Our projects — Youth Mental Health and Technology Lab

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Our projects

Filtering by Author: Shalini Lal

Horyzons-Canada

Shalini Lal

Horyzons-Canada

Project Summary
Horyzons-Canada is an online platform that provides access to a variety of support services, including mental health workers and peer moderators, interactive therapy activities, and a community to support well-being. The original version of this intervention, referred to as MOST (Moderated Online Social Therapy), was developed by Orygen in Australia through the leadership of Drs. Mario Alvarez-Jimenez (University of Melbourne, Orygen Digital Health) and John Gleeson (Australian Catholic University).

MOST has been adapted for use in Canada (referred to as Horyzons-Canada) through the leadership of Dr. Shalini Lal. 

The following is a summary of the Canadian research on Horyzons-Canada to date: 

Phase 1 (completed) was an adaptation study with 11 patients receiving services for a first-episode psychosis and 15 clinicians, conducted in 2 Canadian mental health care settings (Douglas Mental Health University Institute and Chatham-Kent Healthcare Alliance). Our published protocol and results are available here:

Phase 2 (completed) was a live pilot study with 20 patients receiving services for a first-episode psychosis, to assess patients’ perceptions of the intervention, its safety, and potential benefits. Our trial registry, published protocol, and results paper are available here: https://doi.org/10.1186/ISRCTN43182105 

Phase 3 (data collection has been completed and analysis is in progress) is a pragmatic feasibility study of HoryzonsCa implemented and evaluated with 78 patients who are receiving services for schizophrenia spectrum and other psychotic disorders (including first-episode psychosis) in two Montreal-based clinical health care settings (CHUM and Douglas), with two groups of patients: English-speaking and French-speaking adults ages 18 to 50. Our trial registry is available here: https://doi.org/10.1186/ISRCTN12561259

We are also conducting a sub-study to Phase 3, with 15 to 25 youth at Ultra-High Risk (UHR) for psychosis receiving services from the Montreal-based Clinic for Assessment of Youth at Risk (CAYR). 

Funders
The HoryzonsCa research program would not be possible without the generous support from the following funders:

Phases 1 and 2 were supported by the Brain & Behaviour Research Foundation through a NARSAD Young Investigator Grant (Phases 1 and 2) provided to Dr. Shalini Lal.

Phase 3 received funds from Hoffmann-La Roche Ltd and subsequently from the Canadian Institutes of Health Research (Project Grant, Fall 2020 competition that received over 2000 applications; our project ranked in the top 3% of applications by the committee that reviewed it).

Partners and collaborators
The HoryzonsCa research program was initially launched through collaboration with researchers at Orygen - The National Center of Excellence in Youth Mental Health, the University of Melbourne (Dr. Mario Alvarez-Jimenez), and the Australian Catholic University (Dr. John Gleeson). Phase 1 was implemented at PEPP Montréal (Douglas Mental Health University Institute), Quebec, Canada, and the First Episode Psychosis Program at Chatham-Kent Health Alliance (CKHA), Ontario, Canada. Phase 2 was implemented at PEPP Montréal. Phase 3 was implemented at the Douglas Mental Health University Institute in collaboration with the CRISP Lab and at the University of Montreal Hospital Centre (Clinique JAP).

Detailed information regarding Phase 3 is below:  
Project Title: A novel web-based mental health intervention integrating peer support and clinical moderation to enhance recovery and prevent relapse in adults diagnosed with psychotic disorders: A pragmatic feasibility study of Horyzons-Canada
Project Duration: 3 years, 2021-2024
Nominated Principal Investigator: Dr. Shalini Lal
Co-Principal Investigators: Dr. Mario Alvarez-Jimenez (University of Melbourne, Orygen Digital Health), Dr. Martin Lepage (Douglas Mental Health University Institute, McGill University)
Co-Investigators: Drs. John Gleeson (Australian Catholic University), Simon D'Alfonso (University of Melbourne, Orygen Digital Health), Hajin Lee (Université de Montréal), Amal-Abdel Baki (Université de Montréal), Ridha Joober (Douglas Mental Health University Institute, McGill University), Tania Lecomte (Université de Montréal)
Knowledge User: Dr. Phil Tibbo (Canadian Consortium for Early Intervention in Psychosis)
Collaborators: Chantal Fournier (Douglas Mental Health University Institute), Shaleen Jones (Eating Disorders Nova Scotia, Peer Support Consultant), Dr. Danielle Impey (Mental Health Commission of Canada) and Dr. Normand Roy (Université de Montréal)

Contact person
Shalini Lal, Ph.D., M.Sc., B.Sc.O.T. (Reg.QC)
Email: ymhtechlab@gmail.com

 
 

Youth Mental Health and Technology Lab
Centre de Recherche du Centre Hospitalier de l'Université de Montréal (CRCHUM)
Pavillion S 850, Rue St-Denis, Bureau S03.328
Montréal (Québec) H2X 0A9

Email: ymhtechlab@gmail.com

Scoping Review Toolkit

Shalini Lal

Designed by Freepik.

Designed by Freepik.

Achieving Greater Success in Conducting a Scoping Review in Health Sciences : A Toolkit 

Check out our French Toolkit! Containing teaching vignettes, experiential videos and a variety of resources, the toolkit aims to help you conduct a quality scoping review in health sciences. 

Project Summary 

The aim of this project is to provide the French-speaking higher education community (e.g., students, teachers) with an Open Educational Resource (OER) to help them carry out a quality scoping review in the health sciences, developed for, and in collaboration with students.  

Developed from course and seminar notes used by Professor Shalini Lal, the content was adapted to student needs and OER standards using a participatory approach involving Université de Montréal professors, students and librarians. 

The resource is in the form of a toolkit, and contains experiential videos, teaching vignettes and a variety of resources (e.g., websites, scientific articles, writing aids), all focused on the essential steps involved in conducting a scoping review. The toolkit is presented in the form of an online book, and is organized into chapters for easy navigation, allowing users to follow the order of presentation or select specific sections. 

Check out this video for an overview of the toolkit: https://youtu.be/XZllLW42Yq0?si=3f9djWPGG5y1D5dq

License: CC-BY-NC-SA

Link to the toolkit: https://pressbooks.etsmtl.ca/reussirexamensciencessante/ 

Funders

Authors

Shalini LAL, Tania SABATINO, Sarra JAZI

Contributors (in alphabetical order)

Claudine AUGER, Louis-Pierre AUGER, Federico BELLINI, Monique CLAR, Myrian GRONDIN, Tamara LEFRANC, Pascal MARTINOLLI, Mouna MOUMENE, Nadielda PASTOR-BÉDARD, Normand ROY, Hajar SEDFI

Acknowledgments (in alphabetical order)

Marilou BOURQUE, Louise DEMERS, Cyril DUCLOS, Johanne HIGGINS, Jade JASMIN, Ayda KHALILI, Mariane LÉONARD, Virginie PAQUET, Claude POTVIN, Camille PROULX

Contact person 

Shalini Lal, Ph.D., M.Sc., B.Sc.O.T. (Reg.QC)

Email: ymhtechlab@gmail.com

Youth Mental Health and Technology Lab
Centre de Recherche du Centre Hospitalier de l'Université de Montréal (CRCHUM)
Pavillion S 850, Rue St-Denis, Bureau S03.328
Montréal (Québec) H2X 0A9

Email: ymhtechlab@gmail.com

PRISM

Shalini Lal

PRISM

Pathway for Rapid, Internet-based, Self-referral to Mental health Services for Youth

Project Summary

PRISM is an innovation and research project that aims to develop, implement, and evaluate the use of an online self-referral pathway to facilitate rapid and direct access to mental health services for youth and families, locally in their communities.

Through this pathway, youth with mental health concerns are able to refer themselves directly to youth health and social services in their community using their phone, computer, or tablet. Parents and service providers are also able to refer a young person to services via PRISM. Clinicians are able to triage, track, and manage referrals through a secured platform.

PRISM has been developed, launched, and evaluated in three Canadian sites: ACCESS Open-Minds Chatham-Kent (Ontario) ; RIPAJ - Montreal (Quebec); and Aire Ouverte - CCSMTL (Quebec).  

After an initial feasibility evaluation at RIPAJ - Montreal and Chatham-Kent, over a year of implementation has been completed at Aire ouverte - CCSMTL. 

Preliminary results indicate that implementation of the online referral service is feasible, has a positive impact and excellent acceptability on the part of the young people and treatment teams who have used the digital solution. 

For more information on the evaluation, our trial registry is available here: https://doi.org/10.1186/ISRCTN17846723

Funders
The project received competitive funding from the Canadian Institutes of Health Research (CIHR) through the eHealth Innovations Partnership Program (eHIPP) awarded to Dr. Shalini Lal. The project received additional funding from the Graham Boeckh Foundation. 

Partners and Collaborators
Key partners include: Aire ouverte - CCSMTL, ACCESS Open Minds network, Youth and Family representatives, Strata Health Solutions, Tickit Health, and Savoir-Faire - Linux.

Contact person
Shalini Lal, Ph.D., M.Sc., B.Sc.O.T. (Reg.QC)
Email: ymhtechlab@gmail.com

Youth Mental Health and Technology Lab
Centre de Recherche du Centre Hospitalier de l'Université de Montréal (CRCHUM)
Pavillion S 850, Rue St-Denis, Bureau S03.328
Montréal (Québec) H2X 0A9

Email: ymhtechlab@gmail.com

Student Mental Health

Shalini Lal

Designed by Freepik.

Student Mental Health

We are conducting a series of projects on the topic of student mental health. Here are two examples:

1. Scoping Review

Project Summary
This scoping review seeks to synthesize research on the factors influencing the mental health of undergraduate students in the health field. Considering the high prevalence of mental health issues within this population, this project will inform the development of interventions for mental health promotion and problem prevention.

2. Achieving better mental health for university rehabilitation students: A scoping review and mixed-methods study.

Project Summary
This Master’s thesis project aims to 1) synthesize knowledge about mental health interventions available to undergraduate students in a health field, and 2) explore the views of undergraduate occupational therapy and physical therapy students on the appropriateness of mental health interventions in relation to their needs, in addition to factors influencing their mental health.

Funders
These projects are partially supported through operational funds from the Canada Research Chairs Program awarded to Shalini Lal, PhD. There is no specific grant funding for these projects. If you would like to further support the advancement of student mental health research, contact us at: ymhtechlab@gmail.com.

Partners and Collaborators
Students and professor representatives from the School of Rehabilitation at the University of Montréal: 

  • Shalini Lal, Associate Professor and Research Director

  • Johanna Higgins, Occupational Therapy Program Director and Associate Professor 

  • Johanne Filiatrault, Full Professor

  • Winnie Daniel, Clinical Assistant Professor and Occupational Therapist

  • Hajar Sedfi, 3rd year Occupational Therapy Student

  • Sofia Bouferguene, 1st year Occupational Therapy Student

Contact person 
Shalini Lal, Ph.D., M.Sc., B.Sc.O.T. (Reg.QC)
Email: ymhtechlab@gmail.com

Youth Mental Health and Technology Lab
Centre de Recherche du Centre Hospitalier de l'Université de Montréal (CRCHUM)
Pavillion S 850, Rue St-Denis, Bureau S03.328
Montréal (Québec) H2X 0A9

Email: ymhtechlab@gmail.com

Telepsy.CHUM

Shalini Lal

Telepsy.CHUM

Project Summary
Telepsy.CHUM is an urban telepsychiatry project exploring the feasibility and acceptability of delivering mental health services to young people that have experienced a first-episode psychosis (FEP), through the use of online, videoconferencing technologies. We have completed the pre-implementation and implementation phase of this project.

Pre-implementation phase (July - October 2017) was a cross-sectional, descriptive survey study with 51 patients seeking care from an early intervention program for psychosis located in an urban Canadian mental health care setting. This study aims to investigate participants’ current access to and use of technology, barriers to attending in-person clinic appointments, and attitudes toward the use of telepsychiatry services as part of outpatient care.

Our published results are available here: https://pubmed.ncbi.nlm.nih.gov/32194457/

Implementation phase was a feasibility and acceptability study of the videoconferencing platform that was implemented and evaluated with 51 young adult patients receiving early intervention care for FEP and 26 clinicians, conducted in a Montreal-based clinical health care setting (CHUM), during the COVID-19 pandemic:

  1. Telepsy.CHUM Patient survey (November 2020 - March 2021): a cross-sectional, descriptive survey study with 51 patients to assess patient perceptions of telepsychiatry services (in terms of satisfaction, user-friendliness, benefits, concerns, challenges, security, safety, and recommendations).

    The results of the paper are available here: https://pubmed.ncbi.nlm.nih.gov/35731034/

  2. Telepsy.CHUM Clinician survey is a longitudinal, descriptive survey study with 26 clinicians to assess clinicians’ acceptability and satisfaction of delivering telepsychiatry services. Clinicians completed the questionnaire at two different time points: during the implementation (May to November 2020) and post-implementation phase (October to February 2021). We have completed data collection and are now working on data analysis for this study. Stay tuned for the results!

Funders
This project is partially funded through operational funds from the Canada Research Chairs Program awarded to Shalini Lal, PhD. There is no specific grant funding for this project. If you would like to further support the advancement of telepsychiatry research, contact us at: ymhtechlab@gmail.com.

Partners and Collaborators
The Telepsy.CHUM research project was conducted in collaboration with the RIPAJ-JAP/SOL team (under the leadership of Dr. Amal Abdel-Baki) at the Centre hospitalier de l'Université de Montréal (CHUM). 

Contact person:
Shalini Lal, Ph.D., M.Sc., B.Sc.O.T. (Reg.QC)
Email: ymhtechlab@gmail.com

Youth Mental Health and Technology Lab
Centre de Recherche du Centre Hospitalier de l'Université de Montréal (CRCHUM)
Pavillion S 850, Rue St-Denis, Bureau S03.328
Montréal (Québec) H2X 0A9

Email: ymhtechlab@gmail.com

Other Projects

Shalini Lal

Online Referral Services (Processes, Practices, and Tools) to Facilitate Access to Mental Health Care

Project Summary
The current referral system in place for mental health care contributes to delays for individuals to receive services from mental health specialists. The use of technology has the potential of expediting pathways to receiving appropriate mental health care. The aim of this scoping review is to provide an overview of the peer-reviewed, published literature on online referral services that facilitate access to mental health care. 

As the extent and nature of the literature on this topic is unknown, the scoping review method will be used to map the available evidence on online referral services in the context of mental health care. Peer-reviewed articles published between 2010 and 2021 that report on the development, implementation, or evaluation of online referral services that promote access to mental health care will be included. 

The findings from this scoping review will inform the development and evaluation of online referral services to improve mental health care practice and policy.

This scoping review is currently underway. Stay tuned for the results!

Funders
This project is partially supported through operational funds from the Canada Research Chairs Program awarded to Shalini Lal, PhD. Additional support is provided through the Mitacs Accelerate program. If you would like to further support the advancement of research pertaining to online referral services for mental health care, contact us at: ymhtechlab@gmail.com.

Contact person
Shalini Lal, Ph.D., M.Sc., B.Sc.O.T. (Reg.QC)
Email: ymhtechlab@gmail.com

The Use of Technology to Transform the Delivery of Eating Disorder Treatments Within the Context of the COVID-19 Pandemic: A Scoping Review

Project Summary
The COVID-19 pandemic has negatively affected the lives of those with eating disorders in a variety of ways, including the disruption of traditional face-to-face service delivery. In order to mitigate these negative effects, technology has been increasingly used in various clinical settings. Consequently, the pandemic has sparked a movement towards the adoption of more technologies for the delivery of eating disorder services, and will likely have long-term impacts on service delivery.

This scoping review examines the extent to which technology has been used to transform the delivery of eating disorder treatments in response to physical distancing measures implemented by international governments in response to COVID-19. With regard to this change in service delivery, the perspectives of service providers, caregivers, and individuals with eating disorders will be explored through this study as well.

Despite the growing number of works on the topic of eating disorder service-delivery transformations during the COVID-19 pandemic, these findings have yet to be synthesized. Accordingly, a scoping review method will be used. Articles published between January 2020 and March 2021 in this research area will be included.

We are in the initial steps of this scoping review - watch this space for more updates! 

Funders
This project is partially supported through operational funds from the Canada Research Chairs Program awarded to Shalini Lal, PhD. There is no specific grant funding for this project. If you would like to further support the advancement of research on the use of technology for the delivery of eating disorder treatments, contact us at: ymhtechlab@gmail.com. 

Contact person
Shalini Lal, Ph.D., M.Sc., B.Sc.O.T. (Reg.QC)
Email: ymhtechlab@gmail.com

Youth Mental Health and Technology Lab
Centre de Recherche du Centre Hospitalier de l'Université de Montréal (CRCHUM)
Pavillion S 850, Rue St-Denis, Bureau S03.328
Montréal (Québec) H2X 0A9

Email: ymhtechlab@gmail.com

Homeless Youth, Technology & Health

Shalini Lal

Designed by Freepik.

Youth Experiencing Homelessness, Technology, and Health Care

We are conducting a series of scoping reviews on the subject of youth experiencing homelessness, technology, and health care. Currently, there are two projects in the works on this topic: 1) access and use of technology by youth experiencing homelessness and 2) the use of technology-based interventions to address mental health issues among youth experiencing homelessness.

1. Access and use of technology in youth experiencing homelessness and implications for healthcare: A scoping review

Project Summary
This scoping review seeks to synthesize knowledge on access to and use of technology among youth experiencing homelessness, and to consider implications for public health practice and health care services. 
Considering that the study of access and use of technology among youth experiencing homelessness is an emerging research area, the scoping review method was used to map the extent, range, and nature of this topic. This review will thereby serve as a crucial step in advising future research and practice in this area.

This scoping review is now published! If you would like to learn more, you can check out the published article here: https://pubmed.ncbi.nlm.nih.gov/34901927/

2. The use of technology-based interventions to address mental health issues among youth experiencing homelessness.

Project Summary
This scoping review aims to give an overview of the current knowledge on the use of information and communication technologies to provide mental health services and interventions to youth (aged 13 to 29) experiencing homelessness.

Click on the following link to access the scoping review protocol: https://bmjopen.bmj.com/content/12/9/e061313. Stay tuned for the results!

 

Designed by Freepik.

 

Funders
These projects are partially supported through operational funds from the Canada Research Chairs Program awarded to Shalini Lal, PhD. There is no specific grant funding for these projects. If you would like to further support the advancement of research pertaining to youth experiencing homelessness, technology, and mental health, contact us at: ymhtechlab@gmail.com.

Contact person
Shalini Lal, Ph.D., M.Sc., B.Sc.O.T. (Reg.QC)
Email: ymhtechlab@gmail.com

Youth Mental Health and Technology Lab
Centre de Recherche du Centre Hospitalier de l'Université de Montréal (CRCHUM)
Pavillion S 850, Rue St-Denis, Bureau S03.328
Montréal (Québec) H2X 0A9

Email: ymhtechlab@gmail.com

YEMHR

Shalini Lal

YEMHR

Youth Experiences with Mental Health Referrals in Canada: An Online Survey

Project Summary
In Canada, youth aged 15-24 are more likely to experience a mental illness than any other age group, though very few young Canadians with mental illnesses access appropriate care. The YEMHR (Youth Experiences with Mental Health Referrals) project aims to investigate the referral experiences of youth between the ages of 17-30 when accessing mental health services. This survey will be conducted in three Canadian provinces (Ontario, Quebec and British Columbia) through an anonymous online survey. This study seeks to advance knowledge about the referral process and pathways undertaken by youth to access mental health services. Ultimately, the results from this study will inform the improvement of referral processes and access to mental health care for Canadian youth. 

The recruitment for this study is complete and data analyses are now underway. Our protocol is available here: https://pubmed.ncbi.nlm.nih.gov/32207698/

Stay tuned for the results!

Funders
This project is partially supported through operational funds from the Canada Research Chairs Program awarded to Shalini Lal, PhD. Additional support is provided through the Mitacs Accelerate program. If you would like to further support the advancement of youth mental health services research, contact us at: ymhtechlab@gmail.com.

Partners and Collaborators
The YEMHR research project is conducted in collaboration with Dr. Rebecca Fuhrer in the Department of Epidemiology, Biostatistics, and Occupational Health at McGill University.

Contact person
Shalini Lal, Ph.D., M.Sc., B.Sc.O.T. (Reg.QC)
Email: ymhtechlab@gmail.com

Youth Mental Health and Technology Lab
Centre de Recherche du Centre Hospitalier de l'Université de Montréal (CRCHUM)
Pavillion S 850, Rue St-Denis, Bureau S03.328
Montréal (Québec) H2X 0A9

Email: ymhtechlab@gmail.com

Technology and Mental Health and Addictions Policy Review

Shalini Lal

Tech Policy Review TOC (2).png

Priority Given to Technology in Government-Based Mental Health and Addictions (MHA) Vision and Strategy Documents: Systematic Policy Review

Project Summary
This policy review paper aims to examine the extent to which technology is addressed in Canadian government-based MHA policy documents prior to the COVID-19 pandemic to establish a baseline for documenting change.

We reviewed 22 MHA policy documents, published between 2011 and 2019 by 13 Canadian provinces and territories, and analyzed the extent to which each policy document mentioned the use of technology in relation to the delivery of mental health services.

Despite the fact that technology was addressed in every document, it varied by province/territory. Only a few referred to the use of advanced technologies such as virtual reality and apps, with many primarily mentioning telephone-based interventions. There was inconsistency in the use of technology-related terminology across the documents, including the term e-mental health. There was limited strategic focus and guidance in the policy documents on how to implement technology-enabled services within the public mental health care system.

Overall, it seems that technology has not been given much attention in Canadian mental health policy. This review helps illustrate the priority given to technology in government policy prior to the COVID-19 pandemic, and creates a baseline for monitoring whether this will change as a result of the pandemic. This review also highlights the importance of implementing knowledge translation and collaborative initiatives among policy makers and researchers focussed on the integration of technology in mental health policy and practice.

To read more about the article, click the following link: https://www.jmir.org/2021/5/e25547

Funders
This project is partially supported through operational funds from the Canada Research Chairs Program awarded to Shalini Lal, PhD. There is no specific grant funding for this project. If you would like to further support the advancement of technology, mental health, and addictions policy research, contact us at: ymhtechlab@gmail.com.

Partners and Collaborators
This policy review project was conducted in collaboration with Dr. Carol Adair in the Departments of Community Health Sciences and Psychiatry at the University of Calgary.

Contact person
Shalini Lal, Ph.D., M.Sc., B.Sc.O.T. (Reg.QC)
Email: ymhtechlab@gmail.com

Youth Mental Health and Technology Lab
Centre de Recherche du Centre Hospitalier de l'Université de Montréal (CRCHUM)
Pavillion S 850, Rue St-Denis, Bureau S03.328
Montréal (Québec) H2X 0A9

Email: ymhtechlab@gmail.com

Mental Health & Youth with Physical Disabilities

Shalini Lal

Designed by Freepik.

Mental Health & Youth with Physical Disabilities

We are conducting a series of projects on the topic of mental health and youth with physical disabilities. Here are two examples:

1. Scoping review on the mental health of youth with physical disabilities

Project Summary
This completed scoping review synthesizes knowledge on the co-occurrence, impact, and type of mental health problems experienced by young people with childhood-onset physical disabilities, and their access to mental health services. It is the first phase of a larger research project aiming to improve the mental health outcomes of young people affected by childhood-onset physical disabilities.
This project is underway - check this space for more updates!

2. Organization of rehabilitation services for youth with co-occurring physical disabilities and mental health problems: current practices, emerging needs and future directions.

Project Summary
Building on the scoping review mentioned above, this doctoral project aims to 1) identify existing evidence about rehabilitation services and models for youth with childhood-onset physical disabilities experiencing mental health problems, 2) determine interdisciplinary practices, procedures and needs in service delivery from the perspectives of services providers (clinicians, managers) and receivers (youth, family members), and 3) develop and evaluate guidelines for integration of care.

Funders
These projects are partially supported through operational funds from the Canada Research Chairs Program awarded to Shalini Lal, PhD. There is no specific grant funding for these projects. If you would like to further support the advancement of research pertaining to youth with physical disabilities experiencing mental health problems, contact us at: ymhtechlab@gmail.com.

Partners and Collaborators
These projects are conducted in collaboration with Dr. Dana Anaby from McGill University.

Contact person
Shalini Lal, Ph.D., M.Sc., B.Sc.O.T. (Reg.QC)
Email: ymhtechlab@gmail.com

Youth Mental Health and Technology Lab
Centre de Recherche du Centre Hospitalier de l'Université de Montréal (CRCHUM)
Pavillion S 850, Rue St-Denis, Bureau S03.328
Montréal (Québec) H2X 0A9

Email: ymhtechlab@gmail.com