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Acute mental health service use following onset of the COVID-19 pandemic in Ontario, Canada: a trend analysis

Natasha R. Saunders, Alene Toulany, Bhumika Deb, Rachel Strauss, Simone N. Vigod, Astrid Guttmann, Maria Chiu, Anjie Huang, Kinwah Fung, Simon Chen and Paul Kurdyak
November 16, 2021 9 (4) E988-E997; DOI: https://doi.org/10.9778/cmajo.20210100
Natasha R. Saunders
Department of Paediatrics (Saunders, Toulany, Guttmann), University of Toronto, Toronto, Ont.; The Hospital for Sick Children (Toulany), Toronto, Ont.; Child Health Evaluative Sciences (Saunders, Toulany), SickKids Research Institute, Toronto, Ont.; ICES (Saunders, Deb, Strauss, Vigod, Guttmann, Chiu, Huang, Fung, Chen), Toronto, Ont.; Institute of Health Policy, Management and Evaluation (Vigod, Chiu, Kurdyak), University of Toronto, Toronto, Ont.; Edwin S.H. Leong Centre for Healthy Children (Guttmann), University of Toronto, Toronto, Ont.; Women’s College Hospital and Women’s College Research Institute (Vigod, Kurdyak), Toronto, Ont.; Department of Psychiatry (Vigod, Kurdyak), Temerty Faculty of Medicine, University of Toronto, Toronto, Ont.; Centre for Addiction and Mental Health (Kurdyak), Toronto, Ont.
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Alene Toulany
Department of Paediatrics (Saunders, Toulany, Guttmann), University of Toronto, Toronto, Ont.; The Hospital for Sick Children (Toulany), Toronto, Ont.; Child Health Evaluative Sciences (Saunders, Toulany), SickKids Research Institute, Toronto, Ont.; ICES (Saunders, Deb, Strauss, Vigod, Guttmann, Chiu, Huang, Fung, Chen), Toronto, Ont.; Institute of Health Policy, Management and Evaluation (Vigod, Chiu, Kurdyak), University of Toronto, Toronto, Ont.; Edwin S.H. Leong Centre for Healthy Children (Guttmann), University of Toronto, Toronto, Ont.; Women’s College Hospital and Women’s College Research Institute (Vigod, Kurdyak), Toronto, Ont.; Department of Psychiatry (Vigod, Kurdyak), Temerty Faculty of Medicine, University of Toronto, Toronto, Ont.; Centre for Addiction and Mental Health (Kurdyak), Toronto, Ont.
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Bhumika Deb
Department of Paediatrics (Saunders, Toulany, Guttmann), University of Toronto, Toronto, Ont.; The Hospital for Sick Children (Toulany), Toronto, Ont.; Child Health Evaluative Sciences (Saunders, Toulany), SickKids Research Institute, Toronto, Ont.; ICES (Saunders, Deb, Strauss, Vigod, Guttmann, Chiu, Huang, Fung, Chen), Toronto, Ont.; Institute of Health Policy, Management and Evaluation (Vigod, Chiu, Kurdyak), University of Toronto, Toronto, Ont.; Edwin S.H. Leong Centre for Healthy Children (Guttmann), University of Toronto, Toronto, Ont.; Women’s College Hospital and Women’s College Research Institute (Vigod, Kurdyak), Toronto, Ont.; Department of Psychiatry (Vigod, Kurdyak), Temerty Faculty of Medicine, University of Toronto, Toronto, Ont.; Centre for Addiction and Mental Health (Kurdyak), Toronto, Ont.
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Rachel Strauss
Department of Paediatrics (Saunders, Toulany, Guttmann), University of Toronto, Toronto, Ont.; The Hospital for Sick Children (Toulany), Toronto, Ont.; Child Health Evaluative Sciences (Saunders, Toulany), SickKids Research Institute, Toronto, Ont.; ICES (Saunders, Deb, Strauss, Vigod, Guttmann, Chiu, Huang, Fung, Chen), Toronto, Ont.; Institute of Health Policy, Management and Evaluation (Vigod, Chiu, Kurdyak), University of Toronto, Toronto, Ont.; Edwin S.H. Leong Centre for Healthy Children (Guttmann), University of Toronto, Toronto, Ont.; Women’s College Hospital and Women’s College Research Institute (Vigod, Kurdyak), Toronto, Ont.; Department of Psychiatry (Vigod, Kurdyak), Temerty Faculty of Medicine, University of Toronto, Toronto, Ont.; Centre for Addiction and Mental Health (Kurdyak), Toronto, Ont.
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Simone N. Vigod
Department of Paediatrics (Saunders, Toulany, Guttmann), University of Toronto, Toronto, Ont.; The Hospital for Sick Children (Toulany), Toronto, Ont.; Child Health Evaluative Sciences (Saunders, Toulany), SickKids Research Institute, Toronto, Ont.; ICES (Saunders, Deb, Strauss, Vigod, Guttmann, Chiu, Huang, Fung, Chen), Toronto, Ont.; Institute of Health Policy, Management and Evaluation (Vigod, Chiu, Kurdyak), University of Toronto, Toronto, Ont.; Edwin S.H. Leong Centre for Healthy Children (Guttmann), University of Toronto, Toronto, Ont.; Women’s College Hospital and Women’s College Research Institute (Vigod, Kurdyak), Toronto, Ont.; Department of Psychiatry (Vigod, Kurdyak), Temerty Faculty of Medicine, University of Toronto, Toronto, Ont.; Centre for Addiction and Mental Health (Kurdyak), Toronto, Ont.
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Astrid Guttmann
Department of Paediatrics (Saunders, Toulany, Guttmann), University of Toronto, Toronto, Ont.; The Hospital for Sick Children (Toulany), Toronto, Ont.; Child Health Evaluative Sciences (Saunders, Toulany), SickKids Research Institute, Toronto, Ont.; ICES (Saunders, Deb, Strauss, Vigod, Guttmann, Chiu, Huang, Fung, Chen), Toronto, Ont.; Institute of Health Policy, Management and Evaluation (Vigod, Chiu, Kurdyak), University of Toronto, Toronto, Ont.; Edwin S.H. Leong Centre for Healthy Children (Guttmann), University of Toronto, Toronto, Ont.; Women’s College Hospital and Women’s College Research Institute (Vigod, Kurdyak), Toronto, Ont.; Department of Psychiatry (Vigod, Kurdyak), Temerty Faculty of Medicine, University of Toronto, Toronto, Ont.; Centre for Addiction and Mental Health (Kurdyak), Toronto, Ont.
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Maria Chiu
Department of Paediatrics (Saunders, Toulany, Guttmann), University of Toronto, Toronto, Ont.; The Hospital for Sick Children (Toulany), Toronto, Ont.; Child Health Evaluative Sciences (Saunders, Toulany), SickKids Research Institute, Toronto, Ont.; ICES (Saunders, Deb, Strauss, Vigod, Guttmann, Chiu, Huang, Fung, Chen), Toronto, Ont.; Institute of Health Policy, Management and Evaluation (Vigod, Chiu, Kurdyak), University of Toronto, Toronto, Ont.; Edwin S.H. Leong Centre for Healthy Children (Guttmann), University of Toronto, Toronto, Ont.; Women’s College Hospital and Women’s College Research Institute (Vigod, Kurdyak), Toronto, Ont.; Department of Psychiatry (Vigod, Kurdyak), Temerty Faculty of Medicine, University of Toronto, Toronto, Ont.; Centre for Addiction and Mental Health (Kurdyak), Toronto, Ont.
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Anjie Huang
Department of Paediatrics (Saunders, Toulany, Guttmann), University of Toronto, Toronto, Ont.; The Hospital for Sick Children (Toulany), Toronto, Ont.; Child Health Evaluative Sciences (Saunders, Toulany), SickKids Research Institute, Toronto, Ont.; ICES (Saunders, Deb, Strauss, Vigod, Guttmann, Chiu, Huang, Fung, Chen), Toronto, Ont.; Institute of Health Policy, Management and Evaluation (Vigod, Chiu, Kurdyak), University of Toronto, Toronto, Ont.; Edwin S.H. Leong Centre for Healthy Children (Guttmann), University of Toronto, Toronto, Ont.; Women’s College Hospital and Women’s College Research Institute (Vigod, Kurdyak), Toronto, Ont.; Department of Psychiatry (Vigod, Kurdyak), Temerty Faculty of Medicine, University of Toronto, Toronto, Ont.; Centre for Addiction and Mental Health (Kurdyak), Toronto, Ont.
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Kinwah Fung
Department of Paediatrics (Saunders, Toulany, Guttmann), University of Toronto, Toronto, Ont.; The Hospital for Sick Children (Toulany), Toronto, Ont.; Child Health Evaluative Sciences (Saunders, Toulany), SickKids Research Institute, Toronto, Ont.; ICES (Saunders, Deb, Strauss, Vigod, Guttmann, Chiu, Huang, Fung, Chen), Toronto, Ont.; Institute of Health Policy, Management and Evaluation (Vigod, Chiu, Kurdyak), University of Toronto, Toronto, Ont.; Edwin S.H. Leong Centre for Healthy Children (Guttmann), University of Toronto, Toronto, Ont.; Women’s College Hospital and Women’s College Research Institute (Vigod, Kurdyak), Toronto, Ont.; Department of Psychiatry (Vigod, Kurdyak), Temerty Faculty of Medicine, University of Toronto, Toronto, Ont.; Centre for Addiction and Mental Health (Kurdyak), Toronto, Ont.
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Simon Chen
Department of Paediatrics (Saunders, Toulany, Guttmann), University of Toronto, Toronto, Ont.; The Hospital for Sick Children (Toulany), Toronto, Ont.; Child Health Evaluative Sciences (Saunders, Toulany), SickKids Research Institute, Toronto, Ont.; ICES (Saunders, Deb, Strauss, Vigod, Guttmann, Chiu, Huang, Fung, Chen), Toronto, Ont.; Institute of Health Policy, Management and Evaluation (Vigod, Chiu, Kurdyak), University of Toronto, Toronto, Ont.; Edwin S.H. Leong Centre for Healthy Children (Guttmann), University of Toronto, Toronto, Ont.; Women’s College Hospital and Women’s College Research Institute (Vigod, Kurdyak), Toronto, Ont.; Department of Psychiatry (Vigod, Kurdyak), Temerty Faculty of Medicine, University of Toronto, Toronto, Ont.; Centre for Addiction and Mental Health (Kurdyak), Toronto, Ont.
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Paul Kurdyak
Department of Paediatrics (Saunders, Toulany, Guttmann), University of Toronto, Toronto, Ont.; The Hospital for Sick Children (Toulany), Toronto, Ont.; Child Health Evaluative Sciences (Saunders, Toulany), SickKids Research Institute, Toronto, Ont.; ICES (Saunders, Deb, Strauss, Vigod, Guttmann, Chiu, Huang, Fung, Chen), Toronto, Ont.; Institute of Health Policy, Management and Evaluation (Vigod, Chiu, Kurdyak), University of Toronto, Toronto, Ont.; Edwin S.H. Leong Centre for Healthy Children (Guttmann), University of Toronto, Toronto, Ont.; Women’s College Hospital and Women’s College Research Institute (Vigod, Kurdyak), Toronto, Ont.; Department of Psychiatry (Vigod, Kurdyak), Temerty Faculty of Medicine, University of Toronto, Toronto, Ont.; Centre for Addiction and Mental Health (Kurdyak), Toronto, Ont.
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    • Appendix 1: Mental Health Diagnostic Codes and Disease Groupings
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Acute mental health service use following onset of the COVID-19 pandemic in Ontario, Canada: a trend analysis
Natasha R. Saunders, Alene Toulany, Bhumika Deb, Rachel Strauss, Simone N. Vigod, Astrid Guttmann, Maria Chiu, Anjie Huang, Kinwah Fung, Simon Chen, Paul Kurdyak
Oct 2021, 9 (4) E988-E997; DOI: 10.9778/cmajo.20210100

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Acute mental health service use following onset of the COVID-19 pandemic in Ontario, Canada: a trend analysis
Natasha R. Saunders, Alene Toulany, Bhumika Deb, Rachel Strauss, Simone N. Vigod, Astrid Guttmann, Maria Chiu, Anjie Huang, Kinwah Fung, Simon Chen, Paul Kurdyak
Oct 2021, 9 (4) E988-E997; DOI: 10.9778/cmajo.20210100
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