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<p>Co-occurring mental and chronic physical health conditions (CMPHC) are associated with greater functional impairment, poorer physical health, reduced quality of life, and increased mortality, with affected individuals living an estimated 10–20 years less than the general population. However, the specific unmet health and social needs of community mental health service users living with CMPHC remain unexplored. This study examined sociodemographic, diagnostic, service use, and need factors associated with CMPHC among community mental health service users.&#xa0;Secondary analysis of clinical data from 16,726 individuals enrolled in case management programs in Ontario, Canada, was conducted in this cross-sectional study. Data were collected between January 1, 2017, and December 31, 2022, using the Ontario Common Assessment of Need (OCAN) during routine clinical assessments by trained mental health professionals.&#xa0;Overall, 20.1% of clients had CMPHC. Older age showed the strongest association (AOR = 6.69 for age 65 + versus &lt; 25), followed by unmet physical health needs (AOR = 2.29). Marital status, living arrangements, and socioeconomic factors including employment, education and income sources were also significantly associated. Primary care attachment, depressive disorders, “other” mental health diagnoses, and unmet food needs were independently associated with higher odds of CMPHC.&#xa0;CMPHC is common among community mental health service users and is independently associated with unmet physical health needs and socioeconomic disadvantage. These findings underscore the importance of systematically identifying CMPHC and suggest the need for service models that strengthen coordination between physical and mental health care while addressing the social determinants of health within community-based settings.</p>

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Assessing the Needs of Community Mental Health Service Users with Chronic Physical Health Conditions: A Cross-Sectional Study

  • 期刊论文

  • 发表日期：

    2026年4月29日

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  • Stefaniia Martsynkevych,
  • Kamalpreet Rakhra,
  • Jerome Iruthayarajah,
  • Vicky Stergiopoulos,
  • Rachelle Ashcroft,
  • Frank Sirotich

摘要

Co-occurring mental and chronic physical health conditions (CMPHC) are associated with greater functional impairment, poorer physical health, reduced quality of life, and increased mortality, with affected individuals living an estimated 10–20 years less than the general population. However, the specific unmet health and social needs of community mental health service users living with CMPHC remain unexplored. This study examined sociodemographic, diagnostic, service use, and need factors associated with CMPHC among community mental health service users. Secondary analysis of clinical data from 16,726 individuals enrolled in case management programs in Ontario, Canada, was conducted in this cross-sectional study. Data were collected between January 1, 2017, and December 31, 2022, using the Ontario Common Assessment of Need (OCAN) during routine clinical assessments by trained mental health professionals. Overall, 20.1% of clients had CMPHC. Older age showed the strongest association (AOR = 6.69 for age 65 + versus < 25), followed by unmet physical health needs (AOR = 2.29). Marital status, living arrangements, and socioeconomic factors including employment, education and income sources were also significantly associated. Primary care attachment, depressive disorders, “other” mental health diagnoses, and unmet food needs were independently associated with higher odds of CMPHC. CMPHC is common among community mental health service users and is independently associated with unmet physical health needs and socioeconomic disadvantage. These findings underscore the importance of systematically identifying CMPHC and suggest the need for service models that strengthen coordination between physical and mental health care while addressing the social determinants of health within community-based settings.