Lost in Transition? Health Service Utilization of IWK Mental Health and Addictions Patients on Transition to Adult Services
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The objective of this thesis was to improve our understanding of transition aged youth accessing public Mental Health & Addictions (MHA) services in Nova Scotia and identify potential inequities using routinely collected health administrative data. Specifically, we aimed to: 1) describe transition aged youths’ demographics and service use patterns; 2) estimate the associations between clinical, demographic, and socioeconomic factors with attendance to adult MHA services; 3) assess the associations’ sensitivity using a two-visit definition of attendance. We created a retrospective cohort of youth known to IWK MHA services from 2016-2019 and linked them with Nova Scotia Health MHA data. Using multi-level logistic regression, we measured the unadjusted associations of the selected factors with adult MHA attendance. Across both definitions of attendance, MHA-related Emergency Department use, community-level proportion of single parent households, and presenting concern categories were associated with attendance to adult MHA services. Certain associations may be indicative of inequities.