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The Mental Health of Manitoba's Children

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The Mental Health of Manitoba's Children THE MENTAL HEALTH OF MANITOBA’S CHILDREN Authors: Mariette Chartier, RN, PhD Marni Brownell, PhD Leonard MacWilliam, MSc, MNRM Jeff Valdivia, MNRM, CAPM Yao Nie, MSc Okechukwu Ekuma, MSc Charles Burchill, MSc Milton Hu, MSc Leanne Rajotte, BComm (Hons) Christina Kulbaba, BFA (Hons), BA Fall 2016 Manitoba Centre for Health Policy Max Rady College of Medicine Rady Faculty of Health Sciences University of Manitoba This report is produced and published by the Manitoba Centre for Health Policy (MCHP). It is also available in PDF format on our website at: http://mchp-appserv.cpe.umanitoba.ca/deliverablesList.html Information concerning this report or any other report produced by MCHP can be obtained by contacting: Manitoba Centre for Health Policy Rady Faculty of Health Sciences Max Rady College of Medicine, University of Manitoba 4th Floor, Room 408 727 McDermot Avenue Winnipeg, Manitoba, Canada R3E 3P5 Email: [email protected] Phone: (204) 789-3819 Fax: (204) 789-3910 How to cite this report: Chartier M, Brownell M, MacWilliam L, Valdivia J, Nie Y, Ekuma O, Burchill C, Hu M, Rajotte L, Kulbaba C. The Mental Health of Manitoba’s Children. Winnipeg, MB. Manitoba Centre for Health Policy, Fall 2016. Legal Deposit: Manitoba Legislative Library National Library of Canada ISBN 978-1-896489-84-1 ©Manitoba Health This report may be reproduced, in whole or in part, provided the source is cited. 1st printing (Fall 2016) This report was prepared at the request of Manitoba Health, Healthy Living and Seniors (MHHLS) as part of the contract between the University of Manitoba and MHHLS. It was supported through funding provided by the Department of Health of the Province of Manitoba to the University of Manitoba (HIPC 2013/2014-29). The results and conclusions are those of the authors and no official endorsement by MHHLS was intended or should be inferred. Data used in this study are from the Population Health Research Data Repository housed at the Manitoba Centre for Health Policy, University of Manitoba and were derived from data provided by MHHLS, as well as the Winnipeg Regional Health Authority, Manitoba Education and Training, Healthy Child Manitoba, Manitoba Families, Manitoba Justice, Manitoba Adolescent Treatment Centre, and the Vital Statistics Agency for the use of their data. Strict policies and procedures were followed in producing this report to protect the privacy and security of the Repository data. ABOUT THE MANITOBA CENTRE FOR HEALTH POLICY The Manitoba Centre for Health Policy (MCHP) is located within the Department of Community Health Sciences, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba. The mission of MCHP is to provide accurate and timely information to healthcare decision–makers, analysts and providers, so they can offer services which are effective and efficient in maintaining and improving the health of Manitobans. Our researchers rely upon the unique Population Health Research Data Repository (Repository) to describe and explain patterns of care and profiles of illness and to explore other factors that influence health, including income, education, employment, and social status. This Repository is unique in terms of its comprehensiveness, degree of integration, and orientation around an anonymized population registry. Members of MCHP consult extensively with government officials, healthcare administrators, and clinicians to develop a research agenda that is topical and relevant. This strength, along with its rigorous academic standards, enables MCHP to contribute to the health policy process. MCHP undertakes several major research projects, such as this one, every year under contract to Manitoba Health, Seniors and Active Living. In addition, our researchers secure external funding by competing for research grants. We are widely published and internationally recognized. Further, our researchers collaborate with a number of highly respected scientists from Canada, the United States, Europe, and Australia. We thank the University of Manitoba, Rady Faculty of Health Sciences, Max Rady College of Medicine, Health Research Ethics Board for their review of this project. MCHP complies with all legislative acts and regulations governing the protection and use of sensitive information. We implement strict policies and procedures to protect the privacy and security of anonymized data used to produce this report and we keep the provincial Health Information Privacy Committee informed of all work undertaken for Manitoba Health, Seniors and Active Living. www.mchp.ca page i UNIVERSITY OF MANITOBA, RADY FACULTY OF HEALTH SCIENCES page ii ACKNOWLEDGEMENTS The authors wish to acknowledge the contributions of many individuals whose efforts and expertise made it possible to produce this report. It is with great gratitude that we look back at the unwavering and generous support we have received. So many people contributed and we apologize in advance to anyone we might have overlooked. We thank our Advisory Group for their dedication, their expertise, and their insightful and enthusiastic contributions. It was clear from the very first meeting that the mental health of children is important to them. • Rob Santos (Healthy Child Manitoba Office) • Leanne Boyd (Healthy Child Manitoba Office) • Steven Feldgaier (Healthy Child Manitoba Office) • Laurence Katz (University of Manitoba) • Marion Cooper (Canadian Mental Health Association) • Jessica Johnson (Winnipeg Regional Health Authority) • John Walker (University of Manitoba) • Patti MacEwan (formerly, Winnipeg Regional Health Authority) • Shelley Rhyno (Northern Regional Health Authority) • Tiina Cordell (Southern Health/Santé Sud) • Fran Schellenberg (formerly, Mental Health and Spiritual Health Care) • Jaye Miles (Manitoba Adolescent Treatment Centre) • Marg Synyshyn (Manitoba Adolescent Treatment Centre) We greatly appreciate the valuable and constructive feedback of our external academic reviewers: Maria Chiu (Staff Scientist, ICES Central Mental Health & Addictions Research Program) and Martin Guhn (National Research Lead Forum on Early Child Development Monitoring, Assistant Professor Human Early Learning Partnership, School of Population and Public Health, University of British Columbia). We also thank Michele Jules from Manitoba Justice for clarifying data fields, and Lori Middendorp and Dianne Hoffman from Manitoba Adolescent Treatment Centre for explaining their services and the structure of their databases. We wish to thank our colleagues at the Manitoba Centre for Health Policy (MCHP) who are always willing to share their expertise. We are fortunate to work with such a talented and generous group of people: Nathan Nickel (Senior Reader), Jennifer Enns (editor), Dan Chateau, Randall Fransoo, Alan Katz, Pat Martens, Colette Raymond, Noralou Roos, Mark Smith, Matt Dahl, Natalia Dik, Heather Prior, Randy Walld, Jennifer Schultz, Theresa Daniuk, Scott McCulloch, Dale Stevenson, Shannon Turczak, Susan Burchill, Alexandra Decker, Jessica Jarmasz, and Iresha Ratnayake. We would also like to thank the Data Management and Data Documentation teams at MCHP, which have the critical role of managing the data in MCHP’s Repository. We acknowledge the University of Manitoba Health Research Ethics Board for their review of the proposed research project. The Health Information Privacy Committee (HIPC) is kept informed of all MCHP deliverables. The HIPC number for this project is 2013/2014-29. We also acknowledge Manitoba Health, Seniors and Active Living, as well as the Winnipeg Regional Health Authority, Manitoba Education and Training, Healthy Child Manitoba, Manitoba Families, Manitoba Justice, Manitoba Adolescent Treatment Centre, and the Vital Statistics Agency for the use of their data. www.mchp.ca page iii UNIVERSITY OF MANITOBA, RADY FACULTY OF HEALTH SCIENCES page iv TABLE OF CONTENTS Acronyms ........................................................................................................................................................... xvii Executive Summary ........................................................................................................................................... xix Introduction ......................................................................................................................................................................................xix Methods .............................................................................................................................................................................................xxi Summary of Results ........................................................................................................................................................................xxii Diagnostic Prevalence of Mental Disorders ...................................................................................................................xxii Suicide and Attempted Suicide ..........................................................................................................................................xxii Developmental Disorders ....................................................................................................................................................xxiv Healthcare Use, Social Services Use, and Justice Involvement ...............................................................................xxiv Educational Outcomes ..........................................................................................................................................................xxvi
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