Map of Simcoe Muskoka

Mental Health

Overall Mental Illness

Hospitalizations
Emergency Department Visits
Reasons for Admissions or Visits

This HealthSTATS page provides data on hospital admissions and emergency room visits primarily related to mental illness and related disorders from 2011 to 2015. Hospital admissions to adult mental health beds are primarily recorded in the Ontario Mental Health Reporting System (OMHRS), while hospital admissions among children and youth, and some adult admissions, are reported in the Discharge Abstract Database (DAD). Emergency room visits are reported by the National Ambulatory Care Reporting System (NACRS).

To find out more about access to mental health resources, please visit our addictions and mental health community resources page.

Hospitalizations

From 2011 to 2015, there were, on average, 3,100 mental illness-related hospitalizations per year among Simcoe Muskoka residents. In 2015, an age-standardized rate of 627 (606.2, 649.0) mental illness hospital admissions per 100,000 persons was reported in Simcoe Muskoka, which is significantly higher than the provincial rate in 2015 of 486 (482.3, 489.7). A significant increase in mental illness-related hospitalizations was observed across the province as a whole, but no change was evident in Simcoe Muskoka.

Significantly higher rates were observed in women than in men in Simcoe Muskoka and overall.

MIAll_Hosp_AgeStd_2011to2015_20180524

The highest rate of hospitalizations among Simcoe Muskoka residents was reported among adults aged 20-44 years, with 749 (730.4, 768.0) hospital admissions per year per 100,000 adults 20-44 years of age in 2011 to 2015. The lowest age-specific hospitalization rate was observed in older adults, aged 65-74 years, with 394 (370.5, 419.4) admissions per 100,000 adults aged 65-74 years. Age-specific hospitalization rates for mental illness in Simcoe Muskoka differed significantly from the provincial trend, where the highest rate was observed among adults 75+, and the lowest rate was observed in children and youth under 20 years of age.

MIAll_Hosp_AgeSpec_20180524

Emergency Department Visits

From 2011 to 2015, the annual number of mental illness-related emergency room visits among Simcoe Muskoka residents rose from about 8,000 in 2011 to over 10,000 in 2015. A similar increase in the total number of mental illness-related emergency department visits was reported for Ontario as a whole.

The age-standardized rate for mental illness-related visits among Simcoe Muskoka residents in 2015 was 2,073 (2,034.1, 2,112.3) visits per 100,000 population. This was significantly higher than the provincial rate of 1,890 (1,882.6, 1897.2) visits per 100,000 population.

MIAll_ED_AgeStd2011to2015_20180524

Simcoe Muskoka women had significantly higher age-standardized rates of mental illness-related emergency department visits than men, with 1,917 (1,893.5, 1,947.4) visits per 100,000 women, compared to 1,787 (1,763.7, 1,810.0) visits per 100,000 males. This is opposite of the Ontario trend, where significantly higher age-standardized rates were observed in males. The rate of emergency department visits among Simcoe Muskoka women was also significantly higher than the provincial average of 1,692 (1,687.3, 1,696.1) visits per 100,000 women.

MIAll_ED_AgeStdbyGender_20180524

The age-specific rate of emergency department visits related to mental illness was highest among adults aged 20 to 44 years, with 2,697 (2,661.4, 2,732.6) visits per 100,000 Simcoe Muskoka residents in this age group. The lowest rate of mental illness-related emergency department visits in Simcoe Muskoka occurred in older adults, with 840 (805.0, 876.1) visits per 100,000 persons in the 65 to 74 year age group. Significantly higher rates of emergency room visits for mental illness occurred in youth (<1 to 19 years) and adults (20 to 44 years) compared to provincial age-specific rates.

MIAll_ED_AgeSpec_20180524

Reasons for Admissions or Visit

Nearly one third (31%) of all mental illness-related hospitalizations were related to mood disorders such as major depressive disorder or bipolar disorder, followed by substance-related (other than overdose) admissions (17%). Looking at specific diagnostic codes by age group shows the most common admissions among youth are for severe depressive episodes, while in adults 65-74 and 75+ delirium is the most commonly identified diagnosis. In adults 20 to 44, the most common diagnosis is for paranoid-type schizophrenia, and among those 45-64, alcohol withdrawal state was the most common diagnosis among Simcoe Muskoka residents.

MIAll_Hosp_Pie_20112015_20180524

Among emergency department visits related to mental illness, anxiety disorders were identified as the most probable diagnosis in over one third (38%) of visits, followed by substance-related (other than acute overdose) visits (22%) and mood disorders (17%). The most common diagnoses in Simcoe Muskoka residents were unspecified anxiety disorder, unspecified depressive episode, acute stress reaction and acute intoxication and harmful use of alcohol. Among children and youth (ages <1 to 19), acute stress reaction was the most commonly diagnosed reason for mental illness-related emergency room visits, while unspecified anxiety disorder was the most common diagnosis in all other age groups.

MIAll_ED_Pie_20112015_20180524

Note

The specific diagnostic codes used to identify mental illness-related hospital admissions and emergency department visits are presented on the OMHRS data source page .