Mental Health

Our Multidisciplinary Approach

Mental Health Research at CHEO integrates the three pillars of our mission of high quality clinical care, ground-breaking research, and the education of the next generation of clinical scholars. A number of active research groups exist in psychiatric emergency services, eating disorders, ADHD, pediatric-mental health interface, and knowledge mobilization and outcomes management. Among the research scholars are local, provincial, national, and international leaders of research in child and youth mental health. All of the research enterprises are fully embedded in clinical practice creating the opportunity for the mental health community to be the type of learning environment expected in one of Canada’s leading pediatric teaching hospitals.

Mental Health in the Emergency Department

While 15% of children and youth live with a mental illness, only 1 in 6 receives any substantial mental health services. Emergency Departments (ED) are increasingly becoming a primary source to obtain mental health services for children and youth. Some researchers propose that this increase is due to lack of inpatient and outpatient mental health services. The range of mental health emergency services provided and the subsequent direct and indirect follow-up care after discharge from the emergency department varies with limited understanding of the factors that influence clinical decision making. The long-term goal of this research is to develop evidence-based practice and clinical guidelines for the delivery of ED mental health services for children and youth.

Related News

Research Projects

  1. Development of a Clinical Pathway for the Assessment and Management of Suicidality on a Pediatric Psychiatric Unit

    24/09/2020

    This framework, developed with the aim to standardize care for psychiatrically admitted suicidal children and adolescents, may serve as a flexible template for use in similar settings and could be adapted according to local realities and resources.

  2. Evaluating the psychometric properties of the parent-rated Strengths and Difficulties Questionnaire in a nationally representative sample of Canadian children and adolescents aged 6 to 17 years

    19/08/2020

    The original five-factor, parent-rated SDQ demonstrates evidence of factorial validity and reliability as a population measure of mental health difficulties among Canadian children and adolescents.

  3. Medications for sleep disturbance in children and adolescents with depression: a survey of Canadian child and adolescent psychiatrists

    01/03/2020

    Melatonin and certain off-label psychotropic drugs are perceived as being more effective and appropriate to address sleep disturbances in children and adolescents with depression.

  4. Exploring Acceptance and Commitment Therapy for parents of preterm infants

    01/02/2020

    One promising intervention that has not been explored in the NICU is Acceptance and Commitment Therapy (ACT), a behavioural therapy that has had positive mental health-related outcomes in similar parental populations.

  5. Health outcomes associated with emergency department visits by adolescents for self-harm: a propensity-matched cohort study

    06/11/2019

    Adolescents with emergency department visits for self-harm have higher rates of mortality, suicide and recurrent self-harm, as well as higher health care costs, than matched controls.

  6. Evaluation of eMentalHealth.ca, a Canadian Mental Health Website Portal: Mixed Methods Assessment

    01/09/2019

    Web analytic results showed that from January 1 to December 31, 2017, there were 651,107 users, with 1.97 million page views.

  7. Changing Rates of Self-Harm and Mental Disorders by Sex in Youths Presenting to Ontario Emergency Departments: Repeated Cross-Sectional Study

    01/06/2019

    Rates of adolescents with self-harm and mental health ED visits have increased since 2009, with greater increases among females. Research is required on the determinants of adolescents’ self-harm and mental health ED visits and how they can be addressed in that setting.

  8. Could long-term administration of melatonin to prepubertal children affect timing of puberty? A clinician’s perspective

    31/01/2019

    We conclude that to investigate an association between melatonin and pubertal timing, it will be important to conduct long-term randomized controlled trials of latency age children and also examine the cellular and systems-level interactions between melatonin and kisspeptin, a recently identified neuropeptide with a locus of action at the gonadotropin releasing hormone neurons that is important in contributing to the timing of puberty onset.

  9. Self-Inflicted Injury-Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP-SI): a new surveillance tool for detecting self-inflicted injury events in emergency departments

    11/10/2018

    To assess the performance of the Canadian Hospitals Injury Reporting and Prevention Program’s newly developed self-harm surveillance tool (CHIRPP-SI) designed to improve emergency department (ED) hospital surveillance of youth self-inflicted injury (SI).

  10. Predictors of Repeated Visits to a Pediatric Emergency Department Crisis Intervention Program

    30/08/2016

    Repeat visits account for a large portion of all MH presentations to the PED. Furthermore, several patient characteristics are significant predictors of repeat PED use and of repeating use sooner and more frequently.

  11. A Pilot Study of Citalopram Treatment in Preventing Relapse of Depressive Episode after Acute Treatment

    01/02/2016

    Subjects with depression who responded to open label treatment with citalopram in 12-week acute phase were randomized to continued treatment with citalopram or placebo for 24 weeks.

Researchers

  1. Rebecca Balasa

    Investigator, CHEO Research Institute

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  2. Addo Boafo

    Investigator, CHEO Research Institute

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  3. Jean-Philippe Chaput

    Senior Scientist, CHEO Research Institute

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  4. Michael Cheng

    Investigator, CHEO Research Institute

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  5. Paula Cloutier

    Investigator, CHEO Research Institute

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  6. Virginie Cobigo

    Investigator, CHEO Research Institute

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  7. Virginie Cobigo

    Scientist, CHEO Research Institute

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  8. Evangeline Danseco

    Associate Investigator, CHEO Research Institute

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  9. William Gardner

    Senior Scientist, CHEO Research Institute

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  10. Gary Goldfield

    Senior Scientist, CHEO Research Institute

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  11. Stephanie Greenham

    Investigator, CHEO Research Institute

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  12. Andrée-Anne Ledoux

    Scientist CHEO Research Institute

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  13. Patricia Longmuir

    Senior Scientist, CHEO Research Institute

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  14. Nathalie Major

    Investigator, CHEO Research Institute

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  15. Mark Norris

    Investigator, CHEO Research Institute

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  16. Nicole Obeid

    Investigator, CHEO Research Institute

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  17. Phillippe Robaey

    Scientist, CHEO Research Institute

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  18. Roger Zemek

    Senior Scientist, CHEO Research Institute

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Family Leaders

  1. Andy Statia

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  2. Angie Hamson

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  3. Anne Maloney

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  4. Bina Sharma

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  5. Bridget Wilcox

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  6. Carly Haydt

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  7. Claire Dawe-McCord

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  8. Dasa Farthing

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  9. Emilie Hageltorn

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  10. Haishan Chen

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  11. Iryna Coulter

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  12. Jaime Waitman

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  13. Keira Danson

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  14. Kieran Peacock

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  15. Laurie Woodward

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  16. Linda Lefebvre

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  17. Lisa Ricciuti

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  18. Madleen Zapata-Martinez

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  19. Mairead Green

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  20. Marie France Guindon

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  21. Michel Laplante

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  22. Michelle Vautour-Shales

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  23. Spencer Warren

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  24. Stephanie White

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  25. Tysen Lefebvre

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