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      Mental Health and Addictions System Performance in Ontario: An Updated Scorecard, 2009-2017.

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          Abstract

          Scorecards, particularly those that report on health system performance over time, can shed light on issues related to access and quality. In this updated 2020 Mental Health and Addictions Scorecard, we report on a number of indicators between 2009 and 2017. In general, we found that the performance of the mental health and addictions health system did not improve substantially over time. Among the many findings, over the past decade, suicide rates have not declined and rates of emergency department visits for deliberate self-harm have continued to rise. The highest rates of deliberate self-harm and the greatest rise over time in overall mental health and addictions-related outpatient visits, emergency department visits and hospitalizations were experienced by individuals aged 14-24 years. There continues to be a growing use of mental health services in outpatient settings, with the majority of care provided by primary care physicians. We also observed a slight decrease over time in the proportion of individuals who had no physician-delivered mental health care prior to presenting to the emergency department, which suggests an improvement in access over time.

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          Author and article information

          Journal
          Healthc Q
          Healthcare quarterly (Toronto, Ont.)
          Longwoods Publishing
          1710-2774
          1710-2774
          Oct 2020
          : 23
          : 3
          Affiliations
          [1 ] The lead scientist for the 2020 Mental Health and Addictions Scorecard and a staff scientist in The Mental Health and Addictions Research Program at ICES. She is also an assistant professor at the Institute of Health Policy, Management and Evaluation in the Dalla Lana School of Public Health at the University of Toronto in Toronto, ON. Dr. Chiu can be reached at maria.chiu@ices.on.ca.
          [2 ] A senior scientist and chief science officer at ICES, a staff physician and a senior scientist at the Hospital for Sick Children, a professor of pediatrics, health policy and public health and the executive co-director of the Leong Centre for Healthy Children at the University of Toronto in Toronto, ON.
          [3 ] The director of health outcomes and performance evaluation at the Institute for Mental Health Policy Research and the medical director of performance improvement at the Centre for Addiction and Mental Health in Toronto. He is also a senior scientist and lead for the Mental Health and Addictions Research Program at ICES, clinical lead at the Mental Health and Addictions Centre of Excellence, Ontario Health, and an associate professor at the Department of Psychiatry and the Institute of Health Policy, Management and Evaluation, University of Toronto in Toronto, ON.
          Article
          hcq.2020.26340
          10.12927/hcq.2020.26340
          33243359
          5d725eb2-9418-4de4-aca0-4d6a24004e6e
          History

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