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

  1. 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
  2. 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)
  3. To identify modifiable barriers and enablers of bundle implementation fidelity and effectiveness
  4. To test if trial intervention effects are moderated by sociodemographic characteristics (sex, gender, ethnicity, culture, education, and socioeconomic status) and implementation barriers/enablers
  5. 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

 

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