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Table 3 Composition and activities of HSSCa-MHb primary care teams (N = 25)

From: Implementation of the Quebec mental health reform (2005–2015)

HSSC-MH adult primary care teams (N = 14) Mean SD
 Psychologists 6.8 6.0
 Social workers 5.6 4.9
 Psycho-educators 4.2 8.4
 Nurses 2.9 3.7
 Psychiatrists 1.6 4.9
 Substance use disorder (SUD) specialists 1.5 4.5
 Occupational therapists 1.0 2.1
 General practitioners 0.2 0.5
 Full time clinicians 19.0 29.1
MH one-stop services (N = 5) Mean SD
 Psychologists 2.8 3.6
 Social workers 1.7 2.9
 Nurses 1.7 2.0
 General practitioners 0.3 0.6
 Psychiatrists 0.2 0.4
 Psycho-educators 0.0 0.0
 Occupational therapists 0.0 0.0
 SUD specialists 0.0 0.0
 Full time clinicians 3.3 0.4
Intensive case management teams (n = 6) Mean SD
 Psycho-educators 3.8 4.2
 Social workers 3.1 2.2
 Nurses 2.2 1.9
 SUD specialists 0.3 0.5
 General practitioners 0.3 0.6
 Psychologists 0.2 0.4
 Psychiatrists 0.1 0.1
 Occupational therapists 0.0 0.0
 Full time clinicians 11.5 10.0
Time allocated to treatment or intervention % SD
 HSSC-MH adult primary care teams (%) 71.1 5.5
 MH one-stop service teams (%) 18.0 16.4
 Intensive case management teams (%) 58.3 19.1
Time devoted to evaluation % SD
 HSSC-MH adult primary care teams (%) 15.9 15.4
 MH one-stop service teams (%) 46.0 25.8
 Intensive case management teams (%) 18.0 8.4
Time allocated to coordination with other teams % SD
 HSSC-MH adult primary care teams (%) 11.4 6.8
 MH one-stop service teams (%) 36.8 26.4
 Intensive case management teams (%) 21.7 % 10.3
Delay for access to services Mean SD
 MH one-stop services (days) 25.0 73.3
 HSSC-MH adult primary care teams (days) 89.4 75.8
Frequency of visits by HSCC-MH Adult primary care teams per month % SD
 2–4 times (%) 51.2 14.5
 5 times and more (%) 14.8 7.6
 Once (%) 11.1 10.5
  < Once (%) 13.9 13.2
Duration of follow-up visits by HSCC-MH adult primary care teams % SD
  > 1 year (%) 41.6 28.4
  < a year (%) 22.5 15.8
  < 6 months (%) 13.9 11.9
  < 3 months (%) 24.0 14.8
Frequency of follow-up visits by clients of intensive case management teams per month % SD
 Two times (%) 44.4 25.4
 Four times (%) 27.8 18.5
 5 times and more (%) 27.8 22.4
Proportion of clientele referred by HSSC-MH adult primary care teams to % SD
 Specialized MH services (%) 19.1 11.1
 MH community organizations 32.4 26.9
 Other community organizations 16.0 14.9
 Rehabilitation centers 13.9 13.2
 Inter-sectorial resources (e.g. education, municipalities) 20.8 8.2
Proportion of clientele referred by MH one-stop services to: % SD
 Specialized MH services (%) 19.3 14.1
 MH community organizations 24.0 19.3
 Other community organizations 10.5 10.2
 Rehabilitation centers 9.1 5.6
 Inter-sectorial resources (e.g. education, municipalities) 5.3 5.5
Proportion of clientele referred by intensive case management teams to: % SD
 Specialized MH services (%) 30.8 41.8
 MH community organizations 46.0 33.6
 Other community organizations 36.6 10.1
 Rehabilitation centers 7.8 7.7
 Inter-sectorial resources (e.g. Education, municipalities) 11.8 6.5
  1. aHealth and Social Service centers
  2. bMental health