"Identifying Information: Name","Navigation of Mental ������ϱ� and Substance Use Services"
"Identifying Information: Short/Other Names","Not applicable"
"Identifying Information: Description","Proportion of individuals age 15 and older who said they always or usually had the support necessary to move within and between mental health and substance use services in the past year once they accessed servicesSupport refers to the receipt of guidance, assistance or resources from a professional, related to navigating mental health and substance use services.  "
"Background, Interpretation and Benchmarks: Rationale","This indicator measures whether people always or usually had support navigating mental health and substance use (MHSU) services in Canada once they accessed services. It helps to determine whether individuals efficiently and effectively receive the MHSU services required to improve their health. A higher proportion of people who had support while navigating mental health and substance use services may indicate that Canadians are efficiently and effectively receiving the care that they need.  This indicator may help identify areas for improved health system integration and timely access to care. It may also allow the identification of population(s) that experience differences in navigating mental health and substance use services.People who were not able to access mental health and substance use services or who did not need another service after their first one are excluded from this indicator.  "
"Background, Interpretation and Benchmarks: Interpretation","Higher is better. The higher the Top Box result, the higher the number of individuals who responded favourably."
"Background, Interpretation and Benchmarks: HSP Framework Dimension",Person-centred
"Background, Interpretation and Benchmarks: Targets/Benchmarks",N/A
"Available Data Years","2022
 to 2024"
"Available Data Years: Type of Year",Calendar
"Availability of Results: Geographic Coverage","Newfoundland and Labrador"
"Reporting Level/Disaggregation",National
"Result Updates: Indicator Results","Web Tool:Your ������ϱ� System: In Brief — Navigation of Mental ������ϱ� and Substance Use Services Indicator "
"Update Frequency","Every year"
"Result Updates: Latest Results Update Date","December 2024"
"Result Updates: Updates","Data collected from February 10 to June 30, 2024"
"Indicator Calculation: Description","(Total number of individuals who always or usually had support [Q5]  ÷ Total number of individuals who always, usually, sometimes, rarely or never had support [Q5]) × 100This measure is a Top Box result, describing the proportion of individuals age 15 and older who said they always or usually had the support necessary to move within and between mental health and substance use services in the past year once they accessed services.Q5. In the last 12 months, how often did you have the necessary support from professionals to navigate between services?"
"Indicator Calculation: Type of Measurement","Percentage or proportion"
"Indicator Calculation: Number or Rate","Weighted percentage or proportion"
"Denominator: Description:","Total number of individuals age 15 and older who accessed mental health and substance use services in the past year [Q1] AND needed support to navigate services (at the time of the survey) [Q5]Q1. In the last 12 months, did you receive any services for mental health and substance use? IncludingFamily doctor, nurse practitioner or specialist visit servicesCounselling or therapy servicesTrained support group servicesEmergency department or urgent care servicesOvernight stay in a hospital or health centreCrisis support servicesWithdrawal management services, drug-replacement therapies or detoxification servicesCase management, youth worker or essential servicesIndigenous-focused servicesCulturally based services for immigrant, refugee, ethno-cultural and racialized groupsHarm reduction approach servicesSchool-based services Q5. In the last 12 months, how often did you have the necessary support from professionals to navigate between services?"
"Denominator: Inclusions:","Individuals age 15 and older who answered yes to accessing MHSU services [Q1] AND who answered always, usually, sometimes, rarely or never having support [Q5]"
"Denominator: Exclusions:","Individuals age 15 and olderWho didn’t need support moving within services [Q5]Who didn’t need another service [Q5]Who refused to answer or answered “don’t know” [Q5] "
"Numerator: Description:","Total number of individuals age 15 and older who said they always or usually had the support necessary to navigate mental health and substance use services in the past year [Q5]Q5. In the last 12 months, how often did you have the necessary support from professionals to navigate between services? "
"Numerator: Inclusions:","Individuals who usually or always had support when navigating mental health and substance use services [Q5]"
"Numerator: Exclusions:","Individuals who sometimes, rarely or never had support when navigating mental health and substance use services [Q5]"
"Method of Adjustment: Other method of adjustment:","Sample weight"
"Adjustment Applied: Covariates used in risk adjustment:","The initial weights were created using a methodology that incorporates weighted totals calculated from the probabilistic weights of a survey (i.e., the Canadian Community ������ϱ� Survey [CCHS]) from which the target population could be extracted. The raking method was used to calibrate the initial weights in the survey based on provincial target populations in the CCHS. Weight raking was performed for reportable provinces only.More information is available in Weighting for Navigation of Mental ������ϱ� and Substance Use Services, and Early Intervention for Mental ������ϱ� and Substance Use Among Children and Youth Indicators — Methodology Notes (PDF)."
"Indicator Calculation: Geographic Assignment","Place of residence"
"Data Sources: Other Data Source","Navigation of Mental ������ϱ� and Substance Use Services Survey, 2024 (PDF)"
"Quality Statement: Caveats and Limitations"," Survey results should be considered only representative of the surveyed population. The survey was conducted in a way that not everyone in the population had an equal chance of participating (non-probabilistic sampling). The use of social media recruitment and non-probabilistic sampling resulted in selection and participation bias. Weighting methods were used to reduce bias, but the following limitations should be noted: The survey was available in French and English. People who do not speak either of these languages would have been unable to complete the survey.Those without internet access or with low computer literacy would not have had the same opportunity to participate in the survey (non-coverage bias).Assessing mental health and substance use services in the previous 12 months is subject to the respondents’ ability to remember their experience (recall bias). Provinces and territories with fewer than 50 respondents are not reported."
"Quality Statement: Trending Issues","Trend assessment is not available due to limitations in the method of data collection.  "
"Quality Statement: Comments","This indicator belongs to the Shared ������ϱ� Priorities portfolio measuring access to mental health and substance use services and to home and community care. More information on this indicator is available in the 2022 companion report (PDF). "
References,"Wu C. Statistical inference with non-probability survey samples (with discussion). Survey Methodology. 2022."