Mental illness and addictions affect many Canadians at some point in their lifetime and impact families, communities, employment opportunities and care systems. CIHI provides data and information on mental health services to inform decisions about the delivery of care and the performance of mental health care systems.
Making a difference in people’s mental health
Since the inception of the Ontario Mental Health Reporting System (OMHRS) in 2005, more than 1 million assessments have been submitted to CIHI from more than 70 facilities in Ontario, as well as parts of Manitoba and Newfoundland and Labrador. The information is collected at the point of care using the Resident Assessment Instrument–Mental Health (RAI-MH)©. The RAI-MH includes applications that can be used to monitor clinical and functional status over time and to inform care planning. When this information is aggregated, it can be used to guide system-level decision-making, monitor health system performance and identify the priority needs of the population.
Making a difference across Canada
Whether promoting standards through collaboration with stakeholders and experts to develop indicators and comparable measures or partnering on innovative research projects, CIHI is involved in providing mental health information to all Canadians.
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Information on mental health and addictions
- Inpatient Mental Health in Ontario: A Focus on Caring for Seniors 2015 (Oct. 2015)
- Care for Children and Youth With Mental Disorders (May 2015)
- Self-harm and assault: A closer look at children and youth (Nov. 2014)
- Eating disorders in Canada: A growing mental health issue among young women (Sep. 2014)
- Hospital Mental Health Services for Concurrent Mental Illness and Substance Use Disorders in Canada (May 2013)
Hospital Mental Health Database
The Hospital Mental Health Database (HMHDB) has the most complete coverage of inpatient hospitalizations for mental health. The database contains data on almost every inpatient hospital mental health stay in Canada. Hospital stays represent a fraction of the services for mental health conditions and are typically sought when individuals’ conditions are very severe or other services are not available. In this regard, they represent a small but important part of the picture of mental health care.
HMHDB data comes from 4 sources:
- Discharge Abstract Database (DAD): Separation records from psychiatric hospitals participating in the DAD
- Hospital Morbidity Database (HMDB): Separation records from psychiatric hospitals in Quebec and selected acute separation records from all provinces and territories
- Hospital Mental Health Survey (HMHS): Separation records from selected psychiatric hospitals that do not report to the DAD
- Ontario Mental Health Reporting System (OMHRS): Separation records for individuals admitted as inpatients to adult mental health services in Ontario as well as some individuals in youth inpatient beds and selected facilities in other provinces
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Ontario Mental Health Reporting System (OMHRS)
OMHRS contains data about individuals admitted as inpatients to receive adult mental health services in Ontario and other selected facilities in other provinces. The data includes clinical information about individuals’ mental and physical health, as well as the social supports and services they use. The data is extracted from a standardized clinical assessment, the Resident Assessment Instrument–Mental Health (RAI-MH)©. The RAI-MH is completed at the point of care upon admission and discharge, and every 3 months for long-stay patients.
OMHRS provides data to clinicians and hospitals for use in care planning using the Mental Health Clinical Assessment Protocols (MH CAPs), outcome scales and quality indicators, as well as applications for case mix–based funding. OMHRS also includes demographic and administrative information.
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Community mental health and addictions
Inpatient hospital stays represent only one type of mental health service available in Canada. In 2012–2013, CIHI began collecting community mental health and addictions data from the province of Newfoundland and Labrador using the interRAI Resident Assessment Instrument–Community Mental Health (interRAI CMH©). The interRAI CMH is a standardized assessment used at the point of care to collect clinical and administrative information about individuals’ mental and physical health, as well as a sense of the social supports and services being used. This information can then be used to support care planning, evaluation of treatment using outcome scales and resource utilization for those receiving care.
CIHI will release a report in 2017 on the landscape of existing community mental health and addictions data in Canada, with a section devoted to each province and territory.
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Prescription drug abuse
With support from Health Canada, CIHI is developing a coordinated pan-Canadian approach to prescription drug abuse monitoring, surveillance and reporting. Information from this research initiative will help set prescription drug use standards, reduce data gaps and inform policy decisions.
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- Making a Difference at Ontario Shores
- Using OMHRS Data to Support Decision-Making
- Using the interRAI Assessment System
- Following the Flow of Health Data
The Mental Health and Addictions Data and Information Guide, 2014 provides an overview of mental health and addictions information through its data holdings and publicly available products in a catalogue format with web links.
- Mental Health Commission of Canada’s Informing the Future: Mental Health Indicators for Canada (2015)
- Overview of Mental Health Data in Canada (Sep. 2014)
- Changing Directions, Changing Lives: The Mental Health Strategy for Canada (Nov. 2009)
- Canadian Centre on Substance Abuse
- Health Canada
- Public Health Agency of Canada: Mental Health