Background: Co-design is an approach to engaging stakeholders in health and social system change that is rapidly gaining traction, yet there are also questions about the extent to which there is meaningful engagement of structurally vulnerable communities and whether co-design leads to lasting system change. The McMaster University Co-Design Hub…

Background: This study examines newcomers with intellectual and developmental disabilities compared to other adults with intellectual and developmental disabilities in Ontario, Canada. Methods: This population-based retrospective cohort study used linked health and social services administrative data to identify adults with intellectual and…

Background: Continued evolution of knowledge-to-action (KTA) theories requires increased attention to dynamics of power and ways to integrate multiple forms of knowledge. Peer learning -- a process through which knowledge users interact with other learners -- is a valuable but largely unexamined strategy for integrating practice-based knowledge in…

With over 1 in 5 Canadians identifying as an immigrant, Canada has been proud to call itself a nation of immigrants with a commitment to supporting refugees, from accepting thousands of Vietnamese refugees in the 1970s to Syrians fleeing civil war in 2015. In 2017, 44,000 refugees came as government-sponsored or privately sponsored refugees,…

Based in participatory action research, this project had the aim of building capacity in treatment and support for individuals and families impacted by autism spectrum disorder in remote and rural communities of Canada. Communities were selected based on their rurality and willingness to engage in change efforts for enhanced service delivery…

This study presents a critical exploration of one of the "ACRL Framework" concepts by examining it in the context of professional practice. Semi-structured interviews were conducted with health and human service professionals at a community health centre to explore how information literacy (IL) is experienced in the workplace. Value…

Recovery from drug abuse is a complex process in which motivation is central. The focus of this article is on drug-dependent people's experiences with sources that influence their motivation to change. The sample in our study was comprised of 127 drug-dependent adults identified in criminal courts, hospital emergency departments and Health and…

In 2003, the government of Quebec established the "Agreement for the Complementarity of Services Between the Health and Social Services Network and the Education Network" to define principles and obligations for inter-agency collaboration aimed at students with special needs and their families. This study documents the perspectives of…

In Saskatchewan, many of the provincial practices and policies addressing health and social issues including, poverty and social exclusion in multi-service schools are informed by an integrated services policy called School[superscript PLUS]. This study explores how School[superscript PLUS] discourse has shaped and continues to produce the…

Objectives: To identify factors associated with repeat emergency department (ED) presentations for suicide-related behaviors (SRB)--hereafter referred to as repetition--among children/youth to aid secondary prevention initiatives. To compare rates of repetition in children/youth with substantiated maltreatment requiring removal from their parental…

Background: Very little research has examined the relationship between resilience, risk, and the service use patterns of adolescents with complex needs who use multiple formal and mandated services such as child welfare, mental health, juvenile justice, and special educational supports. This article reports on a study of 497 adolescents in…

In this article we examine how cultural and community factors interact with individual level factors to predict school participation. Participants were 497 Atlantic Canadian youth purposefully selected because of their concurrent use of more than one government service or community program at the time they were interviewed. Results revealed that…

This paper presents a review of the literature relating to hard-to-reach families which has been published over the last 12 years in the UK, USA, Canada and Australia. The purpose of the review was twofold: to gain insights to understandings of the term "hard-to-reach" within these services--education, health and social--which might be…

Background: To aid decision making regarding the allocation of limited resources, information is needed on the perceived unmet needs of parents of school-aged children with an autism spectrum disorder. Materials and Methods: A cross-sectional survey was conducted of 101 Canadian families of school-aged children with an autism spectrum disorder.…

This study explored the health care service needs and the major correlates of quality of life among 127 community-dwelling elderly Chinese immigrants in a western Canadian city. Participants were interviewed in their homes by trained, bilingual interviewers employing a structured questionnaire that covered a wide range of topics including health…