title: The impact of the process of deinstitutionalization of mental health services in Canada: an increase in accessing of health professionals for mental health concerns.
abstract: This research evaluates accessing of community-based mental health services in relation to the ongoing process of deinstitutionalization of mental health services in Canada. From 1998/1999 to 2002/2003, the process of deinstitutionalization decreased in intensity among the provinces that implemented deinstitutionalization earlier and increased in intensity among the provinces that implemented deinstitutionalization later. By 2002/2003, average days of care per 1,000 population in psychiatric units in general hospitals exceeded days of care in psychiatric hospitals (transinstitutionalization). Accessing of community-based mental health services by individuals with higher levels of psychological distress increased in all provinces from 1998/1999 to 2002/2003.
authors.affiliation: School of Nursing, The University of Western Ontario, London, Ontario, Canada. psealy@uwindsor.ca
authors.forename: Patricia A
authors.initials: PA
authors.lastname: Sealy
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002170:Canada; D003156:Community Mental Health Services / Q000458:organization & administration / Q000706:statistics & numerical data; D003688:Deinstitutionalization / Q000639:trends; D005260:Female; D006284:Health Plan Implementation; D006297:Health Services Accessibility; D006778:Hospitals, Psychiatric / Q000706:statistics & numerical data / Q000639:trends; D006801:Humans; D008297:Male; D008603:Mental Health; D008605:Mental Health Services / Q000458:organization & administration* / Q000706:statistics & numerical data*; D008875:Middle Aged; D011567:Psychiatric Department, Hospital / Q000706:statistics & numerical data / Q000639:trends; D055815:Young Adult