Chapter 13: Mental Health Services in Canada

Question 1

What principles does the national health care insurance in canada support?

Answer 1

egalitarian principles

Question 2

What are egalitarian principles for national health care insurance?

Answer 2

ensures all canadian residents are able to obtain good quality health care

Question 3

What is the Canada health act?

Answer 3

federal legislation that has key characteristics of the health care insurance coverage across the country

Question 4

Who is known as the “father of medicare”?

Answer 4

Tommy Douglas

Question 5

What are the 5 principles of the Canada Health Act?

Answer 5

1. universality
2. accessibility
3. portability
4. comprehensiveness
5. public administration

Question 6

What does the principle of “universality” mean to the Canada Health Act?

Answer 6

ALL canadian residents are entitled to receive coverage

Question 7

What does the principle of “accessibility” mean to the Canada Health Act?

Answer 7

ALL canadians should have access to coverage, regardless of GEOGRAPHICAL LOCATION

Question 8

What does the principle of “Portability” mean to the Canada Health Act?

Answer 8

your health care insurance coverage remains in tact when a canadian travels or moves from one province/territory to another

Question 9

What does the principle of “comprehensiveness” mean to the Canada Health Act?

Answer 9

coverage of all “medically necessary” health care services

Question 10

What does the principle of “public administration” mean to the Canada Health Act?

Answer 10

plans should be administered “publicly”

Question 11

Many mental health services require people to pay “out of pocket”. true or false

Answer 11

true

Question 12

There is some federal coverage for mental health services for people with most serious and acute mental health disorders. true or false

Answer 12

true

Question 13

What are 6 federally funded agencies relevant for mental health in canada?

Answer 13

1. Public health agency of Canada
2. Canadian Institutes for Health Research
3. Health Canada
4. Statistics Canada
5. Canadian Centre on Substance Abuse
6. Mental health Commission of Canada

Question 14

What is “stepped care”?

Answer 14

• provide low intensity treatment for most people, and will step up the intensity of treatments if needed
• helps save money
• maximizes resources
• minimizes intrusiveness

Question 15

What are “iatrogenic outcomes”?

Answer 15

negative outcomes as a result of medical or health care interventions

Question 16

See slide 10 for visual of stepped care?

Question 17

What is known as “early intervention” for delivery of mental health care services?

Answer 17

• before symptoms progress
• symptoms are addressed and functional impairment is prevented
• unique to individual –> meds, CBT, family therapy, etc

Question 18

What is the difference between primary, secondary, and tertiary health care?

Answer 18

Primary = first contact, family physcians and other GPs

secondary = specialists

tertiary = specialized long term treatment services

Question 19

Across a lifespan, it is shown that women used more of the publicly funded services for mental illness in canada than men. true or false

Answer 19

true

Question 19

What are peer support services?

Answer 19

individuals who are in recovery from mental illness or substance use disorder that assist others in their recovery effort

• provides support
• shares knowledge and skills

Question 20

Can caregivers play a role in supporting recovery?

Answer 20

yes

Question 21

What are forensic mental health services?

Answer 21

• provide assessment and treatment for people charged with criminal behaviour and are experiencing a mental illness
• psychiatrists may go to trial to determine an individuals mental state in a case

Question 22

an individual may be deemed not criminally responsible for reason of mental disorder in the criminal code of canada. true or false

Answer 22

true –> must submit treatment!

Question 23

What are the 2 things that stand out about the Mental health Health Commission of Canada’s 10 year mission?

Answer 23

1. EDUCATE all canadians about mental health and increase mental health literacy in canada
2. diminish stigma and discrimination faced by canadians living with a mental illness, and their families

Question 24

What are the 6 parts to the "changing direction, changing lives" initiative for mental health in canada?

Answer 24

1. promote mental health across lifespan in different settings and prevent mental illness and suicide 2. foster recovery and well-being 3. provide access to the right combo of services, treatments and supports 4. reduce disparities in risk factors and access to mental health services and strengthen the response to needs of diverse communities and northerners 5. work with indigenous communities to address and acknowledge their mental health needs 6. mobilize leadership, improve knowledge, and foster collaboration at all levels

Question 25

are mental health services different across the world? therefore is it hard to make an objective comaprison?

Answer 25

yes and yes