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Child psychiatry practice patterns in Ontario.

M M Steele1, V V Wolfe

  • 1Department of Psychiatry, University of Western Ontario, London. margaret.steele@lhsc.on.ca

Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie
|November 24, 1999
PubMed
Summary

Ontario has a favorable ratio of child psychiatrists to children needing mental health care. However, recruitment, retention, and equitable distribution, especially in rural areas, require attention for child psychiatry services.

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Area of Science:

  • Child and Adolescent Psychiatry
  • Healthcare Workforce Analysis
  • Mental Health Services Research

Background:

  • Understanding the profile of child psychiatrists is crucial for effective mental health service planning.
  • Ontario's child mental health landscape requires examination of its psychiatric workforce.

Purpose of the Study:

  • To comprehensively assess the demographics, training, practice patterns, and professional affiliations of child psychiatrists in Ontario.
  • To identify key factors influencing the distribution and accessibility of child psychiatric services within the province.

Main Methods:

  • A survey methodology was employed, mailing questionnaires to 229 child psychiatrists in Ontario in July 1997.
  • A follow-up mailing was conducted in the fall of 1997 to increase response rates.

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  • The study achieved a final response rate of 66.8%.

    • Main Results:

    • Ontario demonstrates a relatively strong ratio of child psychiatrists to children with mental health issues (1:6148).
    • Child psychiatrists are predominantly located in urban centers, particularly Toronto, and cities with medical schools, with limited reach to rural areas.
    • The profession is approaching gender parity, but concerns exist regarding an aging workforce and future recruitment, with 30% providing outreach services.

    Conclusions:

    • While the child psychiatrist to population ratio is favorable, equitable distribution and service accessibility, especially for rural communities, remain challenges.
    • Collaboration with other healthcare professionals is essential given the demand for child mental health services.
    • Strategic initiatives are needed for recruitment, retention, and establishing a unified voice for Ontario's child psychiatrists.