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Full-Text Articles in Clinical Psychology

Trends In Mental Health Service Use Among Youth And Emerging Adults In Canada, Thipiga Sivayoganathan Jul 2021

Trends In Mental Health Service Use Among Youth And Emerging Adults In Canada, Thipiga Sivayoganathan

Electronic Thesis and Dissertation Repository

Mental disorders among youth (age 12 to 17) and emerging adults (18 to 24) in Canada are common, but few receive mental health (MH) services. We examined trends in patterns and predictors of MH service use in this population. Secondary data analyses were conducted on six cycles of the Canadian Community Health Survey (2011 to 2016). From 2011 to 2016, the prevalence of MH service use increased by 4.3%. In 2016, 85.1% of those with poor self-rated MH accessed services, greater than in previous years; however, this subgroup represents only 1% of the total population. Psychiatrists had the largest provider …


Predictors Of Re-Accessing Mental Health Services For Children And Adolescents, Catalina Sarmiento Jul 2017

Predictors Of Re-Accessing Mental Health Services For Children And Adolescents, Catalina Sarmiento

Electronic Thesis and Dissertation Repository

The natural history of mental health disorders suggests that a substantial number of children experience persistent or recurrent problems and may need more than 1 episode of care. However, there is a paucity of research on recurrent service use. The present study examined the rates and predictors of re-accessing community-based care. Secondary data analyses were conducted on administrative and chart review data from 5 mental health agencies in southwest, eastern, and central Ontario. Approximately a third (30%) of children who had an episode of care re-accessed services again within 4 years; the median time to re-access was 13 months. Social …


Parental Help-Seeking For Pediatric Insomnia: Where, When, And Why Do Parents Seek Help?, Adam T. Newton Jun 2017

Parental Help-Seeking For Pediatric Insomnia: Where, When, And Why Do Parents Seek Help?, Adam T. Newton

Electronic Thesis and Dissertation Repository

Pediatric insomnia affects approximately 25% of children and can impact both child and parent functioning. Despite its prevalence and impact, next-to-nothing is known about help-seeking mechanism for pediatric insomnia. These mechanisms are expected to mirror models from the children’s mental health help-seeking literature. Both studies in this thesis gathered data from an online multinational project. Manuscript 1 investigated the informal, informational, and formal sources of help for pediatric insomnia and the factors that motivated parents to seek professional help. Parents utilized or expected to utilize a variety of informal (most commonly their partner, friends, or family members) and informational (most …


Exploring Mental Health In Justice Involved Youth: Relevance For Policy And Practice, Angelina Sarah Maclellan Jan 2017

Exploring Mental Health In Justice Involved Youth: Relevance For Policy And Practice, Angelina Sarah Maclellan

Electronic Thesis and Dissertation Repository

Over the past two decades, awareness of the prevalence of mental health problems in young offenders (ages 12 to 17 years) has grown, with estimates suggesting significantly higher rates compared to the general population. While experiencing poverty does not cause crime, recent research drawing from the Social Psychology of Crime suggests that individuals who experience poverty tend to live in adverse social environments, which can facilitate exposure to modeling and/or reinforcement that is related to antisocial behaviour. In the present study, archival data were drawn from 281 young offenders’ files from an urban-based court clinic to examine how the youth’s …


Social Relationships In Young Offenders: Relevance To Peers, Poverty, And Psychological Adjustment, Victoria Sabo Jan 2017

Social Relationships In Young Offenders: Relevance To Peers, Poverty, And Psychological Adjustment, Victoria Sabo

Electronic Thesis and Dissertation Repository

The increasing influence of peers in adolescence is related to a developing array of skills, aspirations, attitudes, and behaviours. The nature and magnitude of this influence and the potential association of certain youth with deviant peers is among the most prominent risk factors in predicting youth crime. This becomes of greater concern for economically disadvantaged youth, whose neighbourhoods harbour greater susceptibility to negative peer influence. With social affiliations at the forefront of youth development and criminality, research efforts need to further characterize the nature, constitution, and influence of peers on adolescent offending. Two hundred and eighty-one Canadian youth were sampled …


Defining And Predicting Dropout From Children’S Mental Health Services: A Novel Need-Based Definition Of Dropout, Kimberly Williams Dossett Aug 2016

Defining And Predicting Dropout From Children’S Mental Health Services: A Novel Need-Based Definition Of Dropout, Kimberly Williams Dossett

Electronic Thesis and Dissertation Repository

Background: Dropout from children’s mental health services has negative impacts on children, families and community mental health agencies. In order to reduce dropout, it is essential to correctly define individuals as treatment dropouts, and understand the predictors of dropout. Methods: Manuscript 1 describes the development of a novel need-based definition of dropout and contrasts this definition to existing definitions of dropout in the literature. Manuscript 2 uses the need-based definition to examine predictors of dropout, and compares predictors of dropout using different definitions of dropout. Results: The need-based definition categorizes individuals differently from existing definitions of dropout. Caregiver needs are …


The Cultural Connectedness Scale And Its Relation To Positive Mental Health Among First Nations Youth, Angela Snowshoe Aug 2015

The Cultural Connectedness Scale And Its Relation To Positive Mental Health Among First Nations Youth, Angela Snowshoe

Electronic Thesis and Dissertation Repository

The mental health and wellbeing of youth is one of the most urgent concerns affecting many First Nations communities across Canada. Despite a growing recognition that cultural connectedness (i.e., the extent to which an individual is integrated within his or her First Nations culture) is an important factor for promoting the mental health of First Nations youth, there remains a clear need for a conceptual model that organizes, explains, and leads to an understanding of the resiliency mechanisms underlying this construct. Study 1 involved the development of the Cultural Connectedness Scale (CCS) with a sample of 319 First Nations, Métis, …


Why Wait? The Effects Of Waiting Time On Subsequent Help-Seeking Among Families Looking For Children’S Mental Health Services, Kyleigh E. Schraeder Jul 2012

Why Wait? The Effects Of Waiting Time On Subsequent Help-Seeking Among Families Looking For Children’S Mental Health Services, Kyleigh E. Schraeder

Electronic Thesis and Dissertation Repository

The influence of wait-list duration for child and adolescent mental health services on families seeking help elsewhere was examined. Survival analyses, modelling time from being initially placed on a wait-list to when a family contacted a new agency, were conducted separately for families that did not receive help prior to contacting a new agency (n=159) and those that received help (n=114). Survival analyses examined effects of wait-time along with predisposing (e.g.,age), need (e.g.,child psychopathology), and enabling (e.g.,number of agencies) factors on time to contact a new agency. Almost half of families contacted a new agency after having been wait-listed. Of …