Tertiary Mental Health Services: IL Subpopulations and Best Practices for Service Delivery

Author:

Cochrane Jeanette1,Goering Paula2,Durbin Janet3,Butterill Dale4,Dumas John5,Wasylenki Donald6

Affiliation:

1. Senior Mental Health Consultant, Health Systems Research and Consulting Unit, Centre for Addiction & Mental Health, Clarke Division; Lecturer, Department of Psychiatry, University of Toronto, Toronto, Ontario

2. Director, Health Systems Research and Consulting Unit, Centre for Addiction & Mental Health, Clarke Division; Professor, Department of Psychiatry, University of Toronto, Toronto, Ontario

3. Senior Mental Health Consultant, Health Systems Research and Consulting Unit, Centre for Addiction & Mental Health, Clarke Division; Assistant Professor, Department of Psychiatry, University of Toronto, Toronto, Ontario

4. Strategic Initiatives Coordinator and Senior Mental Health Consultant, Clarke Consulting Group, Centre for Addiction & Mental Health, Clarke Division, Toronto, Ontario

5. Program Manager, Ontario Head Injury Association, Toronto, Ontario

6. Psychiatrist-in-Chief and Director, St Michael's Hospital; Professor, Department of Psychiatry, University of Toronto, Toronto, Ontario

Abstract

Tertiary care subpopulations are characterized by having more than one significant condition, each of which has been traditionally dealt with by different systems of care. They experience severe and persistent mental illness and one or more of the following: age-related physical or medical conditions, substance use disorders, developmental handicaps, and acquired brain injury. This paper provides estimates of prevalence for each of these subgroups and discusses best practices which have developed in response to their special needs.

Publisher

SAGE Publications

Subject

Psychiatry and Mental health

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