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Service Utilisation of an Innovative Mental Health Counselling Clinic

Bibliographic Data

ID10898235
AuthorsL Fang (0000-0002-7944-1882, University of Toronto, corresponding author), Yu Lung (0000-0003-2435-6725, University of Toronto), Gilda Hui (0009-0006-6211-2368, University of Toronto), Nelson Pang (0000-0002-6399-8272, University of Toronto), Malik Smith (University of Toronto), Tamana Azizi (University of Toronto)
Year2024
Volume54
Issue6
Pages2603-2622
Publication date2024-09-01
Open AccessYes
TypeARTICLE
VenueThe British Journal of Social Work (JOURNAL)
Journal identifiersISSN: 0045-3102 • E-ISSN: 1468-263X
PublisherOxford University Press (PUBLISHER • GB)
DOI10.1093/bjsw/bcae053
OpenAlexW4396593107
LanguageEN
Citations received1
References cited62

Responding to the increasing challenges to mental health equity, Talk It Out Counseling Clinic (the Clinic), an innovative, public-facing counselling service, was established at the University of Toronto during the pandemic. Operating on the principles of anti-oppression and trauma-informed care, the Clinic trains Master of Social Work students to deliver mental health counselling to populations encountering multiple barriers to mental health equity through phone or video. Guided by a quality improvement framework, this study used chart reviews to examine the demographic characteristics, initial mental health status and service utilisation of clients (N = 116) who completed services at the Clinic during its inaugural year. Three-quarters of the clients identified as Black or other racialised individuals, and over 70 per cent rated their general mental health as poor or fair. Nearly 80 per cent of clients referred to the Clinic proceeded to an intake, amongst whom 69.6 per cent successfully completed the services. Warm handoff was associated with service engagement, whilist men and older clients were more likely to terminate the services prematurely. The study underscores the mental health needs of communities confronting multiple challenges and illuminates the processes conducive to client engagement and service delivery within an innovative, school-run mental health clinic

Business · Equity (law) · Family medicine · Mental health · Mental health service · Psychiatry · Public health · Service (business) · Digital Mental Health Interventions · Medicine · Mental Health Treatment and Access · Nursing · Telemedicine and Telehealth Implementation

  • Evaluating Client Outcomes and Experiences in a Student-Led Clinic

    Open Access•L Fang, Linxiao Zhang et al.•Research on Social Work Practice•2026

  • Computer-based psychological treatments for depression

    Open Access•Derek Richards, Thomas Richardson•Clinical Psychology Review•2012

  • Trends in Racial-Ethnic Disparities in Access to Mental Health Care, 2004–2012

    Benjamin Lê Cook, Nhi‐ha Trinh et al.•Psychiatric Services•2017

  • Social Determinants of Mental Health

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  • Single item measures of self-rated mental health

    Open Access•Farah Ahmad, Anuroop K Jhajj et al.•BMC Health Services Research•2014

  • Barriers and facilitators to the use of e-health by older adults

    Open Access•Jessica Wilson, Milena Heinsch et al.•BMC Public Health•2021

  • Mental Health Disparities Among College Students of Color

    Open Access•Sarah K Lipson, Adam Kern et al.•Journal of Adolescent Health•2018

  • Income inequality and depression

    Open Access•Vikram Patel, Jonathan K Burns et al.•World Psychiatry•2018

  • The Critical Relationship Between Anxiety and Depression

    Ned H Kalin•American Journal of Psychiatry•2020

  • Mental health services in Canada

    Open Access•Nicholas Moroz, Isabella Moroz et al.•Healthcare Management Forum•2020

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    Open Access•Anjum Memon, Katie Taylor et al.•BMJ Open•2016

  • Depression and Anxiety During the Covid‐19 Pandemic in an Urban, Low‐Income Public University Sample

    Open Access•Sasha Rudenstine, Kat McNeal et al.•Journal of Traumatic Stress•2021

  • The impact of warm handoffs on patient engagement with behavioral health services in primary care

    Daniel Mitchell, Ardis L Olson et al.•Rural Mental Health•2022

  • Support and Aid to Families Electronically (Safe)

    Jane E Sanders, Hazel Antia et al.•Journal of Social Work Education•2023

  • Field Note—Talk It Out Counseling Clinic

    L Fang, C Schmidt et al.•Journal of Social Work Education•2024

  • Counsellors’ experiences of online therapy

    Shereen Khan, Jennifer D Shapka et al.•British Journal of Guidance and…•2022

  • Triple Jeopardy

    Open Access•D Garth Taylor, Dalon Taylor et al.•Frontiers in Sociology•2019

  • Commentary

    Open Access•Eileen M Condon, Amanda M Dettmer et al.•Frontiers in Sociology•2020

  • Economic insecurity

    Open Access•Daniel Kopasker, Catia Montagna et al.•SSM - Population Health•2018

  • Ontario adults’ health behaviors, mental health, and overall well-being during the Covid-19 pandemic

    Open Access•Katie J Shillington, Leigh M Vanderloo et al.•BMC Public Health•2021

  • Systematic Review of Cultural Aspects of Stigma and Mental Illness among Racial and Ethnic Minority Groups in the United States

    Open Access•Misra, Supriya Misra et al.•American Journal of Community…•2021

  • Masculine norms, avoidant coping, Asian values, and depression among Asian American men

    Derek K Iwamoto, Liang Liao et al.•Psychology of Men & Masculinity•2010

  • A Feasibility Study of the Safe Pilot Program

    Open Access•Jane E Sanders, Ariel Seale et al.•Research on Social Work Practice•2023

  • Reimagining Social Work Placements in the Covid-19 Pandemic

    Open Access•Patrick O’keeffe, Betty Haralambous et al.•The British Journal of Social Work•2023

  • Social Work in a Digital Age

    Frederic G Reamer•Social Work•2013

  • Tele‐analysis

    Open Access•Christian Roesler•Journal of Analytical Psychology•2017

  • The Role of Gender and Income in Predicting Barriers to Mental Health Care in Canada

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  • South Asian youth mental health in Peel Region, Canada

    Open Access•Farah Islam, Syeda Qasim et al.•Transcultural Psychiatric…•2023

  • An Exploratory Study of Attitudes Toward Psychological Help Seeking Among African American Men

    Open Access•Michael C Cadaret, Suzette L Speight•Journal of Black Psychology•2018

Citations per year1
Citation span2026 - 2026 (1)
Highly citedNo

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