Patients' Mental Health Journeys: A Qualitative Case Study with Interactive Computer-Assisted Client Assessment Survey (iCASS)

J Immigr Minor Health. 2018 Oct;20(5):1173-1181. doi: 10.1007/s10903-017-0643-z.

Abstract

Despite growing concerns about common mental disorders (CMDs), challenges persist in accessing timely and appropriate care, especially for immigrant, refugee, racialized and low-income groups. Partnering with a community health centre serving these populations in Toronto, we examined the Interactive Computer-assisted Client Assessment Survey (iCCAS) that screens for CMDs (depression, generalized anxiety, post-traumatic stress, and alcohol overuse) and related social factors. In this case study design with embedded units, we explored the mental health care journeys of patients who screened positive for a CMD. The analysis identified three major pathways of care: (1) early detection of previously unidentified CMDs; (2) detection of comorbid mental health conditions; and (3) prevention of possible relapse and/or management of existing previously recognized mental health condition. These cases indicate iCCAS holds potential to facilitate more open, tailored, and informed collaborations between patients and clinicians regarding mental health care plans.

Keywords: Community health centre; Computer-assisted; Mental health; Qualitative.

MeSH terms

  • Adult
  • Alcoholism / diagnosis
  • Alcoholism / therapy
  • Anxiety / diagnosis
  • Anxiety / therapy
  • Community Health Centers / organization & administration
  • Comorbidity
  • Depression / diagnosis
  • Depression / therapy
  • Diagnosis, Computer-Assisted
  • Emigrants and Immigrants / psychology*
  • Female
  • Humans
  • Male
  • Mental Disorders / diagnosis*
  • Mental Disorders / ethnology
  • Mental Disorders / therapy*
  • Mental Health / ethnology*
  • Mental Health Services / organization & administration*
  • Middle Aged
  • Qualitative Research
  • Quebec
  • Severity of Illness Index
  • Stress Disorders, Post-Traumatic / diagnosis
  • Stress Disorders, Post-Traumatic / therapy
  • Young Adult