{ "abstract": "Introduction The surge in postsecondary students reporting mental health concerns, coupled with increased utilisation of on-campus and hospital-based mental healthcare, highlights a need to understand effective service navigation. To address this system gap, the University of Toronto and the Centre for Addiction and Mental Health (CAMH) leveraged their unique expertise and resources to develop the University of Toronto Navigation (UTN) service. UTN introduces care navigators to facilitate postsecondary student transitions from acute mental health services to community or campus mental healthcare. There has been limited implementation and evaluation of navigator models specific to the postsecondary context to date, which hinders scalability. This paper describes the study protocol of Navigation to Enhance Post-Secondary Students’ Acute Mental Health Care Transitions, a study that aims to collaborate with students, navigators and clinicians to evaluate the UTN service.Methods and analysis A one-stage, single-arm multimethods study design will be used to evaluate the UTN service. We will recruit 103 students following their UTN intake appointment. Students will complete quantitative measures assessing health outcomes, experiences of care and service utilisation at baseline and at three subsequent time points across a 6-month follow-up period. The quantitative data will be linked to administrative healthcare data. The primary evaluation outcome will be defined as attending an appointment with an appropriate care provider (in person or virtually) within 30 days of discharge from the hospital. We will conduct interviews with students and referring clinicians to gather perspectives regarding their experiences and satisfaction with the UTN service in greater depth.Ethics and dissemination Research ethics board approvals have been obtained from the University of Toronto and CAMH. Results will be disseminated through publications and presentations, and a toolkit will be cocreated to support implementation and adaptation of hospital-based navigator interventions in postsecondary contexts.", "authors": [ { "affiliations": [ "Lawrence Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada", "Centre for Addiction and Mental Health, Toronto, Ontario, Canada", "Department of Psychiatry, University of Toronto Temerty Faculty of Medicine, Toronto, Ontario, Canada" ], "name": "Kristin Cleverley" }, { "affiliations": [ "University of Toronto, Toronto, Ontario, Canada" ], "name": "Sarah Brennenstuhl" }, { "affiliations": [ "Lawrence Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada", "Centre for Addiction and Mental Health, Toronto, Ontario, Canada" ], "name": "Julia Davies" }, { "affiliations": [ "Lawrence Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada", "Centre for Addiction and Mental Health, Toronto, Ontario, Canada" ], "name": "Lexi Ewing" }, { "affiliations": [ "Lawrence Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada", "Centre for Addiction and Mental Health, Toronto, Ontario, Canada" ], "name": "Katherine Sainsbury" }, { "affiliations": [ "University of Toronto, Toronto, Ontario, Canada" ], "name": "Soha Salman" }, { "affiliations": [ "Centre for Addiction and Mental Health, Toronto, Ontario, Canada", "Department of Psychiatry, University of Toronto Temerty Faculty of Medicine, Toronto, Ontario, Canada" ], "name": "Andrea Levinson" }, { "affiliations": [ "Centre for Addiction and Mental Health, Toronto, Ontario, Canada" ], "name": "Carole-Anne Chiasson" }, { "affiliations": [ "Centre for Addiction and Mental Health, Toronto, Ontario, Canada" ], "name": "Saba Nasir" }, { "affiliations": [ "University of Toronto, Toronto, Ontario, Canada" ], "name": "Chris Bartha" }, { "affiliations": [ "Centre for Addiction and Mental Health, Toronto, Ontario, Canada", "Division of Biostatistics, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada" ], "name": "Clement Ma" }, { "affiliations": [ "Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Ontario, Canada", "Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, Ontario, Canada", "Institute for Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada", "Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada" ], "name": "Claire de Oliveira" }, { "affiliations": [ "Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Ontario, Canada", "Institute for Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada" ], "name": "Joyce Mason" }, { "affiliations": [ "Occupational Science and Occupational Therapy, University of British Columbia, Vancouver, British Columbia, Canada" ], "name": "Skye P. Barbic" }, { "affiliations": [ "Faculty of Social Work, University of Calgary, Calgary, Alberta, Canada" ], "name": "Gina Dimitropoulos" }, { "affiliations": [ "University of Toronto, Toronto, Ontario, Canada", "Trillium Health Partners, Mississauga, Ontario, Canada" ], "name": "Alison Freeland" }, { "affiliations": [ "School of Nursing, McMaster University, Hamilton, Ontario, Canada", "Peter Boris Centre for Addictions Research, Hamilton, Ontario, Canada", "Offord Centre for Child Studies, Hamilton, Ontario, Canada" ], "name": "Jillian Halladay" }, { "affiliations": [ "Ontario Institute for Studies in Education, University of Toronto, Toronto, Ontario, Canada" ], "name": "Chloe A Hamza" }, { "affiliations": [ "Centre for Addiction and Mental Health, Toronto, Ontario, Canada", "Department of Psychiatry, University of Toronto Temerty Faculty of Medicine, Toronto, Ontario, Canada" ], "name": "June Sing Hong Lam" }, { "affiliations": [ "Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada" ], "name": "Catharine Munn" }, { "affiliations": [ "Department of Psychology, Memorial University of Newfoundland, St John’s, Newfoundland and Labrador, Canada" ], "name": "Joshua A Rash" }, { "affiliations": [ "University of Toronto, Toronto, Ontario, Canada" ], "name": "Shennel Simpson" }, { "affiliations": [ "Centre for Addiction and Mental Health, Toronto, Ontario, Canada", "Department of Psychiatry, University of Toronto Temerty Faculty of Medicine, Toronto, Ontario, Canada" ], "name": "Vicky Stergiopoulos" }, { "affiliations": [ "Centre for Addiction and Mental Health, Toronto, Ontario, Canada", "Department of Psychiatry, University of Toronto Temerty Faculty of Medicine, Toronto, Ontario, Canada" ], "name": "Peter Szatmari" }, { "affiliations": [ "Department of Psychology, University of Toronto Scarborough, Toronto, Ontario, Canada" ], "name": "Amanda A Uliaszek" }, { "affiliations": [ "Department of Psychiatry, University of Toronto Temerty Faculty of Medicine, Toronto, Ontario, Canada", "Department of Pharmacology and Toxicology, University of Toronto Temerty Faculty of Medicine, Toronto, Ontario, Canada" ], "name": "L. Trevor Young" } ], "title": "Protocol for a multimethods study evaluating a transition pathway between hospital settings and postsecondary institutions: the NavigateCAMPUS study", "uid": "75f6c499-a7a3-5681-ae28-4eeef6b7c62a" }