Taking the next step forward: Building a responsive mental health and addictions system for emerging adults

Taking the Next Step Forward: Building a Responsive Mental Health and Addictions System for Emerging Adults is a report produced by researchers from the Children’s Hospital of Eastern Ontario (CHEO) for the  MHCC’s Knowledge Exchange Centre (KEC).1 It considers the current state of Canadian and international policies and programs that support youth with mental health […]

Suicide, opioids, chronic pain, and mental health disorders: A narrative review

Suicide rates are on the rise in the United States as is mortality associated with opioid toxicity. According to the Centers for Disease Control and Prevention, about 7% of opioid overdose deaths are suicide, but this  number may be under-reported. Many people who use opioids or have opioid use disorder, (OUD), may have “passive” intentions […]

Facing the music: Creative and experiential group strategies for working with grief and loss

This article outlines how group practitioners can harness creative strategies to assist addicted clients in verbalizing and addressing the losses associated with addictive disorders. This article overviews the implementation of an experiential process that includes a warm up activity, a psychodrama, and utilization of empty chair techniques to address addiction related grief and loss. In […]

Childhood trauma and the severity of past suicide attempts in outpatients with cocaine use disorders

Suicide attempts have been associated with both cocaine use disorder (CocUD) and childhood trauma. We investigated how childhood trauma is an independent risk factor for serious and recurrent suicide attempts in CocUD. Method: 298 outpatients (23% women) with CocUD underwent standardized assessments of substance dependence (Diagnostic and Statistical Manual—mental disorders, fourth edition, text revised), impulsiveness, […]

‘It’s really about wellbeing’: A Canadian investigation of harm reduction as a bridge between mental health and addiction recovery

Recovery is a key concept driving system transformation in both the addiction and mental health sectors, with shared roots in advocacy and a shared focus on hope in the face of stigma, self-determination and meaningful lives. Nevertheless, while mental health recovery is possible even with on-going symptoms, addiction recovery generally starts with or leads to […]

Quick facts: Mental illness & addiction in Canada [4th ed.]

There is a need in Canada to bring together, a comprehensive, evidence-based document containing important statistics relating to mental illnesses and addictions. The impact on individuals and their families, the healthcare system, the workplace, and the economy, in general, is extremely significant. There is also a need to develop a common understanding of the relationship […]

Suicide safer care in behavioral health settings: A comparative analysis of perceptions, training completion, and practice between mental health and substance use disorder treatment providers

Background Despite prevention and treatment efforts, opioid overdose deaths continue to rise in the United States and totaled 46,802 in 2018. This public health crisis is closely linked with suicide, with those who misuse opioids at six times the risk of death by suicide. Suicide prevention in substance use disorder (SUD) treatment may be a […]

Does intentional asphyxiation by strangulation have addictive properties?

Background and aims Intentional asphyxiation leads to cerebral hypoxia, starving the brain of oxygen and inducing hypoxic euphoria, but carries a serious risk of accidental death, especially if practised alone. This article raises the question as to whether it could usefully be regarded as having addictive properties. Methods and results A review of the literature, […]

Social work education and training in mental health, addictions and suicide: A scoping review protocol

Introduction Social workers are among the largest group of professionals in the mental health workforce and play a key role in the assessment of mental health, addictions and suicide. Most social workers provide services to individuals with mental health concerns, yet there are gaps in research on social work education and training programmes. The objective of […]

Association of internet addiction with nonsuicidal self-injury among adolescents in China

Importance  Both nonsuicidal self-injury (NSSI), defined as the direct, deliberate damage of one’s body tissue without suicidal intent, and internet addiction among adolescents are public health concerns. However, the possible association of NSSI with internet addiction is not well understood. Objective  To examine the occurrence of internet addiction with NSSI and any sex differences among […]

Healing the nation: Advancing mental health and addiction policy

Our guiding principle for this framework is that our health policies and solutions must be inclusive enough to ensure that all places and spaces effectively promote mental health, from creating positive dynamics that prevent conditions from developing, providing access to culturally appropriate services when needs arise, defining outcomes and collecting data to ensure equitable positive […]

Abnormal brain activity in adolescents with Internet addiction who attempt suicide: An assessment using functional magnetic resonance imaging

Internet addiction is associated with an increased risk of suicidal behavior and can lead to brain dysfunction among adolescents. However, whether brain dysfunction occurs in adolescents with Internet addiction who attempt suicide remains unknown. This observational cross-sectional study enrolled 41 young Internet addicts, aged from 15 to 20 years, from the Department of Psychiatry, the […]

The patient experience in a community pharmacy mental illness and addictions program

Background: The Bloom Program was designed to enhance pharmacists’ care of people with lived experience of mental illness and addictions in Nova Scotia. The Program’s demonstration period was from September 2014 to December 2016 and included a qualitative evaluation of the patient experience. Methods: Patients were recruited for individual interviews through Bloom Program pharmacies. Interviews […]

Patient care activities by community pharmacists in a capitation funding model mental health and addictions program

Background Community pharmacists are autonomous, regulated health care professionals located in urban and rural communities in Canada. The accessibility, knowledge, and skills of community pharmacists can be leveraged to increase mental illness and addictions care in communities. Methods The Bloom Program was designed, developed, and implemented based on the Behaviour Change Wheel and a program of […]

A pathway to hope: A roadmap for making mental health and addictions care better for people in British Columbia

This roadmap will build on recent work by the Ministry of Mental Health and Addictions to identify challenges in substance use service delivery and explore potential solutions for modernizing models of care, using evidence-based treatment and recovery guidelines. And while the opioid overdose crisis will continue to be an area of urgent public action, these […]

Death ambivalence and treatment seeking: Suicidality in opiate addiction

Rates of suicide and opiate overdose have recently skyrocketed in the USA. In light of impulsivity and impaired motivation common in people with substance use disorders, suicidality is common in addiction. Recent findings Chart review surveys indicate two primary suicidal populations that are important to distinguish for clinical practice and healthcare policy. One group is […]

Family-focused practices in addictions: A scoping review protocol.

Introduction Families are significantly impacted by addictions and family involvement in treatment can reduce the harms and can also improve treatment entry, treatment completion and treatment outcomes for the individual coping with an addiction. Although the benefits of family-focused practices in addictions have been documented, services continue to have an individual focus and research on this […]

Creating connections: Alberta’s Addiction and Mental Health strategy September 2011.

The purpose of the Strategy is to transform the addiction and mental health system in Alberta. The ultimate goal is to reduce the prevalence of addiction, mental health problems and mental illness in Alberta through health promotion and prevention activities and to provide quality assessment, treatment and support services to Albertans when they need them. The […]

Out of the shadows at last: Transforming mental health, mental illness and addiction services in Canada.

This is the first comprehensive examination of mental health issues in Canadian history. The Senate Committee looked at a number of very important issues that directly affect psychology and the country. It was very encouraging to see a focus on: 1. a national action plan for mental health, 2. a mental health commission, 3. a mental health transition […]

Life in recovery from addiction in Canada: Technical report.

It is becoming increasingly understood that recovery from addiction to alcohol and other drugs is a personal journey comprising many different pathways (Kaskutas et al., 2014; Kelly & Hoeppner, 2015; Notley et al., 2015; White, 2007). In an effort to gain an understanding about the experiences of individuals in recovery from addiction, a number of countries have […]

Toward quality mental health services in Canada: A comparison of performance indicators across 5 provinces.

This report presents comparative results for the six indicators by province, as well as key findings on the feasibility questions of the project. Section 1 provides Background for the initiative. Section 2 provides a brief summary of  methods (with greater details provided in Appendix C). Section 3 presents the Rationale, Definition, Results, preliminary Interpretation, and Limitations […]

Addiction severity and suicidal behaviors among persons entering treatment.

The aim of this study was three-fold: to compare the rates for suicidal behaviors based on the problem substance, to look at the association between addiction severity and suicidal behaviors, and to identify the components of addiction severity associated with suicidal behaviors. Addiction Severity Index databases from three public rehabilitation centers were merged for analyses, […]

Prospective prediction of first lifetime suicide attempts in a mult-site study of substance users.

Although considerable empirical work has been devoted to identifying risk factors for suicide attempts, most longitudinal research has studied recurrent attempts rather than first lifetime attempts. The present study sought to examine prospective predictors of first lifetime suicide attempts among adults receiving treatment for substance use. Data were drawn from the National Treatment Improvement Evaluation […]