Canadian journal on aging = La revue canadienne du vieillissement · 2026
A Mental Health Care Navigation Program for Older Adults: Scope of Practice and Patient Outcomes.
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Motsenok Marina, Clarke Mary, Cheng Isabella, Morrow Kristin, Knoepfli Amanda, Ziegler Naomi, Landau Stacy, DasGupta Tracey, Hitzig Sander L
Аннотация
BACKGROUND: Older adults with mental health (MH) issues often struggle to navigate a complex and fragmented healthcare system, leading to poorer outcomes. To address this, an acute care hospital in Ontario partnered with a community agency to develop an innovative MH Patient Navigation Program supporting older adults across the care continuum. Two Occupational Therapists were hired as Navigators.
OBJECTIVE: A patient-tracking tool was codesigned to document patient characteristics, provided supports, and outcomes.
METHODS: Using a cohort observational design, data were analyzed to describe patient demographics, referral reasons, complexity, navigator interventions, scope of practice, and program impact.
FINDINGS: Patients were mostly female (58.5%) with a mean age of 71.7 years. Common MH conditions included mood disorders (31.4%), substance misuse (21.6%), anxiety (13.7%), and psychotic disorders (11.8%), with 41.1 per cent having a secondary MH condition. Navigators delivered multifaceted supports, with navigation, counselling, and home safety being most common.
DISCUSSION: Findings highlight program value and areas for refinement.
OBJECTIVE: A patient-tracking tool was codesigned to document patient characteristics, provided supports, and outcomes.
METHODS: Using a cohort observational design, data were analyzed to describe patient demographics, referral reasons, complexity, navigator interventions, scope of practice, and program impact.
FINDINGS: Patients were mostly female (58.5%) with a mean age of 71.7 years. Common MH conditions included mood disorders (31.4%), substance misuse (21.6%), anxiety (13.7%), and psychotic disorders (11.8%), with 41.1 per cent having a secondary MH condition. Navigators delivered multifaceted supports, with navigation, counselling, and home safety being most common.
DISCUSSION: Findings highlight program value and areas for refinement.