Still Waiting

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Contents Acknowledgements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Executive Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 The Transition Years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Scope of this Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Methodology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Background . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 What is Mental Health? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Who is Responsible for Mental Health Services in B .C .? . . . . . . . . . . . . . . 14 Primary Health Care and Youth Mental Health . . . . . . . . . . . . . . . . . . . . . . . 16 How are Community Mental Health Services Delivered in B .C .? . . . . . . 16 Hospital Emergency Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Hospital Inpatient Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Specialized Provincial Mental Health Facilities . . . . . . . . . . . . . . . . . . . . . . . 21 Youth Using MCFD CYMH Services in B .C . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Transition-Age Youth Using MCFD CYMH Services . . . . . . . . . . . . . . . . . . . 23 Waiting Lists . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Government Plans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Protocols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 Experiences in the System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 Informal Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 Formal Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 Findings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 Recommendation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71 Conclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72 Glossary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74 Appendix A: Data Considerations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77 Appendix B: Data Collection and Participants . . . . . . . . . . . . . . . . . . . . . . . 79 Appendix C: Detailed Data Findings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83 References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 116 April 2013 Still Waiting: First-hand Experiences with Youth Mental Health Services in B.C. • 1
Page 1: Still Waiting First-hand Experience
Page 6 and 7: Acknowledgements This report would
Page 8 and 9: Executive Summary There are a numbe
Page 10 and 11: Introduction Introduction The purpo
Page 12 and 13: Introduction The Representative has
Page 14 and 15: Introduction Youth Mental Health Pr
Page 16 and 17: Introduction - Individualized surve
Page 18 and 19: Background In addition, members of
Page 20 and 21: Background Primary Health Care and
Page 22 and 23: Background This diagram illustrates
Page 24 and 25: Background Regional health authorit
Page 26 and 27: Background There is no central data
Page 28 and 29: Background 100 80 60 40 20 0 29% Mo
Page 30 and 31: Background 2003 Child and Youth Men
Page 32 and 33: Background of local, regional and p
Page 34 and 35: Background Protocols At an operatio
Page 36 and 37: Experiences in the System Youth Voi
Page 38 and 39: Experiences in the System Parent/Ca
Page 40 and 41: Experiences in the System Youth and
Page 42 and 43: Findings * Finding: Youth and their
Page 44 and 45: Long wait times for mental health s
Page 46 and 47: Many review participants also calle
Page 48 and 49: Practice Example: Centralized Intak
Page 50 and 51: Lack of Parent and Caregiver Involv
Page 52 and 53: Mobile emergency mental health serv
Page 54 and 55:
Lack of Community-based Intensive I
Page 56 and 57:
Feedback from review participants,
Page 58 and 59:
However, despite procedures being i
Page 60 and 61:
Few parents or caregivers were awar
Page 62 and 63:
Finding: Existing services do not p
Page 64 and 65:
In B .C . hospitals where adolescen
Page 66 and 67:
Most community mental health servic
Page 68 and 69:
100 Many youth who have received CY
Page 70 and 71:
Without dedicated CYMH provincial l
Page 72 and 73:
Inadequate Quality Assurance Activi
Page 74 and 75:
Recommendation That the Government
Page 76 and 77:
The Representative acknowledges tha
Page 78 and 79:
Crisis stabilization: support that
Page 80 and 81:
Appendix A: Data Considerations RCY
Page 82 and 83:
Appendix B: Data Collection and Par
Page 84 and 85:
Table 1. Description of Participant
Page 86 and 87:
Appendix C: Detailed Data Findings
Page 88 and 89:
Table 2. Clinical Community Outreac
Page 90 and 91:
• Parents/caregivers who could re
Page 92 and 93:
Table 3. Mobile Emergency Mental He
Page 94 and 95:
Finding: Information sharing and pl
Page 96 and 97:
Q13) [Parent and Caregiver Survey]
Page 98 and 99:
Q16) [Child and Youth Mental Health
Page 100 and 101:
YFPS Services 1) [Child and Youth M
Page 102 and 103:
Finding: Existing services do not p
Page 104 and 105:
Q20) [AMH Clinician Survey] Before
Page 106 and 107:
• Child and youth mental health p
Page 108 and 109:
• AMH clinicians who could respon
Page 110 and 111:
Page 112 and 113:
Q29) [Community Social Service Prac
Page 114 and 115:
Page 116 and 117:
Finding: There is a failure of prov
Page 118 and 119:
• Responses are distributed as fo
Page 120 and 121:
British Columbia . Ministry of Chil
Page 122 and 123:
Canada . Mental Health Commission o
Page 124 and 125:
Costello, E . J ., Copeland, W ., &
Page 127:
Contacts Phone In Victoria: 250-356
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