Abstract
The study aims to compare variables associated with the exclusive and joint use of primary and specialized care for mental
health reasons by individuals diagnosed with a mental disorder in a Montreal/Canadian catchment area. Data were collected
from a random sample (2,443 individuals). Among 406 people, diagnosed with a mental disorder 12 months pre-interview, 212
(52%) reported having used healthcare services. Compared to users of primary care only, people who sought both primary and
specialized care presented more mental disorders and lower quality of life. People using only specialized healthcare received
significantly less social support than persons using primary care exclusively and lived in neighborhoods with a high proportion
of rental housing. Healthcare service provision should favor social networking and enable social cohesion and integration,
particularly in neighborhoods with a high proportion of rental housing. Shared care and enhanced collaboration with other
public and community-based resources should be encouraged.
health reasons by individuals diagnosed with a mental disorder in a Montreal/Canadian catchment area. Data were collected
from a random sample (2,443 individuals). Among 406 people, diagnosed with a mental disorder 12 months pre-interview, 212
(52%) reported having used healthcare services. Compared to users of primary care only, people who sought both primary and
specialized care presented more mental disorders and lower quality of life. People using only specialized healthcare received
significantly less social support than persons using primary care exclusively and lived in neighborhoods with a high proportion
of rental housing. Healthcare service provision should favor social networking and enable social cohesion and integration,
particularly in neighborhoods with a high proportion of rental housing. Shared care and enhanced collaboration with other
public and community-based resources should be encouraged.
- Content Type Journal Article
- Pages 1-11
- DOI 10.1007/s11126-011-9181-3
- Authors
- Marie-Josée Fleury, Department of Psychiatry, McGill University, Douglas Hospital Research Centre, Douglas Mental Health University Institute, 6875 LaSalle Blvd, Montreal, QC H4H 1R3, Canada
- Guy Grenier, Douglas Hospital Research Centre, Douglas Mental Health University Institute, Montreal, QC, Canada
- Jean-Marie Bamvita, Douglas Hospital Research Centre, Douglas Mental Health University Institute, Montreal, QC, Canada
- Michel Perreault, Department of Psychiatry, McGill University, Douglas Hospital Research Centre, Douglas Mental Health University Institute, 6875 LaSalle Blvd, Montreal, QC H4H 1R3, Canada
- Jean Caron, Department of Psychiatry, McGill University, Douglas Hospital Research Centre, Douglas Mental Health University Institute, 6875 LaSalle Blvd, Montreal, QC H4H 1R3, Canada
- Journal Psychiatric Quarterly
- Online ISSN 1573-6709
- Print ISSN 0033-2720