WHO WE ARE
WHAT IS CAREMH?
CAREMH, the Consortium for Applied Research and Evaluation in Mental Health, is a network of people focused on improving the well-being of persons with serious mental illness (SMI) by promoting applied research, evaluation and knowledge transfer in mental health services.
The CAREMH membership includes a variety of stakeholders. In addition to consumers and their families, members’ perspectives cover the fields of business administration, economics, education, epidemiology, family medicine, law, nursing, political science, police services, psychiatry, psychology, social work and sociology. Stakeholders contribute insight and experience as consumers, researchers, health care practitioners, policy analysts, administrators and managers. They are located throughout the community and in district health councils, acute care and psychiatric hospitals, private practice, social services, housing, police services as well as universities.
A BRIEF HISTORY OF CAREMH
CAREMH began in 2001 when a team of investigators, with a Canadian Donner Foundation grant, brought together consumers, researchers, service providers, program managers, policy developers and analysts. Their objective was an integrated program of applied research in de-institutionalized mental health services with southwestern Ontario as a ‘natural laboratory’.
They wanted to clarify the prevalence and needs of persons with SMI, to determine the factors related to appropriate service provision and prescribe methods for system improvement. The goal was to establish a base line understanding of a mental health system challenged with downsizing its psychiatric hospitals.
THE CAREMH MANDATE
The CAREMH mandate is to promote mental health and address mental illness by,
- advancing applied research and evaluation in mental health
- encouraging the involvement of knowledge users in research design, execution and evaluation
- facilitating mental health reform by accelerating knowledge utilization.
The mandate includes the following goals:
- research-relevant skill enhancement
- research mentoring opportunities
- facilitation of participatory research and collaboration
- expansion in numbers of new researchers and grant funded research projects
- sharing and dissemination of research findings, updates, lessons learned, etc.
THE CAREMH MODEL
To ensure that evidence based findings would be translated into practice, they adopted a public health approach with four key components:
- identifying the problems and challenges
- locating the causes of these problems and challenges
- finding and evaluating promising solutions, and
- disseminating results and encouraging the utilization of solutions
To that end, they welcomed a wide range of stakeholders to participate in a series of three colloquia which combined ‘knowledge users’ (consumers, program managers, service providers, policy developers) and researchers.
From this group emerged CAREMH: The Consortium for Applied Research and Evaluation in Mental Health. The public health approach of CAREMH’s members - with relevant stakeholders involved at the outset - has proven to be fruitful, leading to concrete changes in local practice as well as further research and evaluations, including:
- an evaluation, funded by the Change Foundation, of a double triage system in local hospital emergency rooms to refer persons with mental illness presenting with non-medical problems to on-site crisis workers
- the creation and evaluation of the first Canadian pro bono legal clinic for psychiatric in-patients in an acute care hospital in partnership with The University of Western Ontario Faculty of Law and supported by the Change Foundation.
- an assessment of client needs for local homeless shelters that informed their planning for clients with SMI.
- an examination of family physicians’ experiences in caring for patients with SMI and their expectations of a shared mental health care model, a model that is currently being introduced in the London area
- an assessment of client satisfaction levels between patients with SMI being seen by psychiatrists face-to-face and those seen via videoconference to determine the feasibility of providing remote access mental health care
- an examination of pretrial diversion program in two communities of offenders with mental illness
- Community–University Research Alliance (CURA) partnerships in capacity building: housing, community economic development and psychiatric survivors
CAREMH’s STRUCTURE
CAREMH is an informal and unincorporated network with its administrative centre at the Population and Community Health Unit (PCHU) of the Department of Family Medicine at the University of Western Ontario (UWO) under the directorshipof the unit head, Dr. Evelyn Vingilis. Strategic direction is performed by a Steering Committee whose current members (Dr. Kathleen Hartford, Dr. Beth Mitchell, Mr. Ted Schrecker) are among the co-investigators on the CIHR grant which funds its operation. The Project Coordinator is Dr. Stephen State.
As a network of individual stakeholders, CAREMH does not speak on behalf of its membership on matters of policy. Individual members of the CAREMH network take responsibility for any public statements which they might make as individuals and should make clear that they do not speak for nor represent CAREMH.
CAREMH will take no proprietary interest in any intellectual property circulated or disseminated by members or others under its auspices. Documents and reports will only be posted, circulated or otherwise disseminated when permission to do so has been granted by the author/s through a release form.
CAREMH ACTIVITIES
- List-serve: CAREMH maintains a group emailing list to enable information sharing and networking
- Newsletter: CAREMH publishes newsletters to inform membership and the public of matters of concern to mental health stakeholders
- Resource Allocation: CAREMH allocates resources to its members in the form of travel support, statistical analyses and the hiring of students
- Presentations and Research Updates: CAREMH hosts occasional speaker series
- Video-Conference site: CAREMH funds occasional teleconferences; an example is the Research in Addictions and Mental Health Policy and Services (RAMPS) series of national video-conferences provided through Elborn College, UWO
- Colloquia: CAREMH has organized several colloquia in London on topics of vital interest to mental health stakeholders; the next is scheduled for 2005
- Skill enhancement workshops: CAREMH hosts occasional workshops to enable the skill enhancement of its members
CAREMH FUNDING
CAREMH currently operates and receives base funding under the terms of a five year [2003-8] Canadian Institute for Health Research (CIHR) “Interdisciplinary Capacity Enhancement Team” grant whose stated objective is to “enhance and expand the process for research and knowledge translation”. CAREMH policies and procedures will follow CIHR guidelines whose website should be consulted for any needed clarification: http://www.cihr-irsc.gc.ca/e/779.html