Intensive Children and Youth Mental Health Services in Ontario: Applying Gelberg-Andersen's Behavioral Model of Health Service Use for Vulnerable Populations
Year: 2020
Type: dissertation
Study design: Observational Study
Abstract: Ontario’s child and youth mental health (CYMH) system is undergoing a transformation aimed at improving access to effective services. Evidence-informed policy directions are the new norm however; few dynamic models exist to understand the utilization of CYMH services. This study adapted the Gelberg-Andersen Behavioral Model of Health Service Use for Vulnerable Populations for use in CYMH and tested its utility. The model was tested using a data sample of children and youth (n=642) referred to one of three levels of intensive mental health treatment (in-home, day treatment or residential). Multivariate analysis determined whether model variables predicted level of care. Significant group differences were found for some variables and predictive models were significant. The enhanced model contributed to an increased understanding of the relationship between individual predisposing, enabling and need characteristics and health service access. Future research is required to test the application of this model with other samples and services.
Source: TSpace (University of Toronto)
Author: Dianna Thomson-So
Language: English
Subfield: Psychiatry and Mental health
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W3156814010