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In Senator Kirby’s 2006 report, Out of the Shadows at Last, children’s mental health was labeled the “orphan’s
orphan” of Canada’s health care system. For over two decades, the systems-of-care philosophy in children’s
mental health has recognized the need to respond to a fragmented service system through greater integration and
coordination. Continuity of care, which is how a patient experiences care over time as coherent and linked, has
been identified as an indicator of health system performance and is considered an ethical principle of care. Yet,
no instrument exists to measure continuity of care as experienced by families receiving services through the
children’s mental health system. This deficiency limits efforts to understand, and ultimately improve, continuity
of mental health care for children. The development of the Continuity of Care Scale for Children’s Mental
Health, which is the goal of the proposed research, is an important step in measuring the integration and
coordination of services from the perspective of…TOBECONTINUED
Graham Reid
Hospital for Sick Children
Sociology
Health and Related Sciences & Technology
Western University
Accelerate
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