John P Hirdes
Dados Biográficos
| ID | 636420 |
|---|---|
| NOME | John P Hirdes |
| PRENOMES | John P |
| SOBRENOME | Hirdes |
| ASSINATURA | HIRDES J P |
| AFILIAÇÕES | University of Waterloo |
| ORCID | 0000-0001-9619-6543 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 45 |
| TOTAL DE CITAÇÕES | 35 |
| TOTAL COMO AUTOR | 45 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1993 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 4 |
Clinical symptoms and risk factors in people with mental disorders
The Emergency Screener for Psychiatry proved to be a useful screening instrument to identify risk factors of suicide attempts and hetero aggression of patients in emergencies settings and general hospitals
Factors Associated With Readmissions of Patients With Mental and Substance Use Disorders
Objective: To analyze the factors associated with the readmissions of patients with mental and substance use disorders. Method: This is a quantitative, cross-sectional, and analytical study. Participants were enrolled from one general hospital, one university hospital and an Emergency Care Unit in the metropolitan area of Porto Alegre, RS, Brazil. The instrument used was the interRAI Emergency Screener for Psychiatry (interRAI ESP). Descriptive a…
Fatores Associados a Readmissões De Pacientes Com Transtornos Mentais E Uso De Substâncias
Objetivo: Analisar os fatores associados às readmissões de pacientes com transtornos mentais e uso de substâncias. Método: Estudo quantitativo, transversal e analítico. Os participantes são um hospital geral, um hospital universitário e uma Unidade de Pronto Atendimento da região metropolitana de Porto Alegre/RS, Brasil. Utilizou-se o instrumento interRAI Emergency Screener for Psychiatry. Foram realizadas análises descritivas e regressão logísti…
Validation of a composite outcome measure for inpatient psychiatry using scales from the interRAI-MH
The composite measure represents a valid measure of inpatient mental health status and will serve as a valuable measure of the quality of care for inpatient psychiatry
Empowering Voices in Mental Health
Background: interRAI (www.interRAI.org), an international collaboration of researchers, clinicians and policy experts from over 35 counties, has embarked upon an international pilot study of the interRAI Self-reported Assessment for Mental Health (SAMH), that includes questions on strengths and needs of persons in the community using a person-centered approach. The purpose of the SAMH pilot study is to evaluate the feasibility, acceptability, and…
Development of Machine Learning algorithms to predict delays in discharge of home care clients undergoing general medical and surgery procedures in acute hospitals
Delayed discharge from acute care facilities, also termed alternate level care (ALC), is an important issue for healthcare systems. Therefore, we decided to develop machine (ML) algorithms to predict ALC status among home care clients who subsequently require acute hospital admission for general medicine or surgery
Unpacking Caregiver Distress
BACKGROUND: Studies have highlighted that caregivers of loved ones are experiencing distress, however, caregivers of those with mental health symptoms may experience additional distress due to the unpredictable nature of mental health conditions, as well as emotional and behavioural challenges, and lack of social support. APPROACH: As part of a larger study examining caregiver distress across home care, palliative care and community mental health…
Assessing the feasibility of an integrated collection of education modules for fall and fracture prevention (iCare) for healthcare providers in long term care
Falls and hip fractures are a major health concern among older adults in long term care (LTC) with almost 50% of residents experiencing a fall annually. Hip fractures are one of the most important and frequent fall-related injuries in LTC. There is moderate to strong certainty evidence that multifactorial interventions may reduce the risk of falls and fractures; however, there is little evidence to support its implementation. The purpose of this …
Integrating health and social care in the community to support a new model of Long-term Life Care at home
Background: Long-term care (LTC) reform was an international priority well before the COVID-19 pandemic. While strategies to promote de-institutionalization, rehabilitation, caregiver support and enhanced home and community care have varied by country in terms of implementation and success, the pandemic universally reinforced existing system-specific barriers and weaknesses. In Canada, heightened access issues and silo-ed delivery of community-ba…
Referral of community-dwelling older adults from eight emergency departments in Canada
Background: Emergency Department (ED) overcrowding, unnecessary hospitalization, and alternate level of care has been identified as a major issue in Canada and around the world. This problem especially impacts older adult populations, who are at elevated risk of functional decline and adverse events in hospital-centric systems. This study uses data from the interRAI ED Contact Assessment (ED-CA)[1], a comprehensive geriatric assessment used in th…
Using the interRAI brief mental health screener to identify persons with mental disorders having repeat contact with police
Risk of Injury to Others
Youth violence is considered one of the most preventable causes of morbidity and premature mortality. Various risk factors have previously been identified, however, there is presently a crucial need to develop effective decision-support tools in order to identify children and youth at increased risk for violence. The current study utilised data collected from the interRAI Child and Youth Mental Health Screener (ChYMH-S), within the province of On…
Mood Disturbances Across the Continuum of Care Based on Self-Report and Clinician Rated Measures in the interRAI Suite of Assessment Instruments
The new interRAI mood scales provide reliable and valid mental health measures that can be applied across diverse populations and care settings. Incorporating a person-centered approach to assessment, the composite scale considers the person's perspective and clinician views to provide a sensitive and robust measure that considers mood disturbances related to dysphoria, anxiety, and anhedonia
Substance Use among Youth in Community and Residential Mental Health Care Facilities in Ontario, Canada
There is a need to improve the integration of substance use and mental health care for children and youth. This study examines risk and protective factors for substance use among youth with mental health conditions who received community-based or residential care services between 2012-2020 in Ontario, Canada. In this study, a cross-sectional design was used to examine patterns and factors associated with substance use among youth (12-18 years) as…
Long-term life care at home
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)The IJIC 20th Anniversary Issue was published in 2021
Standardized assessment to support integrated care
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 2.913 (2021 JCR, received in June 2022)The IJIC 20th Anniversary Issue was published in 2021
Implementation evaluation of a stepped approach to home care assessment using interRAI systems in Ontario, Canada
In Ontario, new home care clients are screened with the interRAI Contact Assessment and only those expected to require longer-term services receive the comprehensive RAI-Home Care assessment. Although Ontario adopted this two-step approach in 2010, it is unknown whether the assessment guidelines were implemented as intended. To evaluate implementation fidelity, the purpose of this study is to compare expected to actual client profiles and care co…
Psychometric Evaluation of the Depressive Severity Index (DSI) Among Children and Youth Using the interRAI Child and Youth Mental Health (ChYMH) Assessment Tool
The development and validation of a marginalization index for inpatient psychiatry
BACKGROUND: Marginalization is a multidimensional social construct that influences the mental health status of individuals and their use of psychiatric services. However, its conceptualization and measurement are challenging due to inconsistencies in definitions, and the lack of standard data sources to measure this construct. AIMS: To create an index for screening marginalization based on an existing comprehensive assessment system used in inpat…
InterRAI Subjective Quality of Life Scale for Mental Health and Addiction Settings
Background: Measuring Quality of Life (QoL) in mental health using self-reported items is important for evaluating the quality of service and understanding the person's experience of the care received. Objective: The aim of this research was to develop and validate a self-reported QoL instrument for inpatient and community mental health settings. Methods: Data were collected from diverse research sites in Canada, Belgium, Russia, Finland, Brazil,…
An International Pilot Study of Self-Reported Quality of Life in Outpatient and Inpatient Mental Health Settings
Introduction: Measuring quality of life (QoL) is essential to understand how clients perceive their care. In practice, many instruments are in place to identify mental health diagnoses and measure treatment outcomes, but there are fewer standardized instruments to routinely collect information about self-reported QoL, especially across different mental health settings. Moreover, existing tools have been criticized for being built from the perspec…
Longitudinal Trends and Risk Factors for Depressed Mood Among Canadian Adults During the First Wave of Covid-19
Background: The COVID-19 pandemic has raised serious concerns about the mental health impact of people directed and indirectly affected by the virus. Because this is a rapidly evolving situation, our goal was to explore potential risk factors and trends in feelings of anxiety and depression among the general population in Canada over the first 5 months of the pandemic. Methods: We completed on-line surveys of 3,127 unique individuals representati…
Determinants of Non-emergency Use of Control Interventions in Older Canadian Psychiatric Inpatients
Background: The use of control interventions (CIs; acute control medications, physical/mechanical restraint) is associated with negative physical and psychological outcomes, particularly in older adults who are physically vulnerable. The aims of this study were to: (i) report the rates of CI use in older psychiatric inpatients (age 65 - 84 and age 85+), and compare them with younger age groups (18 - 44, age 45 - 64); and (ii) identify the factors…
The Forensic Supplement to the interRAI Mental Health Assessment Instrument
Background: Numerous validation studies support the use of the interRAI Mental Health (MH) assessment system for inpatient mental health assessment, triage, treatment planning, and outcome measurement. However, there have been suggestions that the interRAI MH does not include sufficient content relevant to forensic mental health. We address this potential deficiency through the development of a Forensic Supplement (FS) to the interRAI MH system. …
Impact of Covid-19-Related Lockdown on Psychosocial, Cognitive, and Functional Well-Being in Adults With Down Syndrome
People with Down Syndrome (DS) have a high prevalence of physical and psychiatric comorbidities and experience early-onset dementia. With the outbreak of CoVID-19 pandemic, strict social isolation measures have been necessary to prevent the spreading of the disease. Effects of this lockdown period on behavior, mood and cognition in people with DS have not been assessed so far. In the present clinical study, we investigated the impact of CoVID-19-…
Factors Associated with the Maintenance of Good Self-Rated Health
Using data from the Ontario Longitudinal Study of Aging, the associations of remaining in good self-rated health with various independent variables are examined. Indicators of an "advantaged" socioeconomic status (e.g., relatively high levels of income and education), not smoking, and moderate alcohol use are associated with remaining in good health. The strongest association is observed between a life satisfaction index and remaining in good hea…
Predictors of Long-Term Care Facility Residents’ Self-Reported Quality of Life With Individual and Facility Characteristics in Canada
QoL is significantly associated with select resident and LTC facility characteristics with implications for improving residents' QoL and LTC facility programming, and guiding future research and social policy development
A Care Planning Strategy for Traumatic Life Events in Community Mental Health and Inpatient Psychiatry Based on the InterRAI Assessment Instruments
Short happiness and affect research protocol (sharp)
The Balance of Exchange in Instrumental Support with Network Members Outside the Household
The exchange of six types of instrumental support with individuals outside the household was examined using data from the 1990 Canadian General Social Survey. The balance of exchange within the network as a whole was considered in relation to age, gender, social class, availability of social relationships, and health status. The findings reveal the complexity of examining the provision and receipt of support simultaneously. Results are generally …
Implementation evaluation of a stepped approach to home care assessment using interRAI systems in Ontario, Canada
In Ontario, new home care clients are screened with the interRAI Contact Assessment and only those expected to require longer-term services receive the comprehensive RAI-Home Care assessment. Although Ontario adopted this two-step approach in 2010, it is unknown whether the assessment guidelines were implemented as intended. To evaluate implementation fidelity, the purpose of this study is to compare expected to actual client profiles and care co…
The Role of Medications in Predicting Activity Restriction Due to a Fear of Falling
Modifiable risk factors, related to functional impairments, such as difficulties with balance and vision, appear to be more important predictors than medications
Factors Associated with the Maintenance of Good Self-Rated Health
Using data from the Ontario Longitudinal Study of Aging, the associations of remaining in good self-rated health with various independent variables are examined. Indicators of an "advantaged" socioeconomic status (e.g., relatively high levels of income and education), not smoking, and moderate alcohol use are associated with remaining in good health. The strongest association is observed between a life satisfaction index and remaining in good hea…
The Balance of Exchange in Instrumental Support with Network Members Outside the Household
The exchange of six types of instrumental support with individuals outside the household was examined using data from the 1990 Canadian General Social Survey. The balance of exchange within the network as a whole was considered in relation to age, gender, social class, availability of social relationships, and health status. The findings reveal the complexity of examining the provision and receipt of support simultaneously. Results are generally …
Short happiness and affect research protocol (sharp)
Health Outcomes among the Frail Elderly in Communities and Institutions
John P. Hirdes, G. Iain Carpenter, Health Outcomes among the Frail Elderly in Communities and Institutions: Use of the Minimum Data Set (MDS) to Create Effective Linkages between Research and Policy, Canadian Public Policy / Analyse de Politiques, Vol. 23, Special Joint Issue: Aging / Vieillissement (Spring, 1997), pp. 53-69
Social relations in a chronic care hospital
Assessing the Health and Functional Status of Older Women with Breast Cancer Using the Minimum Data Set-Home Care (MDS-HC)
Predictors of Influenza Immunization Among Home Care Clients in Ontario
Validation of Resource Utilization Groups Version III for Home Care (RUG-III/HC)
BACKGROUND: The case-mix system Resource Utilization Groups version III for Home Care (RUG-III/HC) was derived using a modest data sample from Michigan, but to date no comprehensive large scale validation has been done. OBJECTIVES: This work examines the performance of the RUG-III/HC classification using a large sample from Ontario, Canada. METHODS: Cost episodes over a 13-week period were aggregated from individual level client billing records a…
A Care Planning Strategy for Traumatic Life Events in Community Mental Health and Inpatient Psychiatry Based on the InterRAI Assessment Instruments
The Role of Medications in Predicting Activity Restriction Due to a Fear of Falling
Modifiable risk factors, related to functional impairments, such as difficulties with balance and vision, appear to be more important predictors than medications
Education and Employment Needs and Receipt of Services in Community and Inpatient Mental Health Settings
Comparing the characteristics of people living with and without HIV in long-term care and home care in Ontario, Canada
Population aging and successful drug therapy in human immunodeficiency virus (HIV) management mean that more people are living longer with HIV. As these individuals age, they become more at risk of developing other chronic health conditions which will have many implications for disease management and choice of care setting. As people living with HIV turn to home care and long-term care (LTC) settings for care, understanding the particular needs o…
A Cross-Sectional Study to Compare Caregiver Distress Among Korean Canadian, Chinese Canadian, and Other Canadian Home Care Clients
This study examines the health of elderly Korean Canadians in home care and investigates the risk factors for caregiver distress of families caring for their elderly relatives. Korean Canadians, Chinese Canadians, and other Canadian home care clients were compared using the Resident Assessment Instrument–Home Care (RAI-HC). The assessments were done as a part of normal clinical practice between January 2002 and December 2010 within Ontario. A sam…
Nursing home resident quality of life
Very Frequent Fallers and Future Fall Injury
Persons reporting high number of recent falls were at the greatest risk of a future injurious fall and should receive the greatest attention in care planning
Predictors of Long-Term Care Facility Residents’ Self-Reported Quality of Life With Individual and Facility Characteristics in Canada
QoL is significantly associated with select resident and LTC facility characteristics with implications for improving residents' QoL and LTC facility programming, and guiding future research and social policy development
Psychometric Evaluation of the interRAI Child and Youth Mental Health Disruptive/Aggression Behaviour Scale (Dabs) and Hyperactive/Distraction Scale (HDS)
Measuring health related quality of life (HRQoL) in community and facility-based care settings with the interRAI assessment instruments
The present study provides strong evidence for the validity of the interRAI HRQoL based on comparisons of distributional properties with those obtained with survey data based on the HUI3. The results demonstrate the importance of admission criteria for home care and nursing home settings, where function plays a more important role than demographic or diagnostic criteria. The interRAI HRQoL has a distinct advantage because it is gathered as part o…
Study Protocol and Baseline Comparisons for a Pan-Canadian Initiative to Reduce Inappropriate Use of Antipsychotics in Long-Term Care Homes
Antipsychotic use in the absence of symptoms or diagnoses related to psychosis is generally regarded as an inappropriate approach to care of older adults in nursing homes. The Canadian Foundation for Healthcare Improvement (CFHI) launched a pan-Canadian intervention study to reduce antipsychotic use in long-term care based on promising pilot study results from the Winnipeg Regional Health Authority (WRHA). Data from the Continuing Care Report Sys…
Impact of Covid-19-Related Lockdown on Psychosocial, Cognitive, and Functional Well-Being in Adults With Down Syndrome
People with Down Syndrome (DS) have a high prevalence of physical and psychiatric comorbidities and experience early-onset dementia. With the outbreak of CoVID-19 pandemic, strict social isolation measures have been necessary to prevent the spreading of the disease. Effects of this lockdown period on behavior, mood and cognition in people with DS have not been assessed so far. In the present clinical study, we investigated the impact of CoVID-19-…
Risk of Suicide and Self-harm in Kids
Suicide is the second leading cause of death in adolescents within Canada. While several risk factors have been found to be associated with increased risk, appropriate decision-support tools are needed to identify children who are at highest risk for suicide and self-harm. The aim of the present study was to develop and validate a methodology for identifying children at heightened risk for self-harm and suicide. Ontario data based on the interRAI…
Psychometric Evaluation of the Depressive Severity Index (DSI) Among Children and Youth Using the interRAI Child and Youth Mental Health (ChYMH) Assessment Tool
The development and validation of a marginalization index for inpatient psychiatry
BACKGROUND: Marginalization is a multidimensional social construct that influences the mental health status of individuals and their use of psychiatric services. However, its conceptualization and measurement are challenging due to inconsistencies in definitions, and the lack of standard data sources to measure this construct. AIMS: To create an index for screening marginalization based on an existing comprehensive assessment system used in inpat…
InterRAI Subjective Quality of Life Scale for Mental Health and Addiction Settings
Background: Measuring Quality of Life (QoL) in mental health using self-reported items is important for evaluating the quality of service and understanding the person's experience of the care received. Objective: The aim of this research was to develop and validate a self-reported QoL instrument for inpatient and community mental health settings. Methods: Data were collected from diverse research sites in Canada, Belgium, Russia, Finland, Brazil,…
An International Pilot Study of Self-Reported Quality of Life in Outpatient and Inpatient Mental Health Settings
Introduction: Measuring quality of life (QoL) is essential to understand how clients perceive their care. In practice, many instruments are in place to identify mental health diagnoses and measure treatment outcomes, but there are fewer standardized instruments to routinely collect information about self-reported QoL, especially across different mental health settings. Moreover, existing tools have been criticized for being built from the perspec…
Medicine (40 obras) · Psychology (27 obras) · Psychiatry (24 obras) · Geriatric Care and Nursing Homes (20 obras) · Gerontology (19 obras) · Nursing (19 obras) · Mental health (18 obras) · Clinical Psychology (16 obras) · Clinical Psychology (13 obras) · Health disparities and outcomes (10 obras)