Salinda Horgan - Academia.edu (original) (raw)

Papers by Salinda Horgan

Research paper thumbnail of Associations between Gender Expression, Protective Coping Strategies, Alcohol Saliency, and High-Risk Alcohol Use in Post-Secondary Students at Two Canadian Universities

International Journal of Environmental Research and Public Health, Jan 17, 2024

Research paper thumbnail of Can ‘What Is Known’ about Social Isolation and Loneliness Interventions Sufficiently Inform the Clinical Practice of Health Care and Social Service Professionals Who Work with Older Adults? Exploring Knowledge-to-Practice Gaps

Healthcare, May 29, 2024

This article is an open access article distributed under the terms and conditions of the Creative... more This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY

Research paper thumbnail of Associations between Gender Expression, Protective Coping Strategies, Alcohol Saliency, and High-Risk Alcohol Use in Post-Secondary Students at Two Canadian Universities

Research paper thumbnail of Integrated care for older persons who live with complex health and social care requirements: a core set of indicators

Journal of Integrated Care

PurposePerformance measures are an important mediating mechanism that influences the design and d... more PurposePerformance measures are an important mediating mechanism that influences the design and delivery of care. Unfortunately, it is still commonly the case that acute care indicators are employed to assess the efficacy of integrated care. This hinders the ability to accurately assess and continuously improve integrated care efforts for priority populations, including older persons who live with complex health and social care requirements. A core set of indicators is needed from which to assess the quality and impact of integrated care on these older persons and care partners.Design/methodology/approachA modified Delphi process was employed that comprised of the following steps: (1) selection of an indicator inventory (2) defining criteria for ranking and achieving consensus, (3) recruiting participants, (4) iterative voting rounds and analysis and (5) selection of a core indicator set.FindingsThe study produced a core set of 16 indicators of integrated care that pertain to older ...

Research paper thumbnail of Optimizing Older Adult Mental Health in Support of Healthy Ageing: A Pluralistic Framework to Inform Transformative Change across Community and Healthcare Domains

International journal of environmental research and public health/International journal of environmental research and public health, May 23, 2024

Research paper thumbnail of Creating Inclusive Workplaces: Employing People with Psychiatric Disabilities in Evaluation and Research in Community Mental Health

Canadian Journal of Program Evaluation

Research paper thumbnail of Recovery Compromised: Tracing the Structural Conditions that Perpetuate and Maintain Social Exclusion in Assertive Community Treatment

Développement Humain, Handicap et Changement Social

Concerns have been raised regarding the extent to which the services provided through the Asserti... more Concerns have been raised regarding the extent to which the services provided through the Assertive Community Treatment (ACT) model are based on an understanding of recovery as primarily a clinical phenomenon rather than a journey that is fundamentally about self-determination, social inclusion, citizenship and civil rights. Until recently, the limited degree of social inclusion experienced by users of ACT has been assumed to result from individual functioning or inadequate practitioner training. These explanations negate the role of organizing conditions in shaping a systematic approach to everyday practice that diminishes opportunities for inclusion. The current study identifies key areas where practices consistent with the current recovery vision and theories of social inclusion are superseded by accepted and legitimized forms of practice that are aligned with a medical model approach. The study explicates both how and why this happens in the course of everyday practice.

Research paper thumbnail of Developing a Core Set of Indicators to Assess the Quality and Impact of Integrated Care for Older Persons Living with Complex Health and Social Care Needs and Family/Friend Caregivers: a Delphi consensus study

International Journal of Integrated Care

Research paper thumbnail of Direct and Indirect Time Inputs and Assertive Community Treatment

Community Mental Health Journal, 2003

Assertive Community Treatment (ACT) is an appealing community program model because it proposes t... more Assertive Community Treatment (ACT) is an appealing community program model because it proposes to provide individuals with coping skills that allow them to maintain independent lives in their communities and it offers the potential to decrease inpatient stays and increase community tenure. But, it is not without its limitations. Critics point out that ACT's unique elements also make it a

Research paper thumbnail of Direct and indirect time inputs and assertive community treatment

Community mental health journal, 2003

Assertive Community Treatment (ACT) is an appealing community program model because it proposes t... more Assertive Community Treatment (ACT) is an appealing community program model because it proposes to provide individuals with coping skills that allow them to maintain independent lives in their communities and it offers the potential to decrease inpatient stays and increase community tenure. But, it is not without its limitations. Critics point out that ACT's unique elements also make it a potentially very resource intensive program--an important consideration in times of fiscal constraints. Though the charge may be justified, there is little in the literature that actually quantifies the intensity of resources used. The process through which it achieves outcomes is not frequently described. Using ACT team workload information, we examine the time trade-offs--direct for indirect time--involved with implementing this model. In addition, we describe the specific activities that make up the direct and indirect time inputs that go into supporting clients in the community through asse...

Research paper thumbnail of Tracing the Tensions, Constructions, and Social Relations Surrounding Community Integration Practice for Individuals with Severe Mental Illness: A Focus on Assertive Community Treatment

Research paper thumbnail of Substance abuse in a Canadian population of Assertive Community Treatment (ACT) clients: implications for service planning and delivery

This brief paper reports on a study that used diagnosis, client self-reports, and clinician ratin... more This brief paper reports on a study that used diagnosis, client self-reports, and clinician ratings to estimate the prevalence of drug, alcohol, and tobacco abuse among a random sample of 174 clients of 4 Assertive Community Treatment (ACT) teams in southeastern Ontario, Canada. Drug and alcohol abuse rates were lower that those reported in the literature, while high rates for tobacco use were consistent with published reports. ACT service delivery is guided by formal standards that assume high rates of substance abuse. It is argued that local population profiles should be monitored and considered in the development of ACT intervention practices.

Research paper thumbnail of The Canadian Coalition for Seniors' Mental Health (CCSMH) and Canadian Academy of Geriatric Psychiatry (CAGP) Joint Scientific Meeting

Canadian geriatrics journal : CGJ, 2014

BIOGRAPHY: Dr. David S. Goldbloom was born in Montreal and raised in Quebec and Nova Scotia. He c... more BIOGRAPHY: Dr. David S. Goldbloom was born in Montreal and raised in Quebec and Nova Scotia. He completed an honours degree, majoring in Government, at Harvard University and then attended the University of Oxford as a Rhodes Scholar where he obtained an M.A. in Physiological Sciences. He trained in medicine and psychiatry at McGill University and is a Professor of Psychiatry at the University of Toronto. Dr. Goldbloom's activities have been recognized and awarded by his peers and students. He has authored numerous scientific articles and book chapters and has provided talks and lectures to student, professional, and public audiences. He maintains an active clinical and teaching role at the Centre for Addiction and Mental Health where he serves as Senior Medical Advisor. He is also Chair of the Mental Health Commission of Canada. In addition to his professional activities, Dr. Goldbloom is the immediate past Chair of the Board of Governors of the Stratford Shakespeare Festival of Canada. Learning Objectives: 1. To become familiar with the mission, structure, and work of the Mental Health Commission of Canada (MHCC). 2. To understand the specific initiatives of the MHCC with regard to seniors. 3. To consider how attendees can contribute to these mental health reform efforts. KN2 Managing Anxiety in Older Adults: 8 Simple Rules Wednesday 8:35 a.m. Churchill

Research paper thumbnail of Adapting Dementia Guidelines for Primary Care Settings: The Primary Care-Dementia Assessment and Treatment Algorithm (PC-DATA)

Research paper thumbnail of Involving student peer researchers for gender-informed health promotion: a community-based participatory action research

Educational Action Research

Research paper thumbnail of Prevalence and characteristics of parenting among people served by Assertive Community Treatment

Psychiatric Rehabilitation Journal

This study examines the prevalence and the characteristics of parenting among people served by As... more This study examines the prevalence and the characteristics of parenting among people served by Assertive Community Treatment (ACT). Four semi-rural ACT teams in southeastern Ontario were surveyed. The findings suggest that a significant minority (38%) of persons receiving ACT services are parents, although most (84%) do not live with their children and many rarely see their children. These findings are surprising considering the lack of discussion in the literature about parenting among recipients of ACT services. The results are discussed in terms of the meaning for ACT services.

Research paper thumbnail of Health care experiences of persons with dementia and their caregivers: A meta-ethnography of qualitative studies

Alzheimer's & Dementia, 2012

Research paper thumbnail of Taking a closer look at gender-transformative health promotion programming as a vehicle for addressing gender-based inequities in health and care

Global Health Promotion

Gender-transformative health promotion addresses the reciprocal transactions between the socio-cu... more Gender-transformative health promotion addresses the reciprocal transactions between the socio-cultural contexts that shape gender-based values and the gender-normative behaviors and health experiences of individuals. A scoping review was conducted to (a) highlight how, when and under what circumstances gender-transformative health promotion is applied in practice, and (b) critically assess the operationalization of gender-transformative health promotion principles in practice to develop a clearer understanding of potential barriers (both conceptual and practical) that may detract from the broader employment of gender-transformative health promotion as a mainstream programming approach. Specific recommendations, based on the findings of this review, are made in an effort to further the operationalization of gender-transformative health promotion as a mainstream health promotion approach, globally.

Research paper thumbnail of Exploring how social networking sites impact youth with anxiety: A qualitative study of Facebook stressors among adolescents with an anxiety disorder diagnosis

Cyberpsychology: Journal of Psychosocial Research on Cyberspace

Adolescents with anxiety disorders often have low self-esteem, poor problem-solving, and a strong... more Adolescents with anxiety disorders often have low self-esteem, poor problem-solving, and a strong desire to be accepted. Combined, these qualities may predispose them to experience unique stressors when using social network sites (SNSs). Focus groups of adolescent Facebook users who have a primary anxiety diagnosis uncovered narratives describing individuals’ perspectives related to how Facebook can influence their anxiety. Qualitative analysis revealed six themes related to Facebook stressors: seeking approval, fearing judgment, escalating interpersonal issues, wanting privacy, negotiating self and social identity, and connecting & disconnecting. Many participants reported a fear of receiving negative comments online and discussed strategies to avoid them, such as posting less content (i.e., comments, photographs) than their peers. Some participants described feeling positive emotions when they received a “like” from a SNS user, however, they also tended to describe these positive ...

Research paper thumbnail of The Caring Campus Project Overview

Canadian Journal of Community Mental Health

The Caring Campus project was a three-year intervention research project funded by Movember Canad... more The Caring Campus project was a three-year intervention research project funded by Movember Canada that fostered new awareness regarding the interconnection between gender, mental health, and substance (specifically alcohol) misuse on three university campuses in Canada, and encouraged new approaches to promote young men’s health. In this project, we demonstrated that male students are willing to assume leadership roles to promote mental health and healthier alcohol use to their peers and enact a social agenda for change. Empowerment strategies encouraged male students to enlist like-minded peers to advance men’s mental health and transform campus drinking cultures, including countering gender-based ideals and norms associated with mental health problems and substance misuse. There is now great potential to influence the way in which other post-secondary institutions approach mental wellness and substance misuse using the Caring Campus model, which uses student empowerment to cataly...

Research paper thumbnail of Associations between Gender Expression, Protective Coping Strategies, Alcohol Saliency, and High-Risk Alcohol Use in Post-Secondary Students at Two Canadian Universities

International Journal of Environmental Research and Public Health, Jan 17, 2024

Research paper thumbnail of Can ‘What Is Known’ about Social Isolation and Loneliness Interventions Sufficiently Inform the Clinical Practice of Health Care and Social Service Professionals Who Work with Older Adults? Exploring Knowledge-to-Practice Gaps

Healthcare, May 29, 2024

This article is an open access article distributed under the terms and conditions of the Creative... more This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY

Research paper thumbnail of Associations between Gender Expression, Protective Coping Strategies, Alcohol Saliency, and High-Risk Alcohol Use in Post-Secondary Students at Two Canadian Universities

Research paper thumbnail of Integrated care for older persons who live with complex health and social care requirements: a core set of indicators

Journal of Integrated Care

PurposePerformance measures are an important mediating mechanism that influences the design and d... more PurposePerformance measures are an important mediating mechanism that influences the design and delivery of care. Unfortunately, it is still commonly the case that acute care indicators are employed to assess the efficacy of integrated care. This hinders the ability to accurately assess and continuously improve integrated care efforts for priority populations, including older persons who live with complex health and social care requirements. A core set of indicators is needed from which to assess the quality and impact of integrated care on these older persons and care partners.Design/methodology/approachA modified Delphi process was employed that comprised of the following steps: (1) selection of an indicator inventory (2) defining criteria for ranking and achieving consensus, (3) recruiting participants, (4) iterative voting rounds and analysis and (5) selection of a core indicator set.FindingsThe study produced a core set of 16 indicators of integrated care that pertain to older ...

Research paper thumbnail of Optimizing Older Adult Mental Health in Support of Healthy Ageing: A Pluralistic Framework to Inform Transformative Change across Community and Healthcare Domains

International journal of environmental research and public health/International journal of environmental research and public health, May 23, 2024

Research paper thumbnail of Creating Inclusive Workplaces: Employing People with Psychiatric Disabilities in Evaluation and Research in Community Mental Health

Canadian Journal of Program Evaluation

Research paper thumbnail of Recovery Compromised: Tracing the Structural Conditions that Perpetuate and Maintain Social Exclusion in Assertive Community Treatment

Développement Humain, Handicap et Changement Social

Concerns have been raised regarding the extent to which the services provided through the Asserti... more Concerns have been raised regarding the extent to which the services provided through the Assertive Community Treatment (ACT) model are based on an understanding of recovery as primarily a clinical phenomenon rather than a journey that is fundamentally about self-determination, social inclusion, citizenship and civil rights. Until recently, the limited degree of social inclusion experienced by users of ACT has been assumed to result from individual functioning or inadequate practitioner training. These explanations negate the role of organizing conditions in shaping a systematic approach to everyday practice that diminishes opportunities for inclusion. The current study identifies key areas where practices consistent with the current recovery vision and theories of social inclusion are superseded by accepted and legitimized forms of practice that are aligned with a medical model approach. The study explicates both how and why this happens in the course of everyday practice.

Research paper thumbnail of Developing a Core Set of Indicators to Assess the Quality and Impact of Integrated Care for Older Persons Living with Complex Health and Social Care Needs and Family/Friend Caregivers: a Delphi consensus study

International Journal of Integrated Care

Research paper thumbnail of Direct and Indirect Time Inputs and Assertive Community Treatment

Community Mental Health Journal, 2003

Assertive Community Treatment (ACT) is an appealing community program model because it proposes t... more Assertive Community Treatment (ACT) is an appealing community program model because it proposes to provide individuals with coping skills that allow them to maintain independent lives in their communities and it offers the potential to decrease inpatient stays and increase community tenure. But, it is not without its limitations. Critics point out that ACT's unique elements also make it a

Research paper thumbnail of Direct and indirect time inputs and assertive community treatment

Community mental health journal, 2003

Assertive Community Treatment (ACT) is an appealing community program model because it proposes t... more Assertive Community Treatment (ACT) is an appealing community program model because it proposes to provide individuals with coping skills that allow them to maintain independent lives in their communities and it offers the potential to decrease inpatient stays and increase community tenure. But, it is not without its limitations. Critics point out that ACT's unique elements also make it a potentially very resource intensive program--an important consideration in times of fiscal constraints. Though the charge may be justified, there is little in the literature that actually quantifies the intensity of resources used. The process through which it achieves outcomes is not frequently described. Using ACT team workload information, we examine the time trade-offs--direct for indirect time--involved with implementing this model. In addition, we describe the specific activities that make up the direct and indirect time inputs that go into supporting clients in the community through asse...

Research paper thumbnail of Tracing the Tensions, Constructions, and Social Relations Surrounding Community Integration Practice for Individuals with Severe Mental Illness: A Focus on Assertive Community Treatment

Research paper thumbnail of Substance abuse in a Canadian population of Assertive Community Treatment (ACT) clients: implications for service planning and delivery

This brief paper reports on a study that used diagnosis, client self-reports, and clinician ratin... more This brief paper reports on a study that used diagnosis, client self-reports, and clinician ratings to estimate the prevalence of drug, alcohol, and tobacco abuse among a random sample of 174 clients of 4 Assertive Community Treatment (ACT) teams in southeastern Ontario, Canada. Drug and alcohol abuse rates were lower that those reported in the literature, while high rates for tobacco use were consistent with published reports. ACT service delivery is guided by formal standards that assume high rates of substance abuse. It is argued that local population profiles should be monitored and considered in the development of ACT intervention practices.

Research paper thumbnail of The Canadian Coalition for Seniors' Mental Health (CCSMH) and Canadian Academy of Geriatric Psychiatry (CAGP) Joint Scientific Meeting

Canadian geriatrics journal : CGJ, 2014

BIOGRAPHY: Dr. David S. Goldbloom was born in Montreal and raised in Quebec and Nova Scotia. He c... more BIOGRAPHY: Dr. David S. Goldbloom was born in Montreal and raised in Quebec and Nova Scotia. He completed an honours degree, majoring in Government, at Harvard University and then attended the University of Oxford as a Rhodes Scholar where he obtained an M.A. in Physiological Sciences. He trained in medicine and psychiatry at McGill University and is a Professor of Psychiatry at the University of Toronto. Dr. Goldbloom's activities have been recognized and awarded by his peers and students. He has authored numerous scientific articles and book chapters and has provided talks and lectures to student, professional, and public audiences. He maintains an active clinical and teaching role at the Centre for Addiction and Mental Health where he serves as Senior Medical Advisor. He is also Chair of the Mental Health Commission of Canada. In addition to his professional activities, Dr. Goldbloom is the immediate past Chair of the Board of Governors of the Stratford Shakespeare Festival of Canada. Learning Objectives: 1. To become familiar with the mission, structure, and work of the Mental Health Commission of Canada (MHCC). 2. To understand the specific initiatives of the MHCC with regard to seniors. 3. To consider how attendees can contribute to these mental health reform efforts. KN2 Managing Anxiety in Older Adults: 8 Simple Rules Wednesday 8:35 a.m. Churchill

Research paper thumbnail of Adapting Dementia Guidelines for Primary Care Settings: The Primary Care-Dementia Assessment and Treatment Algorithm (PC-DATA)

Research paper thumbnail of Involving student peer researchers for gender-informed health promotion: a community-based participatory action research

Educational Action Research

Research paper thumbnail of Prevalence and characteristics of parenting among people served by Assertive Community Treatment

Psychiatric Rehabilitation Journal

This study examines the prevalence and the characteristics of parenting among people served by As... more This study examines the prevalence and the characteristics of parenting among people served by Assertive Community Treatment (ACT). Four semi-rural ACT teams in southeastern Ontario were surveyed. The findings suggest that a significant minority (38%) of persons receiving ACT services are parents, although most (84%) do not live with their children and many rarely see their children. These findings are surprising considering the lack of discussion in the literature about parenting among recipients of ACT services. The results are discussed in terms of the meaning for ACT services.

Research paper thumbnail of Health care experiences of persons with dementia and their caregivers: A meta-ethnography of qualitative studies

Alzheimer's & Dementia, 2012

Research paper thumbnail of Taking a closer look at gender-transformative health promotion programming as a vehicle for addressing gender-based inequities in health and care

Global Health Promotion

Gender-transformative health promotion addresses the reciprocal transactions between the socio-cu... more Gender-transformative health promotion addresses the reciprocal transactions between the socio-cultural contexts that shape gender-based values and the gender-normative behaviors and health experiences of individuals. A scoping review was conducted to (a) highlight how, when and under what circumstances gender-transformative health promotion is applied in practice, and (b) critically assess the operationalization of gender-transformative health promotion principles in practice to develop a clearer understanding of potential barriers (both conceptual and practical) that may detract from the broader employment of gender-transformative health promotion as a mainstream programming approach. Specific recommendations, based on the findings of this review, are made in an effort to further the operationalization of gender-transformative health promotion as a mainstream health promotion approach, globally.

Research paper thumbnail of Exploring how social networking sites impact youth with anxiety: A qualitative study of Facebook stressors among adolescents with an anxiety disorder diagnosis

Cyberpsychology: Journal of Psychosocial Research on Cyberspace

Adolescents with anxiety disorders often have low self-esteem, poor problem-solving, and a strong... more Adolescents with anxiety disorders often have low self-esteem, poor problem-solving, and a strong desire to be accepted. Combined, these qualities may predispose them to experience unique stressors when using social network sites (SNSs). Focus groups of adolescent Facebook users who have a primary anxiety diagnosis uncovered narratives describing individuals’ perspectives related to how Facebook can influence their anxiety. Qualitative analysis revealed six themes related to Facebook stressors: seeking approval, fearing judgment, escalating interpersonal issues, wanting privacy, negotiating self and social identity, and connecting & disconnecting. Many participants reported a fear of receiving negative comments online and discussed strategies to avoid them, such as posting less content (i.e., comments, photographs) than their peers. Some participants described feeling positive emotions when they received a “like” from a SNS user, however, they also tended to describe these positive ...

Research paper thumbnail of The Caring Campus Project Overview

Canadian Journal of Community Mental Health

The Caring Campus project was a three-year intervention research project funded by Movember Canad... more The Caring Campus project was a three-year intervention research project funded by Movember Canada that fostered new awareness regarding the interconnection between gender, mental health, and substance (specifically alcohol) misuse on three university campuses in Canada, and encouraged new approaches to promote young men’s health. In this project, we demonstrated that male students are willing to assume leadership roles to promote mental health and healthier alcohol use to their peers and enact a social agenda for change. Empowerment strategies encouraged male students to enlist like-minded peers to advance men’s mental health and transform campus drinking cultures, including countering gender-based ideals and norms associated with mental health problems and substance misuse. There is now great potential to influence the way in which other post-secondary institutions approach mental wellness and substance misuse using the Caring Campus model, which uses student empowerment to cataly...