{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T13:13:00Z","timestamp":1788959580513,"version":"build-2803163510"},"reference-count":41,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T00:00:00Z","timestamp":1788912000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Can. J. Aging"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S0714980826100816_sec25\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Older adults with mental health (MH) issues often struggle to navigate a complex and fragmented healthcare system, leading to poorer outcomes. To address this, an acute care hospital in Ontario partnered with a community agency to develop an innovative MH Patient Navigation Program supporting older adults across the care continuum. Two Occupational Therapists were hired as Navigators.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0714980826100816_sec26\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>A patient-tracking tool was codesigned to document patient characteristics, provided supports, and outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0714980826100816_sec27\" sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using a cohort observational design, data were analyzed to describe patient demographics, referral reasons, complexity, navigator interventions, scope of practice, and program impact.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0714980826100816_sec28\">\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>Patients were mostly female (58.5%) with a mean age of 71.7\u00a0years. Common MH conditions included mood disorders (31.4%), substance misuse (21.6%), anxiety (13.7%), and psychotic disorders (11.8%), with 41.1 per cent having a secondary MH condition. Navigators delivered multifaceted supports, with navigation, counselling, and home safety being most common.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0714980826100816_sec29\" sec-type=\"discussion\">\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Findings highlight program value and areas for refinement.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s0714980826100816","type":"journal-article","created":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T13:05:25Z","timestamp":1788959125000},"page":"1-8","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["A Mental Health Care Navigation Program for Older Adults: Scope of Practice and Patient Outcomes"],"prefix":"10.1017","author":[{"given":"Marina","family":"Motsenok","sequence":"first","affiliation":[{"name":"Sunnybrook Research 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European Observatory on Health Systems and Policies \u00a9 World Health Organization 2022 (acting as the host organization for, and secretariat of, the European Observatory on Health Systems and Policies)."},{"key":"S0714980826100816_r15","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-024-11549-0"},{"key":"S0714980826100816_r3","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/58.3.M249"},{"key":"S0714980826100816_r24","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnab146"},{"key":"S0714980826100816_r8","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-022-01245-0"},{"key":"S0714980826100816_r10","doi-asserted-by":"publisher","DOI":"10.1207\/s15430154jce2101s_4"},{"key":"S0714980826100816_r1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2019.4782"},{"key":"S0714980826100816_r2","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-017-2719-9"},{"key":"S0714980826100816_r17","doi-asserted-by":"publisher","DOI":"10.1177\/11786329211033267"},{"key":"S0714980826100816_r30","doi-asserted-by":"publisher","DOI":"10.1111\/inr.12629"},{"key":"S0714980826100816_r33","doi-asserted-by":"publisher","DOI":"10.1002\/psp.2269"},{"key":"S0714980826100816_r21","doi-asserted-by":"publisher","DOI":"10.1097\/PRA.0000000000000491"},{"key":"S0714980826100816_r32","doi-asserted-by":"publisher","DOI":"10.5770\/cgj.25.532"},{"key":"S0714980826100816_r11","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.26262"}],"container-title":["Canadian Journal on Aging \/ La Revue canadienne du vieillissement"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0714980826100816","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T13:05:31Z","timestamp":1788959131000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0714980826100816\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,9]]},"references-count":41,"alternative-id":["S0714980826100816"],"URL":"https:\/\/doi.org\/10.1017\/s0714980826100816","relation":{},"ISSN":["0714-9808","1710-1107"],"issn-type":[{"value":"0714-9808","type":"print"},{"value":"1710-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,9]]},"assertion":[{"value":"\u00a9 The Author(s), 2026. Published by Cambridge University Press on behalf of The Canadian Association on Gerontology","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}