Article Figures & Data
Figures
- Figure 1.
Reasons for referral to the Centralized Psychiatric Consultation Service for Adults among moderate and high referrers (≥5 referrals): Numbers in parentheses represent the absolute numbers of respondents. Responses were not mutually exclusive (n=50).
Tables
- Table 1.
Characteristics of PCP survey respondents classified by number of referrals to the Centralized Psychiatric Consultation Service for Adults in 2017
CHARACTERISTIC REFERRER TYPE STATISTICAL TEST,†
P VALUEOVERALL
N=111*LOW
n=6l*MODERATE
n=24HIGH
n=26Years in practice, n (%) Fisher exact, P=.59 • ≤5 16 (14.4) 8 (13.1) 2 (8.3) 6 (23.1) • 6-10 21 (18.9) 13 (21.3) 5 (20.8) 3 (11.5) • >10 74 (66.7) 40 (65.6) 17 (70.8) 17 (65.4) Practice type, n (%) Fisher exact, P=.04 • Academic teaching unit 4 (3.6) 4 (6.7) 0 (0.0) 0 (0.0) • Access health centre or community health centre 15 (13.6) 11 (18.3) 3 (12.5) 1 (3.8) • Fee-for-service group practice 65 (59.1) 36 (60.0) 16 (66.7) 13 (50.0) • Fee-for-service solo practice 26 (23.6) 9 (15.0) 5 (20.8) 12 (46.2) Estimated proportion of patients seen in average wk with mental health as primary concern, n (%) Fisher exact, P=.09 • <25 48 (43.2) 27 (44.3) 9 (37.5) 12 (46.2) • 25-50 50 (45.0) 29 (47.5) 8 (33.3) 13 (50.0) • >50 13 (11.7) 5 (8.2) 7 (29.2) 1 (3.8) Estimated proportion of time in average wk spent assessing or managing mental health needs, n (%) Fisher exact, P=.36 • <25 40 (36.7) 22 (37.3) 7 (29.2) 11 (42.3) • 25-50 49 (45.0) 28 (47.5) 9 (37.5) 12 (46.2) • >50 20 (18.3) 9 (15.3) 8 (33.3) 3 (11.5) Access to collaborative care psychiatry, n (%) 
=24.0, P<.001• Yes 35 (31.8) 31 (51.7) 2 (8.3) 2 (7.7) Part of a My Health Team, n (%) =5.7, P=.06• Yes 41 (36.9) 28 (45.9) 8 (33.3) 5 (19.2) Use of RACE, n (%) =7.3, P=.03• Yes 35 (31.5) 15 (24.6) 13 (54.2) 7 (26.9) Mean (SD) comfort score • With common presentations‡ 2.47 (0.52) 2.46 (0.56) 2.63 (0.42) 2.35 (0.49) F2108=1.82, P=.17 • With less common presentations§ 1.67 (0.51) 1.66 (0.47) 1.65 (0.48) 1.72 (0.62) F2108=0.15, P=.86 PCP—primary care provider, RACE—Rapid Access to Consultative Expertise.
↵* Denominators vary owing to incomplete responses.
↵† Statistics compared associations between characteristics and referrer type (low, moderate, and high).
↵‡ Includes emotional or situational crises and common mental health problems like depression or anxiety.
↵§ Includes less common psychiatric disorders like schizophrenia, posttraumatic stress disorder, eating disorders, attention deficit hyperactivity disorder, etc.
- Table 2.
Percentage of low, moderate, and high referrers who were satisfied or very satisfied with the overall service, time to receiving the consultation report, time to appointment, and referral process for the Centralized Psychiatric Consultation Service for Adults
SATISFIED OR VERY SATISFIED WITH ... REFERRER TYPE LOW, n (%)
n=61*MODERATE, n (%)
n=24*HIGH, n (%)
n=26*Overall service 28 (54.9) 10 (50.0) 11 (55.0) Time to receiving consultation report 28 (59.6) 13 (65.0) 15 (71.4) Time to appointment 15 (26.3) 7 (29.2) 4 (15.4) Referral process 22 (43.1) 7 (33.3) 14 (60.9) ↵* Denominators vary owing to incomplete responses.
- Table 3.
Respondent self-reported interest in interventions to aid in management of patients with mental health needs
SERVICE TYPE REFERRER TYPE TOTAL, N (%)
N=111LOW, n (%)
n=61MODERATE OR HIGH, n (%)
n=50Rapid access to psychiatry advice via telephone consultation 50 (45.0) 28 (45.9) 22 (44.0) Rapid access to psychiatry advice via electronic consultation 50 (45.0) 29 (47.5) 21 (42.0) Mental health service navigator 59 (53.2) 31 (50.8) 28 (56.0) Information about regional mental health services (hard copy) 55 (49.5) 26 (42.6) 29 (58.0) Information about regional mental health services (online) 41 (36.9) 22 (36.1) 19 (38.0) Continuing professional development for treatment of common mental disorders (hard copy) 50 (45.0) 34 (55.7) 16 (32.0) Continuing professional development for treatment of common mental disorders (online) 42 (37.8) 23 (37.7) 19 (38.0) Practice tools for management of common mental disorders (hard copy) 45 (40.5) 27 (44.3) 18 (36.0) Practice tools for management of common mental disorders (online) 41 (36.9) 24 (39.3) 17 (34.0)
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