{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T18:59:21Z","timestamp":1778871561890,"version":"3.51.4"},"reference-count":50,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,1,8]],"date-time":"2024-01-08T00:00:00Z","timestamp":1704672000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Planning &amp; Management"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The aim of this paper is to provide a system\u2010level snapshot of the operational status of mental health, substance use, and problem gambling services 2\u00a0years into the pandemic in Ontario, Canada, with a specific focus on services that target individuals experiencing vulnerable circumstances (e.g., homelessness and legal issues).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We examined data from 6038 publicly funded community services that provide mental health, substance use, and problem gambling services in Ontario. We used descriptive statistics to describe counts and percentages by service type and specialisation of service delivery. We generated cross\u2010tabulations to analyse the relationship between the service status and service type for each target population group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>As of March 2022, 38.4% (<jats:italic>n<\/jats:italic>\u00a0=\u00a02321) of services were fully operational, including 36.0% (<jats:italic>n<\/jats:italic>\u00a0=\u00a01492) of mental health, 44.1% (<jats:italic>n<\/jats:italic>\u00a0=\u00a01037) of\u00a0substance use, and 23.4% (<jats:italic>n<\/jats:italic>\u00a0=\u00a078) of problem gambling services. These service disruptions were also apparent among services tailored to sexual\/gender identity (women\/girls, men\/boys, 2SLGBTQQIA\u00a0+\u00a0individuals), individuals with legal issues, with acquired brain injury, and those experiencing homelessness.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Accessible community\u2010based mental health, substance use and problem gambling services are critical supports, particularly for communities that have historically contended with higher needs and greater barriers to care relative to the general population. We discuss the public health implications of the findings for the ongoing pandemic response and future emergency preparedness planning for community\u2010based mental health, substance use and problem gambling services.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hpm.3763","type":"journal-article","created":{"date-parts":[[2024,1,9]],"date-time":"2024-01-09T07:24:58Z","timestamp":1704785098000},"page":"980-992","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Operational status of mental health, substance use, and problem gambling services: A system\u2010level snapshot two years into the COVID\u201019 pandemic"],"prefix":"10.1002","volume":"39","author":[{"given":"Sherry","family":"Hao","sequence":"first","affiliation":[{"name":"MAP Centre for Urban Health Solutions St. Michael's Hospital Unity Health Toronto  Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arthur","family":"McLuhan","sequence":"additional","affiliation":[{"name":"MAP Centre for Urban Health Solutions St. Michael's Hospital Unity Health Toronto  Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gary","family":"Moloney","sequence":"additional","affiliation":[{"name":"MAP Centre for Urban Health Solutions St. Michael's Hospital Unity Health Toronto  Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nerinderjit","family":"Kaur","sequence":"additional","affiliation":[{"name":"ConnexOntario  London Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rahim","family":"Moineddin","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine University of Toronto  Toronto Ontario Canada"},{"name":"ICES  Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nigel E.","family":"Turner","sequence":"additional","affiliation":[{"name":"Centre for Addiction and Mental Health  Toronto Ontario Canada"},{"name":"Dalla Lana School of Public Health University of Toronto  Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0965-1048","authenticated-orcid":false,"given":"Flora I.","family":"Matheson","sequence":"additional","affiliation":[{"name":"MAP Centre for Urban Health Solutions St. Michael's Hospital Unity Health Toronto  Toronto Ontario Canada"},{"name":"ICES  Toronto Ontario Canada"},{"name":"Dalla Lana School of Public Health University of Toronto  Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,1,8]]},"reference":[{"key":"e_1_2_9_2_1","volume-title":"WHO Director\u2010General's Opening Remarks at the Media Briefing on COVID\u201019 \u2010 11 March 2020","year":"2020"},{"key":"e_1_2_9_3_1","first-page":"229","volume-title":"Mental Health: Why it Still Matters in the Midst of a Pandemic","author":"Da Silva AG","year":"2020"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2020.1562"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/add.15080"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/s2468\u20102667(20)30088\u20108"},{"key":"e_1_2_9_7_1","volume-title":"Covid\u201019: We Must Take Urgent Action to Avoid an Increase in Problem Gambling and Gambling Related Harms","author":"Schalkwyk M","year":"2020"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140\u20106736(21)02143\u20107"},{"issue":"1","key":"e_1_2_9_9_1","first-page":"35","article-title":"Addressing the problem of severe underinvestment in mental health and well\u2010being from a human rights perspective","volume":"22","author":"Mahomed F","year":"2020","journal-title":"Health Human Rights"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12954\u2010020\u201000370\u20107"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.2196\/mental.9419"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.54127\/ygpm6406"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/jech\u20102020\u2010214401"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/02699052.2020.1753114"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/s2215\u20100366(21)00025\u20100"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.4309\/sxjy8166"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10899\u2010021\u201010073\u20108"},{"key":"e_1_2_9_18_1","volume-title":"The Impact of COVID\u201019 on Mental, Neurological, and Substance Use Services. 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