Research article

Mental Health Service Utilization among Students and Staff in 18 Months Following Dawson College Shooting

  • Received: 24 February 2014 Accepted: 14 April 2014 Published: 29 April 2014
  • Objectives The aim of this study was to investigate service utilization by students and staff in the 18 months following the September 13, 2006, shooting at Dawson College, Montreal, as well as the determinants of this utilization within the context of Canada's publicly managed healthcare system. Methods A sample of 948 from among the college's 10, 091 students and staff agreed to complete an adapted computer or web-based standardized questionnaire drawn from the Statistics Canada 2002 Canadian Community Health Survey cycle 1.2 on mental health and well-being. Results In the 18 months following the shooting, there was a greater incidence and prevalence not only of PTSD, but also of other anxiety disorders, depression, and substance abuse. Staff and students were as likely to consult a health professional when presenting a mental or substance use disorder, with females more likely to do so than males. Results also indicated that there was relatively high internet use for mental health reasons by students and staff (14% overall). Conclusions Following a major crisis event causing potential mass trauma, even in a society characterized by easy access to public, school and health services and when the population involved is generally well educated, the acceptability of consulting health professionals for mental health or substance use problems represents a barrier. However, safe internet access is one way male and female students and staff can access information and support and it may be useful to further exploit the possibilities afforded by web-based interviews in anonymous environments.

    Citation: PauleMiquelon, AlainLesage, RichardBoyer, StéphaneGuay, PierreBleau, MoniqueSéguin. Mental Health Service Utilization among Students and Staff in 18 Months Following Dawson College Shooting[J]. AIMS Public Health, 2014, 1(2): 84-99. doi: 10.3934/publichealth.2014.2.84

    Related Papers:

  • Objectives The aim of this study was to investigate service utilization by students and staff in the 18 months following the September 13, 2006, shooting at Dawson College, Montreal, as well as the determinants of this utilization within the context of Canada's publicly managed healthcare system. Methods A sample of 948 from among the college's 10, 091 students and staff agreed to complete an adapted computer or web-based standardized questionnaire drawn from the Statistics Canada 2002 Canadian Community Health Survey cycle 1.2 on mental health and well-being. Results In the 18 months following the shooting, there was a greater incidence and prevalence not only of PTSD, but also of other anxiety disorders, depression, and substance abuse. Staff and students were as likely to consult a health professional when presenting a mental or substance use disorder, with females more likely to do so than males. Results also indicated that there was relatively high internet use for mental health reasons by students and staff (14% overall). Conclusions Following a major crisis event causing potential mass trauma, even in a society characterized by easy access to public, school and health services and when the population involved is generally well educated, the acceptability of consulting health professionals for mental health or substance use problems represents a barrier. However, safe internet access is one way male and female students and staff can access information and support and it may be useful to further exploit the possibilities afforded by web-based interviews in anonymous environments.
    加载中
    [1] Shultz J, Espinel Z, Hick J, et al. (2006) Surge sort support: Disaster behavioral health for health care professionals.Miami, FL: Center for Disaster & Extreme Event Preparedness .
    [2] Carr VJ, Lewin TJ, Carter GL, et al. (1992) Patterns of service utilization following the 1989 newcastle earthquake-findings from phase-1 of the quake impact study.Aust J Publ Heal 16: 360-369.
    [3] McMurray L, Steiner W (2000) Natural disasters and service delivery to individuals with severe mental illness-Ice Storm 1998.Can J Psychiatr Rev Canad Psychiatr 45: 383-385.
    [4] Parent G, Cousineau M (2003) Conséquences à long terme d'un mass murder: le cas de Polytechnique, neuf ans plus tard.J Int de Victimologie 1: 48-68.
    [5] Armstrong JH, Frykberg ER (2007) Lessons from the Response to the Virginia Tech Shootings.Disaster Med Public Health Prep 1: S7-S8.
    [6] Kaplowitz L, Reece M, Hershey JH, et al. (2007) Regional Health System Response to the Virginia Tech Mass Casualty Incident.Disaster Med Public Health Prep 1: S9-S13.
    [7] Nordboe DJ, Kantor EM, Barker H, et al. (2007) Immediate Behavioral Health Response to the Virginia Tech Shootings.Disaster Med Public Health Prep 1: S31-S32.
    [8] Lyznicki J, Subbarao I, Benjamin GC, et al. (2007) Developing a Consensus Framework for an Effective and Efficient Disaster Response Health System: A National Call to Action.Disaster Med Public Health Prep 1: S51-S54.
    [9] Vicary AM, Fraley RC (2010) Student Reactions to the Shootings at Virginia Tech and Northern Illinois University: Does Sharing Grief and Support Over the Internet Affect Recovery.Pers Soc Psychol B 36: 1555-1563.
    [10] Littleton HL, Grills-Taquechel AE, Axsom D, et al. (2012) Prior Sexual Trauma and Adjustment Following the Virginia Tech Campus Shootings: Examination of the Mediating Role of Schemas and Social Support.Psychol Trauma 4: 578-586.
    [11] Grills-Taquechel AE, Littleton HL, Axsom D (2011) Social support, world assumptions, and exposure as predictors of anxiety and quality of life following a mass trauma.J Anxiet Disord 25: 498-506.
    [12] Boyer R, Lesage A, Guay S, et al. (2010) Dawson College Shooting, September 13, 2006: Report on a study conducted with the students and employees of Dawson College on the psychological impact and the search for support.Second of four reports presented to the ministère de la Justice du Québec on the evaluation of the psychological impact and intervention after the shooting at Dawson College on September 13, 2006; Louis-H. Lafontaine Hospital, Montreal, QC H1A 1B9, Canada 232.
    [13] Guay S, Lesage A, Bleau P, et al. (2010) Dawson college shooting, septembre 13, 2006: Summary and recommendations.Montreal, QC H1A 1B9, Canada 232.
    [14] Séguin M, Chawky N, Guay S, et al. (2010) Dawson College Shooting, September 13, 2006: SECURE (Support, Evaluation and Coordination United for Recovery and Education): a multimodal psychological intervention plan. Third of four reports presented to the ministère de la Justice du Québec on the evaluation of the psychological impact and intervention after the shooting at Dawson College on September 13, 2006. ; Louis-H. Lafontaine Hospital.Montreal, QC H1A 1B9, Canada 232.
    [15] Roy D, Lesage A, Séguin M, et al. (2010) Dawson College Shooting, September 13, 2006; Evaluation of the Emergency Psychological Intervention Plan.First of four reports presented to the ministère de la Justice du Québec on the evaluation of the psychological impact and intervention after the shooting at Dawson College on September 13, 2006; Louis-H. Lafontaine Hospital. Montreal, QC H1A 1B9, Canada 232.
    [16] Séguin M, Chawky N, Lesage A, et al. (2013) Evaluation of the Dawson College Shooting Psychological Intervention: Moving Toward a Multimodal Extensive Plan.Psychol Trauma 5: 268-276.
    [17] Vasiliadis H-M, Lesage A, Adair C, et al. (2005) Service Use for Mental Health Reasons: Cross-Provincial Differences in Rates, Determinants, and Equity of Access.Can J Psychiatr Rev Canad Psychiatr 50: 614-619.
    [18] Kovess-Masfety V, Alonso J, Brugha TS, et al. (2007) Differences in lifetime use of services for mental health problems in six European countries.Psych Serv 58: 213-220.
    [19] Fournier L, Lesage AD, Toupin J, et al. (1997) Telephone surveys as an alternative for estimating prevalence of mental disorders and service utilization: A Montreal catchment area study.Can J Psychiatr Rev Canad Psychiatr 42: 737-743.
    [20] Gravel R, Béland Y (2005) The Canadian Community Health Survey: Mental Health and Well-Being.Can J Psychiatr Rev Canad Psychiatr 50: 573-579.
    [21] Lesage A, Rhéaume J, Vasiliadis H-M (2008) Utilisation de services et consommation de médicaments liés aux problèmes de santé mentale chez les adultes québécois.Enquête sur la santé dans les collectivités canadiennes (Cycle 1. 2). Québec, QC: Institut de la statistique du Québec 234.
    [22] Lesage A, Vasiliadis H-M, Gagné M-A, et al. (2006) Prevelance of mental illnesses and related service utilization in Canada: An analysis of the Canadian Community Health Survey.Mississauga, ON: Canadian Collaborative Mental Health Initiative 09.
    [23] Kairouz S, Boyer R, Nadeau L, et al. (2008) Troubles mentaux, toxicomanie et autres problèmes liés à la santé mentale chez les adultes québécois.Enquête sur la santé dans les collectivités canadiennes (cycle 1. 2). Québec, QC: Institut de la statistique du Québec 67.
    [24] Nucifora F, J r., Langlieb AM, Siegal E, et al. (2007) Building resistance, resilience, and recovery in the wake of school and workplace violence.Disaster Med Public Health Prep 1: S33-37.
    [25] Lesage A, Bernèche F, Bordeleau M (2010) étude surlasanté mentale et le bien-être des adultes québécois : une synthèse pour soutenir l'action.Enquête sur la santé dans les collectivités canadiennes (cycle 1. 2). Québec, QC: Institut de la statistique du Québec 104.
    [26] Bureau de normalisation du Québec (2008) The "healthy enterprise" standard bnq 9700-800; Prevention, promotion and organizational practices for health in the workplace.Québec, QC 233.
    [27] Wells JE, Robins LN, Bushnell JA, et al. (29) Perceived barriers to care in St Louis (USA) and Christchurch (NZ): Reasons for not seeking professional help for psychological distress.Psychiatry Psychiatr Epidemiol 155-164.

    © 2014 the Author(s), licensee AIMS Press. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0)
  • Reader Comments
通讯作者: 陈斌, bchen63@163.com
  • 1. 

    沈阳化工大学材料科学与工程学院 沈阳 110142

  1. 本站搜索
  2. 百度学术搜索
  3. 万方数据库搜索
  4. CNKI搜索

Metrics

Article views(1411) PDF downloads(1189) Cited by(2)

Article outline

Figures and Tables

Tables(4)

/

DownLoad:  Full-Size Img  PowerPoint
Return
Return

Catalog