Janet Durbin
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View article: “A Connected Community”: Evaluating the Use of Project ECHO to Support the Implementation of an Evidence-Based Early Psychosis Care Model
“A Connected Community”: Evaluating the Use of Project ECHO to Support the Implementation of an Evidence-Based Early Psychosis Care Model Open
Background and Hypothesis The Early Psychosis Intervention-Spreading Evidence-Based Treatment (EPI-SET) is a study evaluating the implementation and impact of NAVIGATE, a manualized model of care for first episode psychosis in geographical…
View article: Fidelity, Implementation Determinants, and Patient-Level Outcomes Following Initial Implementation of NAVIGATE in the Early Psychosis Intervention—Spreading Evidence-Based Treatment (EPI-SET) Study
Fidelity, Implementation Determinants, and Patient-Level Outcomes Following Initial Implementation of NAVIGATE in the Early Psychosis Intervention—Spreading Evidence-Based Treatment (EPI-SET) Study Open
Background and Hypothesis While early psychosis intervention (EPI) services are effective, care delivery is often inconsistent, particularly in recovery-oriented care. We hypothesized that facilitated implementation of NAVIGATE, an evidenc…
View article: Are Small Teams a Viable Strategy to Deliver Early Psychosis Intervention Services in Rural Areas? An Ontario Fidelity Study
Are Small Teams a Viable Strategy to Deliver Early Psychosis Intervention Services in Rural Areas? An Ontario Fidelity Study Open
Early psychosis intervention (EPI) is a complex model of care designed to be delivered by a large multidisciplinary team. However, in practice, it is often delivered by very small teams, particularly in rural areas. This study analyzed fid…
View article: “Can you hear me now?”: a qualitative exploration of communication quality in virtual primary care encounters for patients with intellectual and developmental disabilities
“Can you hear me now?”: a qualitative exploration of communication quality in virtual primary care encounters for patients with intellectual and developmental disabilities Open
View article: Building effective public dental care programs: The critical role of implementation evaluation
Building effective public dental care programs: The critical role of implementation evaluation Open
There are significant income‐related inequities in oral health and access to oral health care. Public dental programs generally aim to increase access to oral health care for individuals with financial barriers through government payments …
View article: The quick pivot: Capturing real world modifications for the re-implementation of an early psychosis program transitioning to virtual delivery
The quick pivot: Capturing real world modifications for the re-implementation of an early psychosis program transitioning to virtual delivery Open
Background Team-based Early Psychosis Intervention (EPI) services is standard of care for youth with psychosis. The COVID-19 pandemic required most EPI services to mount an unplanned, rapid pivot to virtual delivery , with limited guidance…
View article: Accessibility of Virtual Primary Care for Adults With Intellectual and Developmental Disabilities During the COVID-19 Pandemic: Qualitative Study
Accessibility of Virtual Primary Care for Adults With Intellectual and Developmental Disabilities During the COVID-19 Pandemic: Qualitative Study Open
Background The COVID-19 pandemic has led to an unprecedented increase in the delivery of virtual primary care. Adults with intellectual and developmental disabilities (IDDs) have complex health care needs, and little is known about the val…
View article: Protocol for a Case Control Study to Evaluate Oral Health as a Biomarker of Child Exposure to Adverse Psychosocial Experiences
Protocol for a Case Control Study to Evaluate Oral Health as a Biomarker of Child Exposure to Adverse Psychosocial Experiences Open
Background: The early identification of children who have experienced adversity is critical for the timely delivery of interventions to improve coping and reduce negative consequences. Self-report is the usual practice for identifying chil…
View article: Adapting Evidence-Based Early Psychosis Intervention Services for Virtual Delivery: Protocol for a Pragmatic Mixed Methods Implementation and Evaluation Study
Adapting Evidence-Based Early Psychosis Intervention Services for Virtual Delivery: Protocol for a Pragmatic Mixed Methods Implementation and Evaluation Study Open
Background Timely and comprehensive treatment in the form of early psychosis intervention (EPI) has become the standard of care for youth with psychosis. While EPI services were designed to be delivered in person, the COVID-19 pandemic req…
View article: Adapting Evidence-Based Early Psychosis Intervention Services for Virtual Delivery: Protocol for a Pragmatic Mixed Methods Implementation and Evaluation Study (Preprint)
Adapting Evidence-Based Early Psychosis Intervention Services for Virtual Delivery: Protocol for a Pragmatic Mixed Methods Implementation and Evaluation Study (Preprint) Open
BACKGROUND Timely and comprehensive treatment in the form of early psychosis intervention (EPI) has become the standard of care for youth with psychosis. While EPI services were designed to be delivered in person, the COVID-19 pandemic re…
View article: Virtual health care for adult patients with intellectual and developmental disabilities: A scoping review
Virtual health care for adult patients with intellectual and developmental disabilities: A scoping review Open
View article: Early Psychosis Intervention-Spreading Evidence-based Treatment (EPI-SET): protocol for an effectiveness-implementation study of a structured model of care for psychosis in youth and emerging adults
Early Psychosis Intervention-Spreading Evidence-based Treatment (EPI-SET): protocol for an effectiveness-implementation study of a structured model of care for psychosis in youth and emerging adults Open
Introduction While early psychosis intervention (EPI) has proliferated in recent years amid evidence of its effectiveness, programmes often struggle to deliver consistent, recovery-based care. NAVIGATE is a manualised model of EPI with dem…
View article: Measurement without management: qualitative evaluation of a voluntary audit & feedback intervention for primary care teams
Measurement without management: qualitative evaluation of a voluntary audit & feedback intervention for primary care teams Open
View article: Using Fidelity Measurement to Assess Quality of Early Psychosis Intervention Services in Ontario
Using Fidelity Measurement to Assess Quality of Early Psychosis Intervention Services in Ontario Open
The FEPS-FS captured variation in program implementation and provided a baseline for measuring change. Additions to the scale are planned to address components of the Ontario EPI standards not covered by the FEPS-FS.
View article: Improving care for adults with intellectual and developmental disabilities: Role of clerical staff.
Improving care for adults with intellectual and developmental disabilities: Role of clerical staff. Open
As a group, people with intellectual and developmental disabilities (IDD) are at higher risk of a number of adverse health conditions and have poorer overall health than those without IDD.[1][1]–[4][2] One strategy that is increasingly bei…
View article: Implementation of Health Links coordinated care plans for adults with intellectual and developmental disabilities: Cross-sectoral pilot program.
Implementation of Health Links coordinated care plans for adults with intellectual and developmental disabilities: Cross-sectoral pilot program. Open
A tailored care-coordination approach for adults with IDD was able to identify complex patients in need and successfully bridge cross-sectoral care.
View article: Improving the quality of primary care for adults with intellectual and developmental disabilities: Value of the periodic health examination.
Improving the quality of primary care for adults with intellectual and developmental disabilities: Value of the periodic health examination. Open
Performing the Health Check was associated with improved preventive care and staff experience. Wider implementation and evaluation is needed, along with protocol adjustments to provide more support to staff for this work.
View article: Barriers and facilitators to improving health care for adults with intellectual and developmental disabilities: what do staff tell us?
Barriers and facilitators to improving health care for adults with intellectual and developmental disabilities: what do staff tell us? Open
Providing effective care for small, complex groups, such as adults with IDD, is critical to improving long-term health outcomes but is challenging to achieve. At a systemic level, funding incentives, access to expertise and improved electr…
View article: Éléments qui favorisent ou freinent l’amélioration des soinsde santé destinés aux adultes souffrant d’une déficienceintellectuelle ou développementale : qu’en dit le personnel?
Éléments qui favorisent ou freinent l’amélioration des soinsde santé destinés aux adultes souffrant d’une déficienceintellectuelle ou développementale : qu’en dit le personnel? Open
Introduction. Les adultes souffrant d’une déficience intellectuelle ou développementale(DID) présentent des taux de morbidité élevés et risquent davantage de ne pas recevoir de soins préventifs. Les services d’urgence des hôpitaux et les c…
View article: Bridging Hospital and Community Care for Homeless Adults with Mental Health Needs: Outcomes of a Brief Interdisciplinary Intervention
Bridging Hospital and Community Care for Homeless Adults with Mental Health Needs: Outcomes of a Brief Interdisciplinary Intervention Open
Objective: This study examines health and service use outcomes and associated factors among homeless adults participating in a brief interdisciplinary intervention following discharge from hospital. Method: Using a pre-post cohort design, …
View article: Assessing care-giving demands, resources and costs of family/friend caregivers for persons with mental health disorders: A scoping review
Assessing care-giving demands, resources and costs of family/friend caregivers for persons with mental health disorders: A scoping review Open
As mental health (MH) care has shifted from institutional settings to the community, families and friends are responsible for providing the majority of the care at home. The substantial literature on the adverse effects experienced by care…
View article: Does the monitoring of local governance improve transparency? Lessons from three approaches in subnational jurisdictions
Does the monitoring of local governance improve transparency? Lessons from three approaches in subnational jurisdictions Open
Key messagesSubnational governments are key players in land and forest governance and are expected to meet demands for informed decision-making and transparency, particularly in the context of the emphasis on transparency in climate govern…
View article: Beyond quality improvement: exploring why primary care teams engage in a voluntary audit and feedback program
Beyond quality improvement: exploring why primary care teams engage in a voluntary audit and feedback program Open
View article: A Survey of Health Equity Practices in Early Psychosis Intervention Programs: A Starting Point for Improvement
A Survey of Health Equity Practices in Early Psychosis Intervention Programs: A Starting Point for Improvement Open
Equity has been identified as a core component of quality healthcare in Ontario. However, translating policy into practice can be challenging. This paper reports results from a province-wide survey of early psychosis intervention programs …
View article: Promoting continuity of care for homeless adults with unmet health needs: The role of brief interventions
Promoting continuity of care for homeless adults with unmet health needs: The role of brief interventions Open
Promoting timely and continuous care for people experiencing homelessness has been a challenge in many jurisdictions, plagued by access barriers and service fragmentation. As part of a larger programme evaluation, this study used qualitati…
View article: Measuring the Family/Friend Caregiver Experience in Ontario: Pilot Study Results
Measuring the Family/Friend Caregiver Experience in Ontario: Pilot Study Results Open
Pilot study results were updated with v2 in 2021 - please use the updated version. The study is accompanied by the Technical Report: Family/Friend Caregiver Services and Supports: Methods and Selected Descriptive Results, 2019.
View article: Evaluating the Implementation of Health Checks for Adults With Intellectual and Developmental Disabilities in Primary Care: The Importance of Organizational Context
Evaluating the Implementation of Health Checks for Adults With Intellectual and Developmental Disabilities in Primary Care: The Importance of Organizational Context Open
Compared to other adults, those with intellectual and developmental disabilities have more health issues, yet are less likely to receive preventative care. One strategy that has shown success in increasing prevention activities and early d…