Health System Resources for Mental Health and Addictions ...

Chartbook

July 2019

Health System Resources for Mental Health and Addictions Care in Canada

Production of this document is made possible by financial contributions from Health Canada and provincial and territorial governments. The views expressed herein do not necessarily represent the views of Health Canada or any provincial or territorial government.

Unless otherwise indicated, this product uses data provided by Canada's provinces and territories.

All rights reserved.

The contents of this publication may be reproduced unaltered, in whole or in part and by any means, solely for non-commercial purposes, provided that the Canadian Institute for Health Information is properly and fully acknowledged as the copyright owner. Any reproduction or use of this publication or its contents for any commercial purpose requires the prior written authorization of the Canadian Institute for Health Information. Reproduction or use that suggests endorsement by, or affiliation with, the Canadian Institute for Health Information is prohibited.

For permission or information, please contact CIHI:

Canadian Institute for Health Information 495 Richmond Road, Suite 600 Ottawa, Ontario K2A 4H6 Phone: 613-241-7860 Fax: 613-241-8120 cihi.ca copyright@cihi.ca

ISBN 978-1-77109-827-4 (PDF)

? 2019 Canadian Institute for Health Information

How to cite this document: Canadian Institute for Health Information. Health System Resources for Mental Health and Addictions Care in Canada, July 2019. Ottawa, ON: CIHI; 2019.

Cette publication est aussi disponible en fran?ais sous le titre Ressources des syst?mes de sant? pour les soins en sant? mentale et en toxicomanie au Canada, juillet 2019. ISBN 978-1-77109-828-1 (PDF)

Table of contents

Acknowledgements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Mental health and addictions in Canada . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Mental health and addictions care in Canada . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Health system resources for MHA care. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

Financial resources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Health care professionals. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 Physical resource use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 Summary of what we know . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45 Summary of what we do not know. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46 Future directions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47 Appendix A: Overall data sources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48 Appendix B: Provincial and territorial strategic plans. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49 Appendix C: Text alternative for figures. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50 Bibliography. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63

Health System Resources for Mental Health and Addictions Care in Canada, July 2019

Acknowledgements

This report represents a collaborative effort across many program areas at the Canadian Institute for Health Information (CIHI). We would like to thank the many individuals and teams who contributed their expertise and time, including the core team, the Health System Analysis and Emerging Issues branch, the Financial Standards and Information department, the Health Workforce Information department, the Physician Information department, the Specialized Care branch and all supporting areas.

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Health System Resources for Mental Health and Addictions Care in Canada, July 2019

Introduction

? Given that 1 in 5 Canadians will experience a mental health or addictions (MHA) challenge and may

require a range of services in the hospital and the community, it is important to understand what resources are available. As the data is not available for all provinces and territories in a consistent way, understanding the full picture and variations across Canada is difficult.

? This report outlines what we know about spending on publicly funded care for MHA, the

professionals who work in this area and where we provide the care in Canada. This report aims to provide foundational information on MHA resources across Canada.

? The Canadian Institute for Health Information (CIHI) is working on Shared Health Priorities indicators

selected jointly by federal, provincial and territorial governments in consultation with Canadians to measure access to MHA care. We are also working on collecting information on primary health care. These 2 efforts will help close information gaps.

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