{"id":{"repo_id":"uwo","oai_identifier":"oai:uwo.scholaris.ca:20.500.14721/30805"},"canonical_url":"https://search.dev.ndltd.org/etd/uwo/oai:uwo.scholaris.ca:20.500.14721/30805","repository":{"repo_id":"uwo","name":"Western University","base_url":"https://uwo.scholaris.ca/server/oai/request"},"display":{"title":"The Dual Continua Model of Mental Health and Mental Health Emergency Department Visits for Adolescents and Emerging Adults","abstract":"The dual continua model of mental health posits that mental illness and mental well-being exist on distinct but related dimensions, offering a holistic framework for understanding one’s mental health. This study examined the relationship between mental health status, defined by the dual continua model, and odds of mental health-related emergency department (ED) visits over three years among adolescents and emerging adults in Ontario and Alberta. Furthermore, the moderating role of unmet mental health care needs was explored. Linked survey and administrative data were used to implement a longitudinal cohort study design. Results suggest mental health status was associated with ED visits, but not once covariates were accounted for. There was no evidence for moderation by unmet mental health care needs. Prior mental health ED visits and residing in Ontario were significantly associated with ED visits. Further research is recommended to investigate the nature of this relationship.","abstract_html":"The dual continua model of mental health posits that mental illness and mental well-being exist on distinct but related dimensions, offering a holistic framework for understanding one’s mental health. This study examined the relationship between mental health status, defined by the dual continua model, and odds of mental health-related emergency department (ED) visits over three years among adolescents and emerging adults in Ontario and Alberta. Furthermore, the moderating role of unmet mental health care needs was explored. Linked survey and administrative data were used to implement a longitudinal cohort study design. Results suggest mental health status was associated with ED visits, but not once covariates were accounted for. There was no evidence for moderation by unmet mental health care needs. Prior mental health ED visits and residing in Ontario were significantly associated with ED visits. Further research is recommended to investigate the nature of this relationship.","abstract_has_math":false,"creators":["Hira, Veena L"],"institution":"The University of Western Ontario","degree_name":"M Sc","degree_level":null,"degree_discipline":"Epidemiology and Biostatistics","degree_department":null,"school":null,"contributors":[],"advisors":["Wilk, Piotr"],"committee_chairs":[],"committee_members":[],"year":2025,"date_issued":"2025-03-25","date_published":"2025-03-25","updated_at":"2026-07-27T21:55:56Z","subjects":["Dual Continua Model of Mental Health","Positive Mental Health","Mental Illness","Unmet Mental Healthcare Need","Emergency Department Visits","Canadian Community Health Survey"],"languages":["en_ca"],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://hdl.handle.net/20.500.14721/30805","outbound_label":"Handle","outbound_source":"dc:identifier.uri"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.advisor","label":"Advisor","values":["Wilk, Piotr"]},{"key":"dc:creator","label":"Author","values":["Hira, Veena L"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.accessioned","label":"Dc Date Accessioned","values":["2025-07-10T18:45:42Z"]},{"key":"dc:date.available","label":"Dc Date Available","values":["2025-07-10T18:45:42Z"]},{"key":"dc:date.issued","label":"Date","values":["2025-03-25"]},{"key":"dc:publisher","label":"Institution","values":["The University of Western Ontario"]},{"key":"dc:type","label":"Dc Type","values":["thesis"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["Epidemiology and Biostatistics"]},{"key":"thesis:degree_name","label":"Degree Name","values":["M Sc"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Dual Continua Model of Mental Health","Positive Mental Health","Mental Illness","Unmet Mental Healthcare Need","Emergency Department Visits","Canadian Community Health Survey"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language.iso","label":"Language (ISO)","values":["en_ca"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier.uri","label":"Identifier URI","values":["https://hdl.handle.net/20.500.14721/30805"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description","label":"Description","values":["The thesis cover page in the PDF document includes references to Western University’s previous institutional repository platform, known as Scholarship@Western, and links to that platform (beginning with ir.lib.uwo.ca). In citing or referring to this thesis, use the DOI or handle from this page instead. Sample citation: Author name, \"Thesis title.\" (Year). Western University Open Repository. https://doi.org/10.71858/123456."]},{"key":"dc:description.abstract","label":"Abstract","values":["The dual continua model of mental health posits that mental illness and mental well-being exist on distinct but related dimensions, offering a holistic framework for understanding one’s mental health. This study examined the relationship between mental health status, defined by the dual continua model, and odds of mental health-related emergency department (ED) visits over three years among adolescents and emerging adults in Ontario and Alberta. Furthermore, the moderating role of unmet mental health care needs was explored. Linked survey and administrative data were used to implement a longitudinal cohort study design. Results suggest mental health status was associated with ED visits, but not once covariates were accounted for. There was no evidence for moderation by unmet mental health care needs. Prior mental health ED visits and residing in Ontario were significantly associated with ED visits. Further research is recommended to investigate the nature of this relationship."]},{"key":"dc:title","label":"Title","values":["The Dual Continua Model of Mental Health and Mental Health Emergency Department Visits for Adolescents and Emerging Adults"]}]}],"canonical_facts":{"dc:contributor.advisor":["Wilk, Piotr"],"dc:creator":["Hira, Veena L"],"dc:date.accessioned":["2025-07-10T18:45:42Z"],"dc:date.available":["2025-07-10T18:45:42Z"],"dc:date.issued":["2025-03-25"],"dc:description":["The thesis cover page in the PDF document includes references to Western University’s previous institutional repository platform, known as Scholarship@Western, and links to that platform (beginning with ir.lib.uwo.ca). In citing or referring to this thesis, use the DOI or handle from this page instead. Sample citation: Author name, \"Thesis title.\" (Year). Western University Open Repository. https://doi.org/10.71858/123456."],"dc:description.abstract":["The dual continua model of mental health posits that mental illness and mental well-being exist on distinct but related dimensions, offering a holistic framework for understanding one’s mental health. This study examined the relationship between mental health status, defined by the dual continua model, and odds of mental health-related emergency department (ED) visits over three years among adolescents and emerging adults in Ontario and Alberta. Furthermore, the moderating role of unmet mental health care needs was explored. Linked survey and administrative data were used to implement a longitudinal cohort study design. Results suggest mental health status was associated with ED visits, but not once covariates were accounted for. There was no evidence for moderation by unmet mental health care needs. Prior mental health ED visits and residing in Ontario were significantly associated with ED visits. Further research is recommended to investigate the nature of this relationship."],"dc:identifier.uri":["https://hdl.handle.net/20.500.14721/30805"],"dc:language.iso":["en_ca"],"dc:publisher":["The University of Western Ontario"],"dc:subject":["Dual Continua Model of Mental Health","Positive Mental Health","Mental Illness","Unmet Mental Healthcare Need","Emergency Department Visits","Canadian Community Health Survey"],"dc:title":["The Dual Continua Model of Mental Health and Mental Health Emergency Department Visits for Adolescents and Emerging Adults"],"dc:type":["thesis"],"thesis:degree_discipline":["Epidemiology and Biostatistics"],"thesis:degree_name":["M Sc"]},"updated_at":"2026-07-27T21:55:56Z"}