The impacts of COVID-19, both through its direct infectious sequelae, and through massive changes... more The impacts of COVID-19, both through its direct infectious sequelae, and through massive changes to our societal and health system functioning, are being felt differentially by different populations. In many ways, the disproportionate negative impacts are highlighting preexisting fault lines in our social fabric. Lessons learned during this epidemic can hopefully help guide long-term improvements to models of health-care delivery, and also draw attention to needed social changes for addressing vulnerable marginalized populations and inequities, and improving social resilience.
This Canadian Association of Social Psychiatry (CASP) Symposium highlights the Congress theme, sh... more This Canadian Association of Social Psychiatry (CASP) Symposium highlights the Congress theme, showcasing Canadian social psychiatric innovations. The presentations span Canada’s two largest provinces, Ontario and Quebec, addressing: complementary urban and rural, and community- and hospital-based practices; contrasting in-person versus telemedicine clinical care and teaching; and general psychiatric consultations with specialized interventions from shared care in child psychiatry to early intervention in psychosis. Across diverse practice contexts, we discuss disparities in the health and mental health care of marginalized populations, identifying an emerging consensus of intersectional health concerns and disparities, taking into account populational/patient parameters and practice settings for social reconciliation. Vincenzo Di Nicola: “Beyond Shared Care in Child Psychiatry: Collaborative Care and Community Consultations” – Based in the multicultural context of Montreal, this presentation reviews shared care and collaborative models which privilege consultations between primary and specialty care in children’s mental health, with a Quebec innovation called “Medical Specialists Responding in Child Psychiatry” for community mental health teams. Manon Charbonneau: “Challenges in Rural Practice in the Côte-Nord Region of Eastern Quebec” – Based in Sept-Îles, Quebec, this presentation reviews the population and practice parameters of rural practice, which includes the indigenous Innuit people, highlighting the innovative use of telemedicine in both clinical care and teaching. Constantin Tranulis: “Early Intervention in Psychosis: Where Neurobiology Meets Innovative Social Tools and Expands Psychiatric Frontiers” – Working in a Montreal university psychiatric institute, this clinician-researcher reviews the 25-year-old model of early intervention and its impact on the field, with both positive and negative consequences. Sonu Gaind: “Mental Health Care of Marginalized Populations: How Do We Move from Disparity to Equity?” – In Toronto, Canada’s largest and most diverse city, where populational characteristics and social factors intersect and accumulate to create health and mental disparities, this presentation explores root causes and how health care can move towards equity. Keywords: Shared care, community consultations, rural practice, early intervention, health disparities/equities
Medical Assistance in Dying (MAID) is now legal in many jurisdictions for competent adults who ha... more Medical Assistance in Dying (MAID) is now legal in many jurisdictions for competent adults who have intolerable suffering and/or have a terminal illness with a short prognosis. Mental illness can be a source of suffering for these individuals, but it can also affect their capacity to make medical decisions. Clinicians, and psychiatrists in particular, need to understand how to assess patients with mental illness who are requesting MAID, to determine the impact of their mental illness on the MAID request. Psychiatric disorders can be a primary indication for MAID in parts of Europe, and recent published case series from Belgium and the Netherlands have generated strong responses from the psychiatric community. Patients dying of terminal illnesses who request MAID often have symptoms of depression or anxiety, but psychiatrists are rarely involved in their care. Psychiatrists may be helpful in assessing decision capacity, but documentation of capacity assessment could be improved. There is a broad need to develop educational resources to train current and future physicians about MAID. MAID represents an ethical and clinical challenge for psychiatrists in a variety of ways. As more jurisdictions legalize MAID, the psychiatric community will need to be prepared to meet these challenges with robust clinical standards and educational programs to ensure the highest standards of care for patients.
Medical Assistance in Dying (MAID) is now legal in many jurisdictions for competent adults who ha... more Medical Assistance in Dying (MAID) is now legal in many jurisdictions for competent adults who have intolerable suffering and/or have a terminal illness with a short prognosis. Mental illness can be a source of suffering for these individuals, but it can also affect their capacity to make medical decisions. Clinicians, and psychiatrists in particular, need to understand how to assess patients with mental illness who are requesting MAID, to determine the impact of their mental illness on the MAID request. Psychiatric disorders can be a primary indication for MAID in parts of Europe, and recent published case series from Belgium and the Netherlands have generated strong responses from the psychiatric community. Patients dying of terminal illnesses who request MAID often have symptoms of depression or anxiety, but psychiatrists are rarely involved in their care. Psychiatrists may be helpful in assessing decision capacity, but documentation of capacity assessment could be improved. Ther...
M Charbonneau, V Di Nicola, KS Gaind. CASP Scientific Contributions to 23rd WASP World Congress o... more M Charbonneau, V Di Nicola, KS Gaind. CASP Scientific Contributions to 23rd WASP World Congress of Social Psychiatry, Bucharest, Romania – October 25-28, 2019. Global Mental Health & Psychiatry Review, Winter 2020, 1(1): 5-6.
The impacts of COVID-19, both through its direct infectious sequelae, and through massive changes... more The impacts of COVID-19, both through its direct infectious sequelae, and through massive changes to our societal and health system functioning, are being felt differentially by different populations. In many ways, the disproportionate negative impacts are highlighting preexisting fault lines in our social fabric. Lessons learned during this epidemic can hopefully help guide long-term improvements to models of health-care delivery, and also draw attention to needed social changes for addressing vulnerable marginalized populations and inequities, and improving social resilience.
This Canadian Association of Social Psychiatry (CASP) Symposium highlights the Congress theme, sh... more This Canadian Association of Social Psychiatry (CASP) Symposium highlights the Congress theme, showcasing Canadian social psychiatric innovations. The presentations span Canada’s two largest provinces, Ontario and Quebec, addressing: complementary urban and rural, and community- and hospital-based practices; contrasting in-person versus telemedicine clinical care and teaching; and general psychiatric consultations with specialized interventions from shared care in child psychiatry to early intervention in psychosis. Across diverse practice contexts, we discuss disparities in the health and mental health care of marginalized populations, identifying an emerging consensus of intersectional health concerns and disparities, taking into account populational/patient parameters and practice settings for social reconciliation. Vincenzo Di Nicola: “Beyond Shared Care in Child Psychiatry: Collaborative Care and Community Consultations” – Based in the multicultural context of Montreal, this presentation reviews shared care and collaborative models which privilege consultations between primary and specialty care in children’s mental health, with a Quebec innovation called “Medical Specialists Responding in Child Psychiatry” for community mental health teams. Manon Charbonneau: “Challenges in Rural Practice in the Côte-Nord Region of Eastern Quebec” – Based in Sept-Îles, Quebec, this presentation reviews the population and practice parameters of rural practice, which includes the indigenous Innuit people, highlighting the innovative use of telemedicine in both clinical care and teaching. Constantin Tranulis: “Early Intervention in Psychosis: Where Neurobiology Meets Innovative Social Tools and Expands Psychiatric Frontiers” – Working in a Montreal university psychiatric institute, this clinician-researcher reviews the 25-year-old model of early intervention and its impact on the field, with both positive and negative consequences. Sonu Gaind: “Mental Health Care of Marginalized Populations: How Do We Move from Disparity to Equity?” – In Toronto, Canada’s largest and most diverse city, where populational characteristics and social factors intersect and accumulate to create health and mental disparities, this presentation explores root causes and how health care can move towards equity. Keywords: Shared care, community consultations, rural practice, early intervention, health disparities/equities
Medical Assistance in Dying (MAID) is now legal in many jurisdictions for competent adults who ha... more Medical Assistance in Dying (MAID) is now legal in many jurisdictions for competent adults who have intolerable suffering and/or have a terminal illness with a short prognosis. Mental illness can be a source of suffering for these individuals, but it can also affect their capacity to make medical decisions. Clinicians, and psychiatrists in particular, need to understand how to assess patients with mental illness who are requesting MAID, to determine the impact of their mental illness on the MAID request. Psychiatric disorders can be a primary indication for MAID in parts of Europe, and recent published case series from Belgium and the Netherlands have generated strong responses from the psychiatric community. Patients dying of terminal illnesses who request MAID often have symptoms of depression or anxiety, but psychiatrists are rarely involved in their care. Psychiatrists may be helpful in assessing decision capacity, but documentation of capacity assessment could be improved. There is a broad need to develop educational resources to train current and future physicians about MAID. MAID represents an ethical and clinical challenge for psychiatrists in a variety of ways. As more jurisdictions legalize MAID, the psychiatric community will need to be prepared to meet these challenges with robust clinical standards and educational programs to ensure the highest standards of care for patients.
Medical Assistance in Dying (MAID) is now legal in many jurisdictions for competent adults who ha... more Medical Assistance in Dying (MAID) is now legal in many jurisdictions for competent adults who have intolerable suffering and/or have a terminal illness with a short prognosis. Mental illness can be a source of suffering for these individuals, but it can also affect their capacity to make medical decisions. Clinicians, and psychiatrists in particular, need to understand how to assess patients with mental illness who are requesting MAID, to determine the impact of their mental illness on the MAID request. Psychiatric disorders can be a primary indication for MAID in parts of Europe, and recent published case series from Belgium and the Netherlands have generated strong responses from the psychiatric community. Patients dying of terminal illnesses who request MAID often have symptoms of depression or anxiety, but psychiatrists are rarely involved in their care. Psychiatrists may be helpful in assessing decision capacity, but documentation of capacity assessment could be improved. Ther...
M Charbonneau, V Di Nicola, KS Gaind. CASP Scientific Contributions to 23rd WASP World Congress o... more M Charbonneau, V Di Nicola, KS Gaind. CASP Scientific Contributions to 23rd WASP World Congress of Social Psychiatry, Bucharest, Romania – October 25-28, 2019. Global Mental Health & Psychiatry Review, Winter 2020, 1(1): 5-6.
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