Cheryl Forchuk

Cheryl Forchuk
The University of Western Ontario | UWO · Arthur Labatt Family School of Nursing

RN PhD

About

251
Publications
64,581
Reads
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3,117
Citations
Additional affiliations
October 1994 - present
Lawson Health Research Institute
Position
  • Research Assistant

Publications

Publications (251)
Article
Full-text available
Homelessness is a pervasive challenge caused by poverty which continues to grow in economically developed countries, posing significant health impacts (Fazel et al., Lancet, 384: 1529–1540, 2014). While food security related to poverty and low income has been investigated, this review specifically explores the experience of food security during and...
Article
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This study sought to examine the extent to which age at first substance use contributes to later addiction severity and how PTSD affects their relationships. The study enrolled 315 patients from tertiary addiction services in Rwanda. The participants’ mean age at first substance use was 18.64 years (SD = 6.1) old. Age at first substance use had a s...
Article
Smart home technologies present an unprecedented opportunity to improve health and health care by providing greater communication and connectivity with services and care providers and by supporting the daily activities of people managing both mental and physical health problems. Based on our experience from conducting smart technology health studie...
Article
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Background Homelessness is becoming an international public health issue in most developed countries, including Canada. Homelessness is regarded as both political and socioeconomic problems warranting broad and consistent result-oriented approaches. Methods This paper represents the qualitative findings of a project that explored risk factors asso...
Article
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Background People experiencing homelessness face a high risk of SARS-CoV-2 infection and transmission, as well as health complications and death due to COVID-19. Despite being prioritised for receiving the COVID-19 vaccine in many regions, little data are available on vaccine uptake in this vulnerable population. Using population-based health-care...
Article
Homelessness is a significant social issue within Canada but is difficult to quantify at the population level. In this paper, we discuss the development and use of a case ascertainment algorithm that identifies people experiencing homelessness through health administrative data. We highlight the appropriateness of various uses of this method given...
Chapter
This study evaluated a smart technology intervention in the home as a support for individuals with severe mental illness. This study recruited 13 participants in a variety of community-based homes. Participants were offered a smartphone, a touchscreen monitor and health devices such as smartwatches, weigh-scales, and automated medication dispensers...
Article
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The COVID-19 pandemic has disproportionately impacted older adults, particularly those residing in long-term care homes (LTCHs), causing immense loss of life and resulting in overall health declines in LTCH residents. These vulnerable older adults have also experienced extreme loneliness, anxiety and depression. Social connectedness is an important...
Article
Critical ethnography and intersectionality are increasingly engaged in nursing and refugee research. Both approaches study marginalized populations and explore how their daily experiences of inequality and marginalization are influenced by various forms of oppression, power structures, and cultural context. A blended approach of critical ethnograph...
Article
LAY SUMMARY This study sought to evaluate a Housing First program for Veterans experiencing homelessness. Housing First is an approach made up of many different aspects of care including peer support and greater access to care resources within the home. These aspects of care are offered in order to address underlying issues and maintain housing sta...
Article
LAY SUMMARY This two-year study implemented a Housing First approach among homelessness services for Veterans in four cities across Canada (Victoria, Calgary, London, and Toronto). This approach included peer support and harm reduction resources for Veterans. To obtain a detailed evaluation of personal experiences and opinions, focus groups were he...
Article
As we struggle with the impacts of a global pandemic, there is growing evidence of the inequitable impacts of this crisis. In this commentary, we argue that actions on health equity to date have been insufficient despite significant scholarship to guide both practice and policy. To move from talk to action on health equity, we propose the following...
Article
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Background Canada, a key player in global humanitarian affairs is faced with enormous challenges in relation to housing and homelessness. As international migration continues to occur, homelessness among immigrant families is increasing worldwide; a situation that needs urgent attention and action. Purpose We designed this study to explore the nee...
Article
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Abstract The overall objective of this research is to evaluate the use of a mobile health smartphone application (app) to improve the mental health of youth between the ages of 14 and 25 years, with symptoms of anxiety and/or depression. This project includes 122 youth who are accessing outpatient mental health services at one of three hospitals an...
Article
Background: People with a recent history of homelessness are believed to be at high risk of infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and, when infected, complications of coronavirus disease 2019 (COVID-19). We describe and compare testing for SARS-CoV-2, test positivity and hospital admission, receipt of intensiv...
Article
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Objectives Objective 1: To determine if it is feasible to conduct an RCT of online Sudarshan Kriya Yoga (SKY) for frontline hospital and long-term care home staff under the constraints imposed by the COVID-19 pandemic and need for remote trial monitoring. Objective 2: To assess whether online versions of SKY and/or Health Enhancement Program (HEP)...
Article
Clients' perceptions of continuous support during the transition from hospital to the community have been understudied. The present study evaluated clients' perceptions of the benefits and potential adjustments to the implementation of a transitional discharge model (TDM), an intervention for community integration of clients with mental health issu...
Article
There are complex issues surrounding hospital discharge planning for people experiencing homelessness. The issue involves the disconnection across policy areas of housing, income supports and mental health, and later health generally. Different models for different types of communities (large urban, mid-size, small and rural areas) likely need to b...
Article
The concept of brain health has been inconsistently used across disciplines. This concept analysis sought to clarify brain health and construct a unified definition that may lead to consistent use of this concept. The analysis used Walker and Avant's framework to identify scholarly reports on the concept of brain health from various electronic data...
Chapter
Full-text available
The overall objective of this research is to evaluate the use of a mobile health smartphone application (app) to improve the mental health of youth between the ages of 14–25 years, with symptoms of anxiety/depression. This project includes 115 youth who are accessing outpatient mental health services at one of three hospitals and two community agen...
Article
Objective: The aim of this scoping review was to explore what is known about the health seeking behaviors among Syrian refugee women within hospital and community settings. The objectives were to explore health seeking behaviors of Syrian refugee women and highlight specific issues that are important to Syrian refugee women related to seeking for h...
Article
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Background About 1 in 5 youth have a mental illness, with 75 percent of all mental illnesses having their onset in childhood or adolescence (Kim-Cohen et al., 2003). In Ontario, 157,900 youth rated their mental health as fair or poor, a significant increase from 2007 (Boak et al., 2014). Not only do mental health concerns cause difficulties at onse...
Article
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Introduction: In Canada, Veteran homelessness is an increasing concern. It is estimated that approximately 2,950 Veterans experienced homelessness in 2016. Some may also have substance use disorders, which has been linked to loss of housing and homelessness many years after exiting military service. A strategy that facilitates housing stability and...
Article
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Background: Over the last three decades, there has been worldwide recognition of peer support contributions to improve mental healthcare provision. However, in the current literature, little attention has been paid to exploring perspectives of peer supporters on their involvement in mental health services provision. The purpose of the present stud...
Article
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Background Globally, up to 80% of patients enrolled for addiction care are lost to follow-up within the first three months of treatment. This review synthesizes evidence on extrinsic factors that influence motivation for engaging in addiction recovery and corresponding empirical definitions. Methods A systematic search for peer-reviewed articles wa...
Article
The Ontario Disability Support Program (ODSP) is a social assistance program offering income and employment supports for disabled people in Ontario, Canada’s most populous province. Since its inception, the ODSP has been critiqued by policy analysts, service providers, and its recipients as flawed, principally in terms of the amount and the range o...
Article
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Research has demonstrated the benefits of mental healthcare interventions that ensure a safe transition of clients throughout the discharge and community integration process. This paper reports on qualitative data from focus groups with health professionals collected as part of a larger a mixed method study designed to examine the effectiveness and...
Conference Paper
Background Evidence on the contribution of early substance use and high estimates of post-traumatic stress disorders (PTSD) in sub-Saharan Africa (SSA) to later addiction severity is scarce. Aims To examine the extent to which age at first substance use contributes to later addiction severity and how PTSD affects their relationships. Methods The...
Article
Full-text available
Family homelessness is a growing social challenge throughout the developed world. The purpose of this study was to understand the experiences of family homelessness in a mid-sized Canadian city and, particularly, the role that gender plays in these experiences with a primary focus on women. This project was a secondary analysis situated within a cr...
Chapter
Full-text available
The overall objective of this research was to develop and test the use of smart technology in delivering safe, effective mental health services before expanding into community homes. A system was created that linked multiple screen devices such as smartphones and tablets and health monitoring devices with a central secure database for data to be fu...
Article
Full-text available
Objectives To validate case ascertainment algorithms for identifying individuals experiencing homelessness in health administrative databases between 2007 and 2014; and to estimate homelessness prevalence trends in Ontario, Canada, between 2007 and 2016. Design A population-based retrospective validation study. Setting Ontario, Canada, from 2007...
Article
Full-text available
Introduction: The Transitional Discharge Model (TDM) bridges hospital discharge and community living for people receiving psychiatric services. TDM, based on Peplau's theory of interpersonal relations, ensures continued support from hospital staff until a therapeutic relationship is established with community providers, and formal peer support. A...
Article
Transitions in care are vulnerable periods for individuals with mental health illness. A network of therapeutic relationships during transitional period assists in discharge planning and recovery. This study evaluated the cost-effectiveness of the implementation of the transitional discharge model (TDM), an intervention for community integration of...
Article
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Lack of affordable housing, poverty, and intimate partner violence are among the most common reasons for homelessness among mothers and their children in Canada. Mothers experience social exclusion in compounding and debilitating ways. In the literature on social exclusion and health, rarely is safety recognized as a prominent component of social e...
Article
Nurses are vital community advocates and uniquely situated to support mothers experiencing homelessness. The purpose of this study was to examine the multidimensional nature of social exclusion in the lives of mothers experiencing homelessness in Southwestern Ontario. This article reports findings from one segment of a larger study that critically...
Article
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Depression has been identified as the single largest contributor to poor health and functioning worldwide. Global estimates indicate that 4.4% of the world's population lives with depression, equating to about 322 million individuals. Research demonstrates that telehealth interventions (i.e. delivering therapy by phone or videoconferencing) have po...
Article
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Mothering while homeless poses significant barriers in achieving health and unique challenges while parenting without a home. The contextual processes shaping mothers' experiences of social exclusion and homelessness, and the internalized impacts on homeless mothers' lives, are reported on in this article. Critical narrative methodology was employe...
Article
This study describes the meaning of social inclusion to persons living with mental illness and poverty. Participants were recruited from health and social services where they completed the Community Integration Questionnaire (CIQ). From this sample, 46 participants attended one of three focus groups that corresponded with their self-reported CIQ sc...
Article
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Purpose People experiencing homelessness are high-users of hospital care in Canada. To better understand the scope of the issue, and how these patients are discharged from hospital, a national survey of key stakeholders was conducted in 2017. The paper aims to discuss this issue. Design/methodology/approach The Canadian Observatory on Homelessness...
Article
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Objective: Hard to reach populations need to be included in research studies to ensure proper representation of the general population. This paper explores tracking strategies used in the Youth Matters in London project to retain a sample of homeless youth. Method: A total of 187 youth, aged between 16 and 24 years, homeless or precariously hous...
Chapter
The overall objectives of this research were to assess the functionality of iris scanning technology in a community setting and to evaluate the acceptability to shelter clients of using iris scanning as a form of identification. In order to assess the feasibility of implementing iris scanners in a shelter setting, the research team documented the n...
Conference Paper
Background: Globally, up to 80% of patients in addiction care drop out of treatment the first three months following the enrolment. This review synthesizes evidence on extrinsic factors, the person’s social and physical environment, that influence addiction recovery outcomes and empirical definitions used to assess these outcomes. Methods: Using th...
Article
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Background: This article evaluates the experience of students engaged in a participatory action research project. Method: Nursing students were assigned to research activities addressing poverty and social inclusion in the lives of individuals with mental health issues. Focus group interviews were held with 25 students, representing 58.1% of eli...
Article
Background Nursing governing bodies assert that compassion is essential to nursing practice. Despite the relevance compassion has in nursing, and ample theoretical literature, until now, there has been little empirical work conducted to examine the nature of compassion in nursing and how the expression of compassion in nursing practice may be affec...
Chapter
The purpose of this chapter is to give psychiatric/mental health nurses an overview of some of the issues they may need to consider when providing care for people who are homeless. Accordingly, the chapter begins by exploring the nature of the relationship between housing (homelessness) and mental health. It acknowledges how people with mental heal...
Article
Background Homeless youth are the fastest growing sub-group within the homeless population. They face impaired access to health services and are often left unsupported. They lack social and family support or relationships with service providers. Unsupported homeless youth often become homeless adults. Purpose To test a model based on Peplau’s Theo...
Article
Background: Intelligent assistive technologies that complement and extend human abilities have proliferated in recent years. Service robots, home automation equipment, and other digital assistant devices possessing artificial intelligence are forms of assistive technologies that have become popular in society. Older adults (>55 years of age) have...
Research
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Mental health care services in developing countries are severely limited despite the significant proportion of global disease burden arising from mental illness in these countries. Several authors note the need for more mental health specialists, decentralization and community-based care, school based mental health services, availability and afford...
Conference Paper
Full-text available
Abstract Background: The Canadian population aged 65 years or older is expected to grow from 14% in 2010 to 27% by 2050. Recent literature suggests mobile technology offers an opportunity to meet the health care needs of the elderly in the community. Depression is prevalent and strongly associated with poor health outcomes in the elderly and resear...
Article
Full-text available
Housing First (HF) is now an internationally promoted community housing model for long-term homeless individuals who have mental health difficulties including substance abuse issues. This study aimed to understand the perspectives and experiences of service providers and residents associated with the London CAReS program, an HF program currently op...
Article
Full-text available
Substance use is common among homeless and precariously housed youth, yet few longitudinal studies track their usage over time. This paper analyzes data from a study of 187 youth and reports on their substance usage in the preceding month, year, and over their lifetime. The results are compared within the sample by sex and against a sample of simil...
Chapter
The purpose of this chapter is to describe similarities and differences in psychiatric mental health nursing care and standards across diverse global contexts. This chapter is based on the experience of four authors residing in four different countries around the globe. Specifically, sets of psychiatric nursing standards will be examined from diffe...
Article
This article overviews the second phase of a two-phase study which examined experiences of health and social exclusion among mothers experiencing homelessness in Ontario, Canada. A critical discourse analysis was employed to analyze the policy document, Realizing Our Potential: Ontario's Poverty Reduction Strategy, 2014–2019. In nursing, analysis o...
Conference Paper
Depression in older adults is a pervasive and complex issue associated with poor health outcomes (Carter, Rodda & Walker, 2011). TELEPROM-G is a mobile-based TELEmedicine and Patient-Reported Outcome Measurement (PROM) platform designed to enhance delivery of health services among community-based older adults. This one-year pilot study will develop...
Article
The Youth-Mental Health Engagement Network study explored the use of mobile technology to support youth in managing their mental health. The Lawson SMART record (LSR) is a web-based application that allows individuals to create and manage an electronic personal health record (ePHR). Through this record, individuals can store their personal health i...
Article
Full-text available
Background: People experiencing homelessness have some of the highest morbidity rates and lowest age of mortality in Canada yet face many barriers to care, in particular the attitudes of healthcare providers. Objectives: In this critical ethnographic study, power within client–provider relationships in health care with people experiencing homelessn...
Article
The present study aimed to better understand the relationship between mental illness and poverty by comparing three groups of individuals with mental illness in Canada: those who see their financial status as improving, worsening, or staying the same. This study used a focused ethnography approach to collect qualitative data from 34 focus group par...
Conference Paper
Evaluations of technological mental health interventions are often too narrow to support the uptake of such technologies. This report describes the evaluation framework used for a mobile technology study, the Mental Health Engagement Network (MHEN). The framework presented here includes four types of analyses: effectiveness, economic, policy, and e...
Article
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The Mental Health Commission of Canada defines peer support as "a supportive relationship between people who have a lived experience in common … in relation to a mental health challenge or illness … related to their own mental health or that of a loved one" (Sunderland et al. 2013: 11). In Ontario, a key resource for peer support is the Ontario Pee...
Article
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Social determinants of health such as housing and income have a large impact on mental health. Community-based initiatives have worked to address access to housing, prevent homelessness and assist people who are homeless with mental health problems. There have been several large research projects to tease out multiple subgroups such as youth and ve...
Article
The demographic profiles of homeless youth are varied and play an integral role in the experiences these young people have. This article reports on detailed demographic data collected from 187 homeless youth in the Youth Matters in London study, and compares it to demographic profiles of youth in the general Ontario population and with samples of h...
Chapter
Full-text available