Current Issues and Future Trends in Health Care in Canada,
Mental Health and Addiction
- Mental illness: refers to many different disorders that influence our thinking process and behaviour.
- Mental illness is the leading cause of disability in Canada.
- Mental health falls into provincial/territorial jurisdiction. * Working together with agencies such as: * Health Canada * The Public Health Agency of Canada * The Mental Health Commission of Canada * The Canadian Mental Health Association and its jurisdictional counterparts * To plan strategies and interventions aimed at caring for mentally ill people.
- Provinces and territories share responsibilities with the Federal Government for individuals who require mental health services when they become involved with the criminal justice system.
- In general, mental health care is offered in tertiary care psychiatric hosts psychiatric hospitals and clinics, community mental health centers and realize, some correctional facilities, adolescent assessment and
- Health Canada is a big part of trying to help Canadians thrive daily. * They aid in EI, social security, child benefits, and retirement plans. * They are also about taking responsibility for one’s health, such as healthy living, diabetes prevention, and health promotion.
- Diagnostic and Statistical Manual of Mental Disorders: a product of ten years in the making with the efforts of hundreds of professionals in all aspects of mental health
- Provinces and territories share responsibilities with the Federal Government for individuals who require mental health services when they become involved with the criminal justice system.
- Services for the Armed Forces: include pre-deployment preparedness, treatment for addiction, crisis intervention, and short-term counselling.
- Community-Based Services: many jurisdictions offer a centralized point of contact to help people navigate the mental health care system * Also provides legal rights and directions when required
- Registered Psychiatric Nurses: practice in western Canada autonomously and as a part of primary health care teams * They provide care and support for families, groups, and individuals.
- Family Physicians: will refer individuals for specialized mental health services when they feel the patient needs more support and direction that they can provide * Though they can perform counselling, most prefer not to because of the time-consuming nature.
- Mental health Commission of Canada * The Mental Health Commission of Canada (MHCC) was formed in 2006 * In 2012 the MHCC completed the first draft of a national mental health strategy: the first-ever pan-Canadian strategy to improve both mental health services and access to these services across the country to improve. * The Strategy made six recommendations:
\
- The need for open communication to reduce the stigma of mental illness
- Promoting mental health for all Canadians in multiple places (home, schools, community, and the workplace)
- Focusing on suicide prevention
- Providing the right mix of mental health services for those in need
- Evaluating and improving risk factors associated with mental illness
1. E.g. determinants of health such as poverty, unemployment and underemployment, and social isolation) for vulnerable populations
- Providing the proper support and services to meet the unique needs of Indigenous people in Canada.
\
- The Stigma of Mental Illness * Open Minds targets four main groups: * Healthcare providers: create positive and accepting attitudes * Youth: Identify those at risk to create prevention * Workforce: encourage understanding and tolerance at work * Media: positively influence public views and attitudes
- Reducing Homelessness * Housing First: a framework widely used for developing housing programs for the mentally ill * Offers permanent housing for those with no strings attached * No preconditions or eligibility criteria * Reaching Home: increased funding will be earmarked to reduce homelessness among the indigenous population. * These goals are to reduce homelessness by 50% in 2028
- Mental Illness and the Justice System * Forensic Hospitals: secure facilities that have specialized knowledge, and treatment plans, care to rehabilitate individuals so they can either start a trial or safely come back into society * Community-Base Forensic Mental Health Programs: provide a range of services with the goal of rehab and integration with the community
Caring For An Aging Population
- Currently in Canada, 3/4 of our population is the 50+ who require x3 the amount of time when visiting there family doctor
- Seniors need to be monitored regularly for multiple conditions most likely for the rest of their lives
- Timely Access to Specialists: elective surgery wait times average 6 months with certain urgent surgeries being 48 hours thus upping the mortality/morbidity
- With the rise of an aging population the nation struggles to keep up with the demand of treatment plans for things such as dementia, Alzheimer’s, cancer, etc. * All of which puts a greater strain on our healthcare system
Home and Continuing Care
- Homecare: a professional support service offered for those who are no longer able to live at home safely
- Currently in Canada 16% of the population is receive homecare in some degree
- Homecare offers specialized palliative support for those unwilling to go to the hospital
- Canada Health Care System is broken and homecare is no exception * Here is what they are try to do to change it * Increasing the number of (funded) visits home care recipients can receive from health professionals and support workers to eliminate shortfalls in care required * Developing a system to recruit and retain human health resources * Developing an effective strategy to make the best use of existing resources * Advocating for the recommended national "carers" strategy to support and fund resources for individuals providing care for family members * Action Network Advancing the use of technology to improve access to, and the coordination of services * Improving safety in the home for both care providers and patients by providing the necessary training to ensure everyone safety
Drug Coverage
- As seen in earlier chapters their is no universal drug plan just a bunch of smaller plans put together
- As we have hit a new era where cannabis is legal we have found a few grey areas * Sure as can you smoke in between shifts or will it be banned like alcohol * How much is too much? * Are edibles included into the 30g of legal possession
\