaled up for PHC organizations nationally and internationally.
近年来，加拿大越来越认识到需要加强初级卫生保健（PHC）中的心理健康服务。合作模式，包括 PHC 与专门的心理健康服务提供者之间的伙伴关系，已成为改善心理健康服务获取途径和加强临床能力的有效方法。初级保健医生和其他卫生专业人员非常适合促进早期发现精神障碍，并提供适当的治疗和后续护理，同时帮助解决心理健康问题的污名化。
该 4 年的 PHCC 心理健康和成瘾能力建设计划针对个人、跨专业和组织层面的能力需求。
该计划包括 5 个关键组成部分：需求评估；跨专业教育；指导；为每个参与的社区健康中心制定组织心理健康和成瘾行动计划；以及创建一个高级资源手册，以支持整体和文化上胜任的合作性心理健康护理。从项目启动开始，就采用了综合评价框架，采用混合方法。共有 184 名来自安大略省 10 个社区卫生中心的卫生工作者参加了该计划，包括医生、护士、社会工作者和行政人员。
评估结果表明，培训满意度高，能力得到提高，个人行为和组织发生变化。通过建立综合和文化上适当的护理能力，这个基于能力的项目是一个有前途的模式，具有很强的潜力，可在全国和国际范围内为 PHC 组织进行调整和扩大。
