Evidence map›Paper›PMID 34569295›Full record

ArticleCanadian journal of psychiatry. Revue canadienne de psychiatrie2022

Health System-Level Evaluation of Tele-Mental Health Services Among Children and Adolescents in Ontario, Canada.

Alene Toulany, Paul Kurdyak, Sima Gandhi, Longdi Fu, Seena Grewal, Chetana Kulkarni, Natasha Saunders, Simone Vigod, Astrid Guttmann, Maria Chiu and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 29% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 5 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 2 countries.

Alene ToulanyDivision of Adolescent Medicine, Hospital for Sick Children, Toronto, Ontario.ORCID 0000-0003-1238-7049
Paul KurdyakICES, Toronto, Ontario.ORCID 0000-0001-8115-7437
Sima GandhiICES, Toronto, Ontario.
Longdi FuICES, Toronto, Ontario.
Seena GrewalDepartment of Psychiatry, Faculty of Medicine, 7938University of Toronto, Toronto, Ontario.
Chetana KulkarniDepartment of Psychiatry, Faculty of Medicine, 7938University of Toronto, Toronto, Ontario.ORCID 0000-0002-6464-0870
Natasha SaundersICES, Toronto, Ontario.
Simone VigodICES, Toronto, Ontario.
Astrid GuttmannICES, Toronto, Ontario.
Maria ChiuICES, Toronto, Ontario.ORCID 0000-0002-3877-1068
Antonio PignatielloDepartment of Psychiatry, Faculty of Medicine, 7938University of Toronto, Toronto, Ontario.
University of Toronto · CAInstitute for Clinical Evaluative Sciences · CACentre for Addiction and Mental Health · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe the characteristics of children and adolescents receiving tele-mental health services in Ontario, Canada and examine access to a psychiatrist, in-person or via tele-mental health services, following a mental health and addictions (MHA)-related emergency department (ED) visit or hospitalization.

methodUsing linked health and administrative data, we described two cohorts: (1) children and adolescents (1-18 years) who used a provincial tele-mental health programme from January 1, 2013 to March 31, 2017, comparing their MHA-related service use (outpatient, ED, hospitalization) in the 1 year prior to and the 1 year following initial consultation; (2) children and adolescents with high mental health service needs, defined as those with an incident MHA-related ED visit or hospitalization between January 1, 2013 and December 31, 2016, examining their 1-year follow-up with telemedicine and other health care utilization.

resultsIn the first cohort, 7,216 children and adolescents (mean age 11.8 [±3.8] years) received tele-mental health services. The proportion of MHA-related ED visits [15.1% pre vs. 12.6% post (test statistic 23.57,

conclusionsTele-mental health services were rarely used in Ontario, even among high-needs children and adolescents, despite their association with increased access to care and less need for acute mental health care.

Indexed as

Mental Health ServicesAdolescentChildEmergency Service, HospitalHospitalizationHumansMental HealthOntarioadolescentschildrenmental healthtelemedicinetelepsychiatry

Identifiers

PMID34569295
PMCPMC9149526
OpenAlexW3201680893

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.