ArticleCanadian journal of public health = Revue canadienne de sante publique2019
Income-based inequities in access to mental health services in Canada.
Article in Canadian journal of public health = Revue canadienne de sante publique, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.
- Speech and Language Markers as Longitudinal Predictors of Youth Mental Health: A Systematic Review.Early intervention in psychiatry · 2025Pooled it
- Individual Socioeconomic Measures and Change in HoNOS Scores among Persons Attending Adult Community Mental Health Services.Community mental health journal · 2026Article
- Equity and access to a regional child and youth mental health and addiction navigation service: a secondary analysis study.BMC public health · 2026Article
- Profiles of quality of care among individuals with suicidal behaviors.BMC health services research · 2026Article
- Sociodemographic and mental health predictors of mental health service use across provider types.PloS one · 2026Article
- Reinitiation of antidepressant pharmacotherapy among patients discharged from the hospital: A population-based cohort study.PLOS mental health · 2026Article
- Therapy, Pills and Unmet Needs for Financial Reasons: Socioeconomic Inequalities and Inequities in Access to Mental Health Care in Spain 2014-2020.Applied health economics and health policy · 2025Article
- Exploring socio-economic inequalities in mental healthcare utilization in adults with self-reported psychological distress: a survey-registry linked cohort design.Epidemiology and psychiatric sciences · 2025Article
- Re-imagining approaches for mental health and substance use health workforce regulation in Canada: Making room for dynamic tensions.PLOS mental health · 2025Article
- Perceived Higher Unmet Care Needs among Adults in Permanent Supportive Housing.Administration and policy in mental health · 2024Article
- Variability in public health programming and priorities to address health inequities across public health units in Ontario, Canada.Canadian journal of public health = Revue canadienne de sante publique · 2024Article
- Youth mental health care use during the COVID-19 pandemic in Alberta, Canada: an interrupted time series, population-based study.Child and adolescent psychiatry and mental health · 2024Article
- Reasons for High Emergency Department Use Among Patients With Common Mental Disorders or Substance-Related Disorders.Healthcare policy = Politiques de sante · 2024Article
- Patient and Therapist Perceptions of a Publicly Funded Internet-Based Cognitive Behavioral Therapy (iCBT) Program for Ontario Adults During the COVID-19 Pandemic: Qualitative Study.JMIR formative research · 2024Article
- Barriers to care for mental health conditions in Canada.PLOS mental health · 2024Article
- Relationships between employment status with self-perceived mental and physical health in Canada.AIMS public health · 2024Article
- Costs of major depression covered / not covered in British Columbia, Canada.BMC health services research · 2023Article
- Sociodemographic Differences in Physician-Based Mental Health and Virtual Care Utilization and Uptake of Virtual Care Among Children and Adolescents During the COVID-19 Pandemic in Ontario, Canada: A Population-Based Study.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2023Article
- Trends in population characteristics associated with mental health service use among youth and emerging adults in Canada from 2011 to 2016.Canadian journal of public health = Revue canadienne de sante publique · 2023Article
- Mental health service use and associated predisposing, enabling and need factors in community living adults and older adults across Canada.BMC health services research · 2023Article
Corrections and comments
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Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesWhile mental health services provided by general practitioners and psychiatrists can be billed to public health insurance programs in Canada, services provided by psychologists, social workers and other non-physician providers cannot. This study assesses the extent to which access to mental health services varies by income after first taking into account the higher concentration of mental health needs at lower income levels.
methodData from the Canadian Community Health Survey 2013-2014 are used to calculate need-standardized concentration indices for access to mental health services.
resultsMore pro-rich utilization of mental health services provided by non-physicians and more equitable utilization of physician services is found for psychologists and general practitioners, but not for social workers, nurses and psychiatrists. Unmet need for healthcare for mental health problems is found to be more pro-poor than unmet need for physical health problems.
conclusionBy standardizing for inequitable distribution of mental health need, this study provides strong evidence that income-based inequity in access to mental health services is an issue under Canada's two-tier system, particularly with regard to general practitioners and psychologists. For other types of providers, the results suggest that inequities in service utilization vary not just by Medicare coverage but also by service settings and target populations. Despite these variations, greater inequities in unmet need for mental health care than for physical health care suggest that inequity is the dominant reality for Canadians. The results provide a baseline that could be used to assess the equity impacts of policy reforms.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.