Week 14: Dr. Patrick McGrath

Question 1

____ % of people have some form of mental health problem every year

Answer 1

25%

Question 2

By age 40, ___% have had some significant mental health problem that has interfered with their life

Answer 2

50%

Question 3

____% of mental health problems start in childhood/ adolescence

Answer 3

70%

Question 4

The poor are ____ x more likely to have mental health problems than the rich. Reasons?

Answer 4

3-4x

• under more stress
• less access to resources (incidental costs of free health care are high)
• poor mental health creates problems with job performance –> cycle

Question 5

how long does it take for something that has shown to work, to get put into practice

Answer 5

17 years

Question 6

what are the valleys of death

Answer 6

• the two valleys you have to cross before treatment is put into practice
  1) basic biomedical research –> clinical science and knowledge (randomized clinical controlled trials)
  2) clinical science –> health decision making and clinical practice

Question 7

what are the 4 ways to change care

Answer 7

molecules
devices
processes
surgery

Question 8

what % of drugs make it to clinical care

Answer 8

10%

Question 9

cost per approved drug
cost per approved device
cost per approved process

Answer 9

drug = 2.6 billion
device = ~95 million
process = unknown

Question 10

what was the “help yourself” book

Answer 10

a treatment for migraines that works

- good academic success but failed to be put into practice

Question 11

what did we spend on healthcare in Canada? what are we ranked in the Health Care System Performance Ratings

Answer 11

242$ billion

- 9th

Question 12

success/failure rate of grants

Answer 12

15% success

Question 13

what is KT

Answer 13

knowledge translation; where agencies that fund health care try to move things along
- integrated KT involves stakeholders, research team, patients, ect, to help write the grant

Question 14

what is the TRIC strategy

Answer 14

backward engineering

• identify problem, what do we want the result to be
• consult widely
• develop, implement, seel product

Question 15

child mental health in Canada:

• predictor of not benefitting from treatment?
• wait list length?

Answer 15

isolation predictor of not benefitting from treatment

- many wait lists are 6 months - 1 year

Question 16

what are the 4 guiding principles

Answer 16

• effective
• efficient
• client-centered, including safe
• accessible to all

Question 17

what are the waitlists like in Canada for the
urgent
routine

Answer 17

urgent: not too bad
routine: no immediate danger but significant disability - where poor accessibility occurs

Question 18

Strongest families address what

Answer 18

the two most common problems kids have:

• disruptive behaviour
• anxiety

Question 19

strongest families program entails what

Answer 19

11-12 skill sessions (1/week)

• content avil through handbook or online
• video or audio demos
• skills exercises and practice pages
• weekly support from telephone coach - individual or group

Question 20

the coaches of the strongest families institute

Answer 20

ongoing training
- learn scripts
all calls recorded - but dense monitoring fades over time to 2-5%
biweekly coaches corner
coaches certified by institute

Question 21

other strongest families research includes

Answer 21

MOM: managing our mood, postpartum depression

- neurodevelopmental disabilities