Abstract
BackgroundThis report presents the initial results of the first Epidemiological Catchment Area Study in mental health in Canada. Five neighbourhoods in the South-West sector of Montreal, with a population of 258,000, were under study. The objectives of the research program were: 1) to assess the prevalence and incidence of psychological distress, mental disorders, substance abuse, parasuicide, risky behaviour and quality of life; 2) to examine the links and interactions between individual determinants, neighbourhood ecology and mental health in each neighbourhood; 3) to identify the conditions facilitating the integration of individuals with mental health problems; 4) to analyse the impact of the social, economic and physical aspects of the neighbourhoods using a geographic information system. 5) to verify the adequacy of mental health services.MethodA longitudinal study in the form of a community survey was used, complemented by focused qualitative sub-studies. The longitudinal study included a randomly selected sample of 2,433 individuals between the ages of 15 and 65 in the first wave of data collection, and three other waves are projected. An overview of the methods is presented.ResultsThe prevalence of psychological distress, mental disorders and use of mental health services and their correlates are described for the first wave of data collection.ConclusionSeveral vulnerable groups and risk factors related to socio-demographic variables have been identified such as: gender, age, marital status, income, immigration and language. These results can be used to improve treatment services, prevention of mental disorders, and mental health promotion.
Highlights
IntroductionThis paper describes the objectives, the theoretical model and the methodology of a research program for the development of an epidemiologic catchment area in the South-West sector of Montreal
This report presents the initial results of the first Epidemiological Catchment Area Study in mental health in Canada
The prevalence of psychological distress, mental disorders and use of mental health services and their correlates are described for the first wave of data collection
Summary
This paper describes the objectives, the theoretical model and the methodology of a research program for the development of an epidemiologic catchment area in the South-West sector of Montreal. It presents the results of the prevalence of psychological distress and mental disorders and the use of mental health services and their correlates for the first wave of data collection in this longitudinal study. In a recent analysis of the Canadian Community Health Survey 1.2: (ESCC1.2), a cross-sectional study [3] shows a high prevalence of psychological distress and mental disorders in the general population. In addition to individual suffering, the minimum annual economic burden of psychological distress and mental disorders in Canada in 2003, including direct and indirect cost, is estimated at $51 billion [4]
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