Faculty Research
MApp Summary
A Multi-Disciplinary, Patient-Partnered, Pan-Canadian, Comparative Effectiveness Evaluation of an Innovative Acute Pediatric Mental Health and Addiction Care Bundle
Study Summary
A Multi-Disciplinary, Patient-Partnered, Pan-Canadian, Comparative Effectiveness Evaluation of an Innovative Acute Pediatric Mental Health and Addiction Care Bundle is a CIHR funded study led by Drs. Stephen Freedman and Amanda Newton (Edmonton, AB). With the support of research institutes and health care delivery organizations from coast to coast, eight pediatric Emergency Departments (EDs) across Canada are involved in this comparative effectiveness cluster randomized controlled trial. The purpose of this trial is to compare the effectiveness of the novel acute mental healthcare bundle first introduced in our Alberta-based cohort study, to the delivery of ED mental healthcare in children nationally. The primary outcome is improvement in wellbeing 30 days after an ED visit among children and youth who sought care for mental health and substance use concerns. This study reflects partnerships between emergency and mental health/psychiatry service providers across the country and is supported by funding provided by local research institutes, health care providers, and national mental health agencies.
Objectives
- To determine if an acute mental healthcare bundle, compared to standard care, improves wellbeing at 30 days in children and youth seeking ED care for mental health and substance use concerns
- To determine if the bundle improves satisfaction with care, family functioning, and healthcare delivery (ED length of stay, access and time to follow-up care, ED revisits)
- To identify modifiable barriers and enablers of bundle implementation fidelity and effectiveness
- To test if trial intervention effects are moderated by sociodemographic characteristics (sex, gender, ethnicity, culture, education, and socioeconomic status) and implementation barriers/enablers
- To assess the cost-effectiveness of the approach
Principal Study Investigators: Dr. Stephen Freedman and Dr. Amanda Newton
Project Lead: Kassi Prisnie
Study Team:
Dr. Mohamed Eltorki |
Dr. Gareth Hopkin |
Jananee Rasiah |
Dr. Monica Taljaard |
Dr. Margaret Steele |
Dr. Jitender Sareen |
Dr. Peter Szatmari |
Dr. Mario Cappelli |
Dr. Isabelle Gagnon |
Dr. Gary Joubert |
Dr. Yazid Al Hamarneh |
Lee Macdonald |
Barbara Brady-Fryer |
Dr. Maria Santana |
Dr. Chris McCabe |
Dr. Janet Curran |
Dr. Gina Dimitropoulos |
Dr. Katherine Cost |
Dr. Michael Stubbs |
Dr. Bruce Wright |
Dr. Antonia Stang |
Tracy Wasylak |
Dr. Jennifer Thull-Freedman |
Dr. Douglas Sinclair |
Dr. Robert Porter |
Dr. Kim St. John |
Dr. Jon Cherry |
Dr. Ellen Lipman |
Dr. Yaron Finkelstein |
Dr. Suneeta Monga |
Dr. Javeed Sukhera |
Dr. Simon Berthelot |
Dr. Brian Greenfield |
Dr. Laurie Plotnick |
Dr. Scott Sawyer |
Dr. Lawrence Katz |
Dr. Terry Klassen |
Dr. Ahmed Mater |
Dr. Anna Felstrom |
Dr. Sharon Clark |
Dr. Lisa Horowitz |
Dr. Quynh Doan |
Dr. Prashant Mahajan |
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Dr. Kellie LeDrew, MD FRCPC
I received the NL SUPPORT/Quality of Care NL Patient-Oriented Research Health Professional-led Grants Competition.
Title: Integrating Physical and Mental Health Care for Individuals with Mental Illness: A Mixed Methods Study to Test a Lifestyle Interventionthat Supports a Recovery Oriented Approachwithin Mental Health Services.
Study Lead: Kellie LeDrew, MD FRCPC Eastern Health PIER Program & MUN Faculty of Medicine, Discipline of Psychiatry; Jill Bruneau, PhD, NP, MUN Faculty of Nursing. Study Team: Leslie Phillips, BSc(Pharm), Pharm. D. MUN School of Pharmacyand Faculty of Medicine, Discipline of Psychiatry and Eastern Health PIER Program; Suzanne Condon, NP Eastern Health; Joy Maddigan, PhD RN, MUNFON, two direct care mental health nurses, and four lived experience experts {individuals and families living with SMI}.
Dr. Cathy Hickey, MD FRCPC
Peer-Reviewed Publications
Hickey C, Schubmehl J, Beeber A. 2022. Transference, Technology, and COVID-19—With Reference to Davanloo’s Intensive Short-term Dynamic Psychotherapy. British Journal of Psychotherapy. 38(1): 116-135.
Presentations
2021 Design, Development, and Implementation of a Series of Asynchronous Online Courses to Complement Competency-Based Postgraduate training of Geriatric Psychiatry Sub-Specialty Residents. Poster presented at the Annual Scientific Meeting of the Canadian Academy of Geriatric Psychiatry. (Virtual meeting). Levinson A, Payne S, Hategan A, Esliger M, Singh K, Hickey C, Chisholm T
2021 Hickey C and Myles A. Can an Online Psychotherapy Resource Enhance Interprofessional Education? Poster presented at the Annual Meeting of the Association for Academic Psychiatry. (Virtual Meeting)
2021 Hickey C and Myles A. Can an Online Psychotherapy Resource Enhance Interprofessional Education and Learning Satisfaction? Poster presented at the Annual Meeting of the Association for Medical Education in Europe. (Virtual Meeting)
Dr. Leslie Phillips, Pharm.D.
Publications:
Phillips L, Nguyen H, Genge T, Maddigan J. Effectiveness and Cost Effectiveness of an Intensive and Abbreviated Individualized Smoking Cessation Program Delivered by Pharmacists: a pragmatic, mixed-methods, randomized trial. Canadian Pharmacists Journal, accepted for publication June 17, 2022
CAMH: Vaping Cessation Guidance Resource https://www.nicotinedependenceclinic.com/en/Documents/Vaping%20Cessation%20Guidance%20Resource.pdf February 2022 (I was an Expert PANL Member on this project)
Fitzpatrick B, Phillips L. Learning from Quitting: Communication and collaboration in an interprofessional student-led smoking cessation program. Submitted to Am J Pharm Education December 21/2021 – decision still pending
Grants:
LeDrew K, Maddigan J, Bruneau J, Phillips L. Integrating Physical and Mental Health Care for Individuals with Mental Illness: A Mixed Methods Study to Test a Lifestyle Intervention that Supports a Recovery Oriented Approach within Mental Health Services. NL Support/Quality of care NL Patient-Oriented Research Health Professional-led Grants - $10,000 awarded June 6, 2022