Items posted here are for informational purposes only. CARMHA, its staff, and Simon Fraser University assume no liability for how the content is used.

  • Homelessness, Addiction & Mental Illness: A Call to Action for British Columbia
    Highly effective methods have been developed that promote housing stability, improved health and reduced crises among people who experience prolonged homelessness, mental illness and addiction. SFU researchers have led the development of these practices, showing their vast superiority over existing services in BC, despite the fact that existing services cost as much to implement as far more effective approaches. To date SFU’s research findings and experience have not been put into practice in BC. This document is a call to action, proposing the immediate implementation of SFU’s proven approach to be delivered in four regions of BC and assisting at least 1,500 people between 2021-2024. This call is issued jointly by SFU and leading not-for-profit (NFP) organizations addressing the health and wellbeing of Indigenous and non-Indigenous peoples, and including NFPs that partnered with SFU in the development of today’s best practices.
  • Mental e-Health Resources for APEC Countries in a post-COVID-19 World

    Alanah Levandosky 

    John O'Neil


    This project was undertaken by Alanah Levandosky, a second-year Masters of Public Health student at Simon Fraser University. The catalogue was assembled as a part of her practicum with Dr. John O’Neil and Centre for Applied Research in Mental Health and Addictions (CARMHA). Dr. O’Neil is a Professor of Global and Indigenous Health at SFU. He was Dean of the Faculty of Health Sciences at SFU from 2007-2017. He currently leads research projects in Vietnam on the prevention and treatment of depression through the implementation of community-based services. The aim of this project is to identify and summarize online mental health resources available across the 21 countries of the Asia-Pacific Economic Corporation (APEC) region. To our knowledge, there is currently no formal collection of online mental health resources available for the APEC Digital Hub. The focus of this focused on compiling a catalogue of current online mental health resources in response to emerging concerns that Covid-19 and associated emergency public health measures are both exacerbating mental health conditions and limiting access to in-person resources and services. The resulting catalogue will form an online global resource to assist public health practitioners identify new models and interventions to treat depression and mental wellness for their clients.
  • Toward Quality Mental Health Services in Canada: A Comparison of Performance Indicators across 5 Provinces

    Amanda Butler,
    Carol Adair,
    Wayne Jones,
    Paul Kurdyak,
    Simone Vigod,
    Mark Smith,
    Alain Lesage,
    James Bolton,
    Nawaf Madi,
    Jitender Sareen,
    Murray Enns,
    Louis Rochette,
    Katherine Rittenbach,
    Erik Youngson,
    Steven Clelland,
    Marni Bercov,
    Maria Santana,
    Elliot Goldner

    Relevant, accurate and timely performance information is critical for improving performance of health systems. Despite enhanced activity in health data reporting in Canada, there remains a pressing need to develop and report on mental health performance measures that can be compared across the country. In 2015, the Graham Boeckh Foundation and its partners sponsored the Centre for Applied Research in Mental Health & Addiction (CARMHA) at Simon Fraser University to lead a pan-Canadian initiative in mental health performance measurement. To do this work, CARMHA assembled an alliance of researchers, data analysts, and service leads in five provinces: British Columbia, Alberta, Manitoba, Ontario and Québec. The overall purpose of the project was to test the feasibility of creating and reporting on a small number of mental health and addictions performance indicators that can be compared across the provinces. This report provides a summary of the project including background information, comparative results by province, and key findings on the feasibility questions.
  • Informing the Future: Mental Health Indicators for Canada

    Wayne Jones,
    Elliot M Goldner,
    Amanda Butler,
    Kimberley McEwan

    The Mental Health Commission of Canada (MHCC) identified the need for better data collection, research, and knowledge exchange in order to build Canada’s capacity to promote mental health and improve the lives of people living with mental illness. To help accomplish this goal, the MHCC partnered with the Centre for Applied Research in Mental Health and Addiction (CARMHA) at Simon Fraser University to create a national set of mental health and mental illness indicators. This technical report provides detailed information regarding the first iteration of the MHCC’s Informing the Future: Mental Health Indicators for Canada project, which reports on a total of 63 national indicators. 55 indicators are being released at this time and 8 additional indicators highlighting the mental health of First Nations, Inuit, and Métis will be released at a later date. This technical report contains the details for 55 indicators, and will be updated once the final 8 have been released.
  • Managing Depression: A Self-help Skills Resource for Women Living With Depression During Pregnancy, After Delivery and Beyond

    Dan Bilsker,
    Randy Paterson

    This workbook is for women living with depression during pregnancy, after delivery and beyond; and their clinicians or service providers. It provides information about depression and healthy lifestyles behaviours, and skills for managing depression. Concerned partners, family members or friends may also find this resource helpful.
  • Feasibility Study: Development and Reporting of a Common Set of Mental Health Performance Indicators in Canada

    Many countries have undertaken development work aimed at measurement of mental health system performance for accountability, monitoring and quality improvement. Notable achievements have been made by Australia, Scotland and the United States. The value of valid and reliable performance indicators for Canadian mental health services has been widely recognized. Provincial/territorial mental health plans and the Mental Health Commission of Canada’s national Strategy have emphasized the need to identify meaningful indicators that could be used to gauge progress toward system goals and targets. The Graham Boeckh Foundation and its partners have expressed interest in developing a project designed to improve mental health systems, services and policies in Canada through regular reporting on a set of common performance indicators. This report summarizes findings of a review of the feasibility of using existing data to produce indicators about access, quality and outcomes of mental health services in Canada’s provinces and territories.
  • Psychological Health and Safety: An Action Guide for Employers

    Merv Gilbert, Dan Bilsker

    Mental health problems have a powerful and expanding impact in the workplace. To foster a pragmatic integrated approach to workplace mental health in Canada, the Workforce Advisory Committee of the Mental Health Commission of Canada commissioned CARMHA to create a resource to assist employers in this pursuit. for employers. The Action Guide consists of an overall framework encompassing a set of practical, evidence-informed and scalable actions that employers – small & large, public & private – can undertake in order to improve employees’ psychological health and safety.
  • Innovation to Implementation: A Practical Guide to Knowledge Translation in Health Care

    Dan Bilsker,
    Lisa Petermann,
    Elliot M. Goldner

    The I2I is a how-to guide for driving change using knowledge translation (KT) activities. It is built around the concept of innovation: products, actions, services or relationships that have the potential to enhance health outcomes. The guide illustrates how to move from innovation to implementation in a thoughtful manner to achieve the desired outcomes of a project or initiative.
  • Improving psychological health & safety in the workplace: Critical analysis and pragmatic options

    Dan Bilsker,
    Merv Gilbert

    This report is a critical analysis of currently available models for guiding efforts to improve psychological health and safety in the workplace. It is based on a review of the empirical and ‘grey’ literature on select international approaches to this topic. These models are described and reviewed in terms of generally accepted quality standard, the extent to which the models support an integrated approach to workplace mental health, and the extent to which they are relevant to the Canadian workplace context. On the basis of this review, a pragmatic approach to improving workplace psychological health and safety in Canada is presented. The proposed approach, the P6 Framework, is intended to facilitate an integrated response to workplace psychological health issues across the continuum of employment and between the key employer, regulatory, labour and mental health care stakeholders who may play a role in addressing and enhancing workplace psychological health and safety.
  • A Concise Introduction to Mental Health in Canada

    Elliot Goldner
    Emily Jenkins
    Jessica Palma,
    Dan Bilsker

    A Concise Introduction to Mental Health in Canada is the first book to cover the full spectrum of mental health in Canada, from synapse to society. Written in an accessible style, it applies an interdisciplinary approach that incorporates insights from both the physical and social sciences to expand the way readers think about mental health.
  • Cannabis Policy: Moving Beyond Stalemate

    Robin Room, Benedikt Fischer, Wayne Hall, Simon Lenton and Peter Reuter

    Cannabis, marijuana, pot, ganja – it goes by many names – is by far the most widely used illegal substance, and accounts for more arrests than any other drug. Politicians the world over have tied themselves in knots trying to decide how to deal with it. Cannabis Policy: Moving Beyond Stalemate is unique in providing the materials needed for deciding on policy about cannabis, and will be of interest to a wide range of readers interested in drugs and drug policy.
  • A Roadmap to Men's Health: Current Status, Research, Policy & Practice

    Dan Bilsker,
    Larry Goldenberg,
    Joyce Davison

    A Roadmap to Men’s Health was commissioned by the Men’s Health Initiative of BC to raise awareness of Men's Health among healthcare providers, researchers, policymakers and the public at large. The report explains the field of Men's Health, develops a framework for making sense of male health conditions and makes recommendations for improving service delivery and the knowledge base in this important area.
  • Guarding Minds @ Work

    Joti Samra,
    Merv Gilbert,
    Dan Bilsker,
    Martin Shain

    Guarding Minds @ Work (GM@W) provides an evidence-based process that employers can easily and quickly implement to protect psychological safety and promote psychological health in their workplace.
  • Positive Coping with Health Conditions

    Dan Bilsker,
    Joti Samra,
    Elliot Goldner

    Positive Coping with Health Conditions, A Self-Care Workbook is a self-care manual authored by scientist-practitioners with expertise in issues relating to coping with health conditions. This manual is designed for individuals who deal with health conditions, including patients, physicians, psychologists, nurses, rehabilitation professionals and researchers.
  • Beckley Foundation - Global Cannabis Commission Report

    Robin Room,
    Wayne Hall,
    Peter Reuter,
    Benedikt Fischer,
    Simon Lenton

    Cannabis is by far the most widely used illegal drug, (accounting for 166 million users out of a total of 200 million users of all illegal drugs), yet it is rarely mentioned in international drug policy discussions. Amanda Feilding convened a team of the world’s leading drug policy analysts to put this right by compiling a comprehensive overview of the subject. The Commission, in its Report, also identified possible routes forward, including depenalisation, decriminalization, and a regulated legal market. It also discussed how individual countries might reform cannabis policies to suit their particular needs. One suggestion is that countries should join together with similarly disposed nations to denounce the current international drugs conventions and instead draw up cannabis-specific conventions more suitable for their culture.
  • Consensus Statement on Depression in Adults

    This consensus statement was prepared by an independent panel of health professionals, academics, and public representatives based on: 1) presentations by and questioning of experts working in areas relevant to the conference questions; 2) information by people living with depression; 3) questions and comments from conference attendees and speakers during open discussion periods; and 4) closed deliberations by the jury. The conference was held in Alberta, Canada. The consensus statement therefore often refers to the situation in Alberta, although data were not only drawn from that area, but also from other parts of Canada and the United States. This statement is an independent report of the panel and is not a policy statement of the conference partners, conference sponsors, or the Government of Alberta.
  • Housing and Support for Adults with Severe Addictions and/or Mental Illness in British Columbia

    Michelle Patterson,
    Julian Somers,
    Karen McIntosh,
    Alan Shiell,
    Charles James Frankish

    In August 2006, the BC Ministry of Health - Mental Health and Addictions Branch asked the Centre for Applied Research in Mental Health and Addiction (CARMHA) at Simon Fraser University to provide up-to-date information with regard to the scope of homelessness in BC, recommended solutions and associated costs.
  • Housing for People with Substance Use and Concurrent Disorders: Summary of Literature and Annotated Bibliography

    Julian Somers,
    Ernest Drucker,
    Jim Frankish,
    Brian Rush

    Researchers at the Centre for Applied Research on Mental Health and Addiction (CARMHA) were contracted by Vancouver Coastal Health Authority to compile a brief, annotated bibliography focussing on the provision of housing for people with substance use and co-occurring mental disorders.
  • Planning Guidelines for Mental Health and Addiction Services for Children, Youth and Adults with Developmental Disability

    Caron Byrne,
    Anne D. Hurley,
    Randy James

    This document highlights the approach and principal recommendations for planning mental health and addiction services for children, youth and adults with developmental disabilities.
  • Cognitive Behavioural Therapy (CBT) - Core Information Document

    Julian M Somers,
    Matthew Querée

    Cognitive-behavioural therapy (CBT) holds a unique status in the field of mental health – CBT is effective for many psychological problems, is relatively brief, and is well received by individuals. A large volume of research has been published regarding CBT, including a number of well-designed studies involving people in “real world” clinical settings. Yet despite this large base of evidence, information about CBT has not been well communicated to consumers, families, and providers of health care. Consequently, CBT is not being used as extensively as the research would warrant. Many individuals (consumers, families, and professionals alike) are unaware of the effectiveness of CBT for different problems. There is additional uncertainty about the effectiveness of different formats of CBT (for example, individual, group or self-help formats), who can provide CBT, how to access their services, and other treatments with which CBT is used (for example, the use of medication and CBT together). This Core Information Document has been assembled for the benefit of individuals, families and service providers interested in a broad summary of information relating to CBT and its effectiveness.