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Status of Mental Health in Ottawa Report, 2018

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Status of Mental Health in Ottawa Report, 2018 Status of Mental Health in Ottawa REPORT 2018 OttawaPublicHealth.ca 613-580-6744 /OttawaHealth SantepubliqueOttawa.ca TTY/ATS : 613-580-9656 /OttawaSante STATUS OF MENTAL HEALTH IN OTTAWA MESSAGE FROM OTTAWA PUBLIC HEALTH On behalf of Ottawa Public Health (OPH), I am pleased to provide the Status of Mental Health in Ottawa Report, which is the first local surveillance report to describe the state of mental health across the population of Ottawa. I am grateful to the Champlain Local Health Integration Network, the members of our Mental Health Advisory Committee, the Public Health Agency of Canada and the many OPH staff for their support and expertise in developing this report. With the important focus on mental health in our community, this report is timely and relevant as it highlights the factors that promote and protect mental health, and those that contribute to poor mental health. This information builds on the current work to promote mental health by community partners, service delivery agencies, and OPH. The findings from this report will also help to inform future discussions on mental health promotion, and will support policy makers, community partners, and our own endeavours to promote positive mental health. Dr. Vera Etches MD, CCFP, MHSc, FRCPC Medical Officer of Health Message from Ottawa Public Health i STATUS OF MENTAL HEALTH IN OTTAWA STATUS OF MENTAL HEALTH IN OTTAWA ACRONYMS ACRONYM DEFINITION CAMH Centre for Addiction and Mental Health CCHS Canadian Community Health Survey DAD Discharge Abstract Database ED Emergency Department EDI Early Development Instrument LGBTQ2 Lesbian, gay, bisexual, trans, queer, two-spirited LHIN Local Health Integration Network NACRS National Ambulatory Care Reporting System OHIP Ontario Health Insurance Plan ONS Ottawa Neighbourhood Study OPH Ottawa Public Health OSDUHS Ontario Student Drug Use and Health Survey PHAC Public Health Agency of Canada Acronyms iii STATUS OF MENTAL HEALTH IN OTTAWA ACKNOWLEDGEMENTS This report was written by: Theresa Procter, Epidemiologist, Ottawa Public Health Katherine Russell, Epidemiologist, Ottawa Public Health Benjamin Leikin, Supervisor, Ottawa Public Health Helen Parker, Public Health Nurse, Ottawa Public Health Special thanks to our external reviewers who contributed their expertise in mental health, data collection and analysis: Kevin Barclay, Director, West Champlain sub-region, Champlain Local Health Integration Network Dr. Raj Bhatla, Chief of Psychiatry, Royal Ottawa Mental Health Centre Barbara Casey, Director of Mental Health, Children’s Hospital of Eastern Ontario Dr. Ian Colman, Canada Research Chair in Mental Health Epidemiology, University of Ottawa Jane Fjeld, Associate Executive Director, Youth Service Bureau of Ottawa Michel Gervais, Executive Director, Centre des services communautaires Vanier Dr. Lewis Leikin, Member, Ottawa Public Health Board of Health Cam MacLeod, Executive Director, Carlington Community Health Centre Hindia Mohammed, Executive Director, Ottawa Local Immigration Partnership Heather Orpana, Research Scientist, Public Health Agency of Canada Marianna Shturman, Director of Mental Health and Addictions, Wabano Centre for Aboriginal Health Dr. Tim Simboli, Executive Director, Canadian Mental Health Association, Ottawa Branch Special thanks to our Ottawa Public Health peer reviewers: Dr. Vera Etches, Medical Officer of Health;Gillian Connelly, Manager; Marino Francispillai, Program Manager; Amira Ali, Senior Epidemiologist; Cameron McDermaid, Epidemiologist; Chatura Prematunge, Epidemiologist; Population Health Approach Team and all OPH staff who contributed to this report. Please use the following citation when referencing this document: Ottawa Public Health. Status of Mental Health in Ottawa. June 2018. Ottawa (ON): Ottawa Public Health; 2018 For copies of the report, please visit ottawapublichealth.ca For further information, please contact Benjamin Leikin at 613-580-2424, ext. 21061 or [email protected] Ottawa Public Health acknowledges the Public Health Agency of Canada for the use of their Positive Mental Health Surveillance Conceptual Framework, of which this report was based. The data contents and interpretation in this publication from the Ontario Student Drug Use and Health Survey, conducted by the Centre for Addiction and Mental Health and administered by the Institute for Social Research, York University are solely the responsibility of the authors and do not necessarily represent the official view of the Centre for Addiction and Mental Health. Acknowledgements iv STATUS OF MENTAL HEALTH IN OTTAWA TABLE OF CONTENTS Message from Ottawa Public Health .................................................................................................................... i Acronyms ................................................................................................................................................................. iii Acknowledgements ............................................................................................................................................... iv List of Figures ..........................................................................................................................................................3 Executive Summary .................................................................................................................................................5 Positive Mental Health Outcomes ......................................................................................................................... 5 Mental Health Care Utilization, Mental Health Challenges and Illness, Substance Use and Addiction ......6 Individual Determinants ............................................................................................................................................7 Family Determinants ..................................................................................................................................................7 Community Determinants ........................................................................................................................................ 8 Society Determinants ............................................................................................................................................... 8 What is the purpose of the report? .......................................................................................................................9 Why talk about mental health? ............................................................................................................................ 10 The Public Health Agency of Canada’s Positive Mental Health Surveillance Conceptual Framework .........12 Methodology .......................................................................................................................................................... 14 Data Sources .............................................................................................................................................................14 Analysis .......................................................................................................................................................................14 First Nations, Inuit and Métis Peoples .................................................................................................................15 Limitations ..................................................................................................................................................................15 Positive Mental Health Outcomes ...................................................................................................................... 16 Highlights for Ottawa ...............................................................................................................................................16 Self-Rated Mental Health ........................................................................................................................................ 17 Happiness ..................................................................................................................................................................18 Life Satisfaction .........................................................................................................................................................19 Psychological Well-Being ......................................................................................................................................20 Social Well-Being .....................................................................................................................................................22 Mental Health Care Utilization, Mental Health Challenges and Illness, Substance Use and Addiction .......24 Highlights for Ottawa ..............................................................................................................................................24 Mental Health Care Utilization..............................................................................................................................26 Mental Health Challenges and Illness ................................................................................................................34 Self Injury ...................................................................................................................................................................39 Suicidal
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