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dc.contributor.authorWiktorowicz, Mary
dc.contributor.authorAbdulle, Aber
dc.contributor.authorDi Pierdomenico, Kaitlin
dc.contributor.authorBoamah, Sheila A.
dc.date.accessioned2020-03-18T15:13:19Z
dc.date.available2020-03-18T15:13:19Z
dc.date.issued2019-02-19
dc.identifier.citationFrontiers in Psychiatry 10 (2019): 61.en_US
dc.identifier.urihttps://doi.org/10.3389/fpsyt.2019.00061en_US
dc.identifier.urihttps://yorkspace.library.yorku.ca/xmlui/handle/10315/37142
dc.description.abstractBackground: Societal capacity to address the service needs of persons with concurrent mental health and substance-use disorders has historically been challenging given a traditionally siloed approach to mental health and substance-use care. As different approaches to care for persons with concurrent disorders emerge, a limited understanding of current models prevails. The goal of this paper is to explore these challenges along with promising models of coordinated care across Canadian provinces. Materials and methods: A scoping review of policies, service coordination and access issues was undertaken involving a review of the formal and gray literature from 2000 to 2018. The scoping review was triangulated by an analysis of provincial auditor general reports. Results: Models of concurrent disorders service were found to have evolved unevenly. Challenges related to the implementation of models of collaborative care and local networks that foster service coordination and policy accountability were found to inhibit integrated care. Conclusion: Emergent models of coordinated care were found to include collaborative care, regional networks with centralized access to care, clinical information-sharing, cross-training, improved scope of care to include psychologists and alignment of physician incentives with patient needs to better support patient care.en_US
dc.description.sponsorshipYork University Librariesen_US
dc.language.isoenen_US
dc.publisherFrontiersen_US
dc.rightsAttribution 2.5 Canada*
dc.rights.urihttp://creativecommons.org/licenses/by/2.5/ca/*
dc.subjectconcurrent disordersen_US
dc.subjectmental health and substance useen_US
dc.subjectsubstance use disordersen_US
dc.subjectmental health and addictionsen_US
dc.subjectsubstance misuseen_US
dc.subjectsubstance useen_US
dc.subjectmental health policyen_US
dc.titleModels of Concurrent Disorder Service: Policy, Coordination, and Access to Careen_US
dc.typeArticleen_US
dc.rights.journalhttps://www.frontiersin.org/journals/psychiatryen_US
dc.rights.publisherhttps://www.frontiersin.org/en_US
dc.rights.articlehttps://www.frontiersin.org/articles/10.3389/fpsyt.2019.00061/fullen_US


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Attribution 2.5 Canada
Except where otherwise noted, this item's license is described as Attribution 2.5 Canada