The relationship between consultation modality and mental health professional type and perceived quality of care and mental health outcomes: A comparison between employed and unemployed individuals

TL;DR

This study explores how the type of mental health professional and consultation method affect perceived care quality and mental health outcomes among employed and unemployed Canadians.

Contribution

The study identifies specific associations between hybrid consultation services and perceived quality of care for unemployed individuals.

Findings

Unemployed individuals using hybrid psychiatry services were less likely to report lower quality of care compared to in-person services.

Hybrid family doctor services also showed reduced likelihood of lower quality of care reports among unemployed participants.

No significant differences in mental health outcomes were found across consultation types for either employed or unemployed groups.

Abstract

Mental health is becoming increasingly acknowledged as a critical factor to one’s well-being. Poor mental health can have serious impacts, particularly among working and non-working adults, requiring the need for effective treatments and interventions tailored to them. The type of mental health professional consulted and the type of consultation modality may be associated with individuals’ perceptions of the quality of care that they receive as well as their mental health outcomes. Therefore, this study aims to examine the relationship between the type of consultation with different mental health professionals and the perceived quality of care and mental health outcomes among employed and unemployed Canadians. Data was utilized from the 2024 Mental Health and Access to Care Survey by Statistics Canada. Independent variables included the type of mental health professional consulted (psychiatrist, family doctor, psychologist, and social worker) and consultation modality (in-person, remote, and hybrid). Primary outcome variables were self-reported quality of care and perceived mental health outcomes. Multivariable logistic regression models were used to calculate odds ratios and 95% confidence intervals, controlling for age, gender, marital status, and visible minority status. A total of 1,222 participants were analyzed. Unemployed participants who accessed hybrid psychiatry services were significantly less likely, about one-sixth, to report lower quality of care than those using in-person services (AOR: 0.16; 95% CI: 0.02-0.98). Similarly, those who used hybrid family doctor services were less likely, about one-fifth, to report lower quality of care (AOR: 0.21; 95% CI: 0.07-0.66). No statistically significant differences in mental health outcomes were found across consultation modality and professional type for both employed and unemployed groups. By analyzing both the modality of care and the professional consulted, notable differences emerged in self-reported quality of care. Future research should further explore how inter-professional collaboration can improve the quality of care and mental health outcomes.

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