Strengthening the circle: Developing an integrated model of care for mental health, substance use and violence (MSV) for Indigenous communities in the Regional Municipality of Wood Buffalo during COVID-19 and beyond

BACKGROUND Mental health, substance use/addiction and violence (MSV) are important issues affecting the well-being of Indigenous peoples in Canada during the COVID-19 (SARS-CoV-2) pandemic. In the Regional Municipality of Wood Buffalo (RMWB), a northern region of Alberta, the pandemic has presented unique challenges for diverse urban and rural Indigenous communities. The region is home to[…]

Validation of an electronic health record-based suicide risk prediction modeling approach across multiple health care systems

Importance  Suicide is a leading cause of mortality, with suicide-related deaths increasing in recent years. Automated methods for individualized risk prediction have great potential to address this growing public health threat. To facilitate their adoption, they must first be validated across diverse health care settings. Objective  To evaluate the generalizability and cross-site performance of a risk prediction[…]

Learning from Kaiser Permanente: Integrated systems and healthcare improvement in Canada.

This report draws on a growing body of literature on integrated care, and compares two distinctive approaches to health system provision in North America: a non-profit insurance and managed care system (i.e., Kaiser Permanente), and two provincial taxfinanced, single insurer, systems in Canada (i.e., Ontario’s Ministry of Health and Long-Term Care and Saskatchewan’s Ministry of[…]

Integrated medical-behavioral care compared with usual primary care for child and adolescent behavioral health: A meta-analysis.

Objective To conduct a systematic meta-analysis of randomized clinical trials to evaluate whether integrated medical-behavioral health care for children and adolescents leads to improved behavioral health outcomes compared with usual primary care. Our results, demonstrating the benefits of integrated medical-behavioral primary care for improving youth behavioral health outcomes, enhance confidence that the increased incentives for[…]