@article{binet_portrait_2021,

title = {A Portrait of Mental Health Services Utilization and Perceived Barriers to Care in Men and Women Evacuated During the 2016 Fort McMurray Wildfires},

author = {É. Binet and M. -C. Ouellet and J. Lebel and V. Békés and C. M. Morin and N. Bergeron and T. Campbell and S. Ghosh and S. Bouchard and S. Guay and F. P. MacMaster and G. Belleville},

url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-85101819468&doi=10.1007%2fs10488-021-01114-w&partnerID=40&md5=4130f3aeaaf2d3894820e7fce46e67f0},

doi = {10.1007/s10488-021-01114-w},

issn = {0894587X (ISSN)},

year  = {2021},

date = {2021-01-01},

journal = {Administration and Policy in Mental Health and Mental Health Services Research},

volume = {48},

number = {6},

pages = {1006–1018},

abstract = {This study examines the influence of gender on mental health services utilization and on perceived barriers to treatment one year after the 2016 Fort McMurray wildfires. Data was collected through a phone survey from May to July 2017 (N = 1510). Participants were English-speaking evacuees aged 18 and older. Mental health services utilization and barriers to mental health care were assessed with the Perceived Need for Care questionnaire. Probable diagnoses of posttraumatic stress disorder, depression and insomnia were assessed with validated self-report questionnaires. Multiple logistic regressions confirmed that gender was a significant predictor of services utilization, after controlling for associated sociodemographic variables and presence of probable diagnoses. Women were respectively 1.50, 1.55 and 1.86 times more likely than men to receive information, medication and psychological help. Self-reliance was the most frequently reported reason for not receiving help, and motivational barriers, such as pessimism and stigma, were reported in a higher proportion than structural barriers, including nonresponse and finance. No significant gender differences were found in the types of perceived barriers to services. Among the Fort McMurray fire evacuees, mental health services utilization was similar to other studies on natural disaster victims, and higher in women than in men. Efforts to increase services utilization in natural disaster victims should focus on motivational barriers and offering treatments fostering people’s autonomy, such as online treatments. © 2021, The Author(s), under exclusive licence to Springer Science+Business Media, LLC part of Springer Nature.},

note = {Publisher: Springer},

keywords = {Depression, female, Gender, health care delivery, Health Services Accessibility, human, Humans, insomnia, male, mental health service, Mental Health Services, Mental health services utilization, natural disaster, Patient Acceptance of Health Care, patient attitude, Post-Traumatic, posttraumatic stress disorder, Stress Disorders, wildfire, Wildfires},

pubstate = {published},

tppubtype = {article}

}

@article{germain_effectiveness_2009,

title = {Effectiveness of cognitive behavioural therapy administered by videoconference for posttraumatic stress disorder},

author = {V. Germain and A. Marchand and S. Bouchard and M. -S. Drouin and S. Guay},

url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-61549135353&doi=10.1080%2f16506070802473494&partnerID=40&md5=9bfd33dc3db498732e98add612ba938a},

doi = {10.1080/16506070802473494},

issn = {16512316 (ISSN)},

year  = {2009},

date = {2009-01-01},

journal = {Cognitive Behaviour Therapy},

volume = {38},

number = {1},

pages = {42–53},

abstract = {Telehealth, or health care via videoconferencing, constitutes a clinical option that makes it possible to treat patients remotely. A growing number of studies have demonstrated that telehealth is a feasible and effective method for diagnostic interviews and psychiatric consultations. However, few studies have assessed the effectiveness of psychotherapy given by videoconference. This study examines the effectiveness of cognitive behavioural therapy (CBT) administered by videoconference for posttraumatic stress disorder (PTSD). Forty-eight participants with PTSD were recruited for the study: 16 in the videoconferencing condition and 32 in a control face-to-face condition. Each participant received CBT for 16 to 25 weeks and completed various questionnaires before and after treatment. The results show a significant decline in the frequency and severity of posttraumatic symptoms after treatment in both conditions. A clinical improvement in overall functioning was also observed. No significant difference was observed in the effectiveness of the two therapeutic conditions. The examination of effect sizes supports these results. A number of clinical implications and certain avenues for future research are discussed.},

keywords = {Adaptation, adult, aged, article, clinical article, clinical effectiveness, Cognitive behavioural therapy, cognitive therapy, controlled study, Effectiveness, female, Follow-Up Studies, health care delivery, human, Humans, intervention study, interview, male, mental function, Middle Aged, outcome assessment, Patient Acceptance of Health Care, Personality Inventory, Post-Traumatic, posttraumatic stress disorder, Psychological, Remote Consultation, Stress Disorders, telepsychotherapy, teletherapy, treatment outcome, videoconferencing},

pubstate = {published},

tppubtype = {article}

}