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  1. Article ; Online: Heat Resilience and Severe & Persistent Mental Illness.

    Green, Samantha / Rosenbaum, Daniel / Beder, Michaela

    Canadian journal of psychiatry. Revue canadienne de psychiatrie

    2023  Volume 69, Issue 4, Page(s) 239–241

    MeSH term(s) Humans ; Hot Temperature ; Resilience, Psychological ; Mental Disorders ; Community Mental Health Services
    Language English
    Publishing date 2023-12-19
    Publishing country United States
    Document type Journal Article
    ZDB-ID 304227-3
    ISSN 1497-0015 ; 0008-4824 ; 0706-7437
    ISSN (online) 1497-0015
    ISSN 0008-4824 ; 0706-7437
    DOI 10.1177/07067437231220797
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    Zs.A 110: Show issues Location:
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  2. Article ; Online: Impact of the Pandemic was Minor Compared to Systemic Decrease in Fidelity of Assertive Community Treatment Services- A Provincial Study in Ontario, Canada.

    Law, Samuel / Kassam, Aly / Beder, Michaela / Sediqzadah, Saadia / Levy, Matthew / Maher, John

    Administration and policy in mental health

    2024  

    Abstract: Assertive Community Treatment (ACT) model is the gold standard in community psychiatry serving people with severe mental illness. With its outreach-based design, the pandemic has profoundly affected the operations and functioning of ACT. The Dartmouth ... ...

    Abstract Assertive Community Treatment (ACT) model is the gold standard in community psychiatry serving people with severe mental illness. With its outreach-based design, the pandemic has profoundly affected the operations and functioning of ACT. The Dartmouth ACT Scale (DACTS) provides a standardized comprehensive and quantitative way to evaluate ACT quality. Results could inform nature of impact and identify areas for improvement. Current online survey used DACTS during the pandemic in April-May 2021. Clinical and administrative leadership of the 80 ACT teams in Ontario, Canada cross-sectionally rated ACT quality one-year pre-Covid (2018-2019) and one-year post the start of Covid (2020-2021). The overall pre-Covid Ontario ACT DACTS fidelity was 3.65. The pandemic led to decreases in all domains of DACTS (Human Resources: -4.92%, p < 0.001, 95% CI [0.08-0.27]; Organizational Boundary: -1.03%, p < 0.013,95%CI [0.01-0.07]; and Nature of Services: -6.18%, p < 0.001, 95%CI [0.16-0.26]). These changes were accounted by expected lower face-to-face encounters, time spent with clients, reduction in psychosocial services, less interactions with hospitals and diminished workforces. The magnitude of change was modest (-3.84%, p < 0.001, 95%CI [0.09-0.19]). However, the Ontario ACT pre-Covid DACTS was substantially lower (-13.5%) when compared to that from a similar survey 15 years ago (4.22), suggestive of insidious systemic level loss of fidelity. Quantitative fidelity evaluation helped to ascertain specific pandemic impact. Changes were significant and specific, but overall relatively modest when compared to the larger system level drop over the last decade. There is both evidence for model adaptability and resilience during Covid disruption, and concerns over larger downward drift in ACT fidelity and quality.
    Language English
    Publishing date 2024-04-16
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1025319-1
    ISSN 1573-3289 ; 0894-587X
    ISSN (online) 1573-3289
    ISSN 0894-587X
    DOI 10.1007/s10488-024-01375-1
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  3. Article: Impact of COVID-19 on the lives of people with severe mental illness-front-line community psychiatry workers observation from a provincial survey of assertive community treatment teams in Ontario, Canada.

    Kassam, Aly / Beder, Michaela / Sediqzadah, Saadia / Levy, Matthew / Ritts, Madeleine / Maher, John / Kirwan, Nicole / Law, Samuel

    International journal of mental health systems

    2023  Volume 17, Issue 1, Page(s) 18

    Abstract: Using an online survey distributed to members of the provincial organization that represents the 88 Assertive Community Treatment (ACT) and Flexible ACT teams in Ontario, Canada, this descriptive study relied on the unique vantage points and observations ...

    Abstract Using an online survey distributed to members of the provincial organization that represents the 88 Assertive Community Treatment (ACT) and Flexible ACT teams in Ontario, Canada, this descriptive study relied on the unique vantage points and observations of the front-line community psychiatry workers who maintained contact with patients through outreach and telecommunication during the height of COVID-19. The patients who suffer from serious mental illness (SMI) were uniquely affected by COVID-19 due to the changes, reduction or shut down of many essential clinical and community support services. Thematic and quantitative analyses of the workers' observations highlighted 6 main areas of note, including significant social isolation and loneliness, clinical course deterioration and life disruption, increased hospital and ER use, police and legal contacts, and substance abuse and related deaths. There were also encouraging signs of positive adaptations in terms of independence and resilience. Reflections of these impacts and potential ameliorating approaches are further discussed.
    Language English
    Publishing date 2023-06-16
    Publishing country England
    Document type Journal Article
    ZDB-ID 2382266-1
    ISSN 1752-4458
    ISSN 1752-4458
    DOI 10.1186/s13033-023-00585-8
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  4. Article ; Online: Adaptations and Innovations to Minimize Service Disruption for Patients with Severe Mental Illness during COVID-19: Perspectives and Reflections from an Assertive Community Psychiatry Program.

    Guan, Iline / Kirwan, Nicole / Beder, Michaela / Levy, Matthew / Law, Samuel

    Community mental health journal

    2020  Volume 57, Issue 1, Page(s) 10–17

    Abstract: Changes to community psychiatry during COVID-19 are unprecedented and without clear guidelines. Minimizing disruption, ensuring quality care to the already vulnerable people with serious mental illness is crucial. We describe and reflect our adaptations ... ...

    Abstract Changes to community psychiatry during COVID-19 are unprecedented and without clear guidelines. Minimizing disruption, ensuring quality care to the already vulnerable people with serious mental illness is crucial. We describe and reflect our adaptations and innovations at one community psychiatry program, based on three key principles. In (i) Defining and maintaining essential services while limiting risk of contagion, we discuss such strategies and ways to assess risks, implement infection control, and other creative solutions. In (ii) Promoting health and mitigating physical and mental health impacts, we reflect on prioritizing vulnerable patients, dealing with loss of community resources, adapting group programs, and providing psychoeducation, among others. In (iii) Promoting staff resilience and wellness, we describe building on strength of the staff early, addressing staff morale and avoiding moral injury, and valuing responsive leadership. We also identify limitations and potential further improvements, mindful that COVID-19 and similar crises are likely recurring realities.
    MeSH term(s) COVID-19 ; Community Mental Health Centers/organization & administration ; Community Mental Health Services/organization & administration ; Continuity of Patient Care/organization & administration ; Disaster Planning ; Humans ; Mental Disorders/psychology ; Mental Disorders/therapy ; Mental Health ; Pandemics ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-09-15
    Publishing country United States
    Document type Journal Article
    ZDB-ID 215855-3
    ISSN 1573-2789 ; 0010-3853
    ISSN (online) 1573-2789
    ISSN 0010-3853
    DOI 10.1007/s10597-020-00710-8
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  5. Article ; Online: Further Adaptations and Reflections by an Assertive Community Treatment Team to Serve Clients with Severe Mental Illness during COVID-19.

    Law, Samuel / Guan, Iline / Beder, Michaela / Ritts, Madeleine / Sediqzadah, Saadia / Levy, Matthew / Kirwan, Nicole

    Community mental health journal

    2021  Volume 57, Issue 7, Page(s) 1227–1229

    MeSH term(s) COVID-19 ; Community Mental Health Services ; Humans ; Mental Disorders/therapy ; Patient Care Team ; Psychotic Disorders ; SARS-CoV-2
    Language English
    Publishing date 2021-06-09
    Publishing country United States
    Document type Journal Article
    ZDB-ID 215855-3
    ISSN 1573-2789 ; 0010-3853
    ISSN (online) 1573-2789
    ISSN 0010-3853
    DOI 10.1007/s10597-021-00855-0
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  6. Article ; Online: End immigration detention: an open letter.

    Beder, Michaela / Cohen, Michelle / Hui, Katrina / Jimenez, Carolina

    Lancet (London, England)

    2018  Volume 392, Issue 10145, Page(s) 381–382

    MeSH term(s) Adult ; Canada ; Child ; Emigrants and Immigrants/legislation & jurisprudence ; Humans ; Prisoners/legislation & jurisprudence ; United States
    Language English
    Publishing date 2018-07-17
    Publishing country England
    Document type Letter
    ZDB-ID 3306-6
    ISSN 1474-547X ; 0023-7507 ; 0140-6736
    ISSN (online) 1474-547X
    ISSN 0023-7507 ; 0140-6736
    DOI 10.1016/S0140-6736(18)31567-8
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  7. Article ; Online: International solidarity to end immigration detention.

    Kronick, Rachel / Rousseau, Cécile / Beder, Michaela / Goel, Ritika

    Lancet (London, England)

    2017  Volume 389, Issue 10068, Page(s) 501–502

    MeSH term(s) Australia ; Emigration and Immigration ; Humans ; Refugees
    Language English
    Publishing date 2017-01-26
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 3306-6
    ISSN 1474-547X ; 0023-7507 ; 0140-6736
    ISSN (online) 1474-547X
    ISSN 0023-7507 ; 0140-6736
    DOI 10.1016/S0140-6736(17)30231-3
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  8. Article ; Online: Power to the people? A co-produced critical review of service user involvement in mental health professions education.

    Kalocsai, Csilla / Agrawal, Sacha / de Bie, Lee / Beder, Michaela / Bellissimo, Gail / Berkhout, Suze / Johnson, Andrew / McNaughton, Nancy / Rodak, Terri / McCullough, Kim / Soklaridis, Sophie

    Advances in health sciences education : theory and practice

    2023  Volume 29, Issue 1, Page(s) 273–300

    Abstract: Meaningful service user involvement in health professions education requires integrating knowledge held by "lay" people affected by health challenges into professional theories and practices. Involving service users redefines whose knowledge "counts" and ...

    Abstract Meaningful service user involvement in health professions education requires integrating knowledge held by "lay" people affected by health challenges into professional theories and practices. Involving service users redefines whose knowledge "counts" and implies a shift in power. Such a shift is especially significant in the mental health field, where power imbalances between health professionals and service users are magnified. However, reviews of the literature on service user involvement in mental health professional education do little to explore how power manifests in this work. Meanwhile critical and Mad studies scholars have highlighted that without real shifts in power, inclusion practices can lead to harmful consequences. We conducted a critical review to explore how power is addressed in the literature that describes service user involvement in mental health professions education. Our team used a co-produced approach and critical theories to identify how power implicitly and explicitly operates in this work to unearth the inequities and power structures that service user involvement may inadvertently perpetuate. We demonstrate that power permeates service user involvement in mental health professional education but is rarely made visible. We also argue that by missing the opportunity to locate power, the literature contributes to a series of epistemic injustices that reveal the contours of legitimate knowledge in mental health professions education and its neoliberal underpinnings. Ultimately, we call for a critical turn that foregrounds power relations to unlock the social justice-oriented transformative potential of service user involvement in mental health professions education and health professions education more broadly.
    MeSH term(s) Humans ; Health Personnel/education ; Educational Status ; Patient Participation ; Mental Health ; Health Occupations
    Language English
    Publishing date 2023-05-29
    Publishing country Netherlands
    Document type Journal Article ; Review
    ZDB-ID 1352832-4
    ISSN 1573-1677 ; 1382-4996
    ISSN (online) 1573-1677
    ISSN 1382-4996
    DOI 10.1007/s10459-023-10240-z
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  9. Article: Adaptations and Innovations to Minimize Service Disruption for Patients with Severe Mental Illness during COVID-19: Perspectives and Reflections from an Assertive Community Psychiatry Program

    Guan, Iline / Kirwan, Nicole / Beder, Michaela / Levy, Matthew / Law, Samuel

    Community ment. health j

    Abstract: Changes to community psychiatry during COVID-19 are unprecedented and without clear guidelines. Minimizing disruption, ensuring quality care to the already vulnerable people with serious mental illness is crucial. We describe and reflect our adaptations ... ...

    Abstract Changes to community psychiatry during COVID-19 are unprecedented and without clear guidelines. Minimizing disruption, ensuring quality care to the already vulnerable people with serious mental illness is crucial. We describe and reflect our adaptations and innovations at one community psychiatry program, based on three key principles. In (i) Defining and maintaining essential services while limiting risk of contagion, we discuss such strategies and ways to assess risks, implement infection control, and other creative solutions. In (ii) Promoting health and mitigating physical and mental health impacts, we reflect on prioritizing vulnerable patients, dealing with loss of community resources, adapting group programs, and providing psychoeducation, among others. In (iii) Promoting staff resilience and wellness, we describe building on strength of the staff early, addressing staff morale and avoiding moral injury, and valuing responsive leadership. We also identify limitations and potential further improvements, mindful that COVID-19 and similar crises are likely recurring realities.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #758083
    Database COVID19

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  10. Article ; Online: Adaptations and Innovations to Minimize Service Disruption for Patients with Severe Mental Illness during COVID-19

    Guan, Iline / Kirwan, Nicole / Beder, Michaela / Levy, Matthew / Law, Samuel

    Community Mental Health Journal ; ISSN 0010-3853 1573-2789

    Perspectives and Reflections from an Assertive Community Psychiatry Program

    2020  

    Keywords Public Health, Environmental and Occupational Health ; Health(social science) ; Psychiatry and Mental health ; covid19
    Language English
    Publisher Springer Science and Business Media LLC
    Publishing country us
    Document type Article ; Online
    DOI 10.1007/s10597-020-00710-8
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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