Community
Mental Health Crisis as Canada ranks poorly in access to services
From the Fraser Institute
A new report, Mental Health Care: How is Canada Doing? compares Canada’s mental health services to other countries with universally accessible health care and finds that, despite the Canadian government spending a larger share of health dollars on mental health services, Canada has relatively fewer psychiatric care beds (ranking 22nd out of 28 nations), psychiatrists (ranking 16th out of 28 nations), and psychologists (ranking 15th out of 26 nations) in addition to growing wait times.
Canada ranks 22nd out of 28 countries with universally accessible health care on psychiatric care beds
Canadians endure relatively poor access to mental health services when compared to what is available in other developed nations with universal access health care systems, particularly for psychiatric care beds, psychiatrists and psychologists, finds a new study released today by the Fraser Institute, an independent, non-partisan Canadian public policy think-tank.
“Making better use of limited resources, with a focus on improving the availability of services over time, will be essential to properly address Canada’s mental health care gap,” said Nadeem Esmail, senior fellow at the Fraser Institute and author of Mental Health Care: How is Canada Doing?
The study compares Canada’s mental health services to other countries that, like Canada, have universally accessible health care. It finds that Canada has relatively fewer psychiatric care beds (ranking 22nd out of 28 nations), psychiatrists (ranking 16th out of 28 nations), and psychologists (ranking 15th out of 26 nations). And wait times to access mental health services have grown in Canada from 18.3 weeks in 2003-05 to 24.7 weeks in 2020-22.
The study notes a lack of access to appropriate treatments, low rates of posthospitalization follow up, relatively poor access to care in rural areas, and general practitioner physician preparedness for dealing with mental health conditions and mental illness as shortcomings of the Canadian approach.
“Canada’s relatively poor record on mental health services—and growing wait times—have occurred in spite of Canadian governments spending a larger share of health dollars on mental health services than governments in comparable countries,” Esmail said.
Click here to see the Executive Summary
Click here to read the Full Report
From the Fraser Institute
By Jake Fuss and Grady Munro
There would have been 1.5 million more Canadians who donated to charity in 2023—and $755.5 million more in donations—had Canadians given to the same extent they did 10 years prior
According to recent polling, approximately one in five Canadians have skipped paying a bill over the past year so they can buy groceries. As families are increasingly hard-pressed to make ends meet, this undoubtedly means more and more people must seek out food banks, shelters and other charitable organizations to meet their basic necessities.
And each year, Canadians across the country donate their time and money to charities to help those in need—particularly around the holiday season. Yet at a time when the relatively high cost of living means these organizations need more resources, new data published by the Fraser Institute shows that the level of charitable giving in Canada is actually falling.
Specifically, over the last 10 years (2013 to 2023, the latest year of available data) the share of tax-filers who reported donating to charity fell from 21.9 per cent to 16.8 per cent. And while fewer Canadians are donating to charity, they’re also donating a smaller share of their income—during the same 10-year period, the share of aggregate income donated to charity fell from 0.55 per cent to 0.52 per cent.
To put this decline into perspective, consider this: there would have been 1.5 million more Canadians who donated to charity in 2023—and $755.5 million more in donations—had Canadians given to the same extent they did 10 years prior. Simply put, this long-standing decline in charitable giving in Canada ultimately limits the resources available for charities to help those in need.
On the bright side, despite the worrying long-term trends, the share of aggregate income donated to charity recently increased from 0.50 per cent in 2022 to 0.52 per cent in 2023. While this may seem like a marginal improvement, 0.02 per cent of aggregate income for all Canadians in 2023 was $255.7 million.
The provinces also reflect the national trends. From 2013 to 2023, every province saw a decline in the share of tax-filers donating to charity. These declines ranged from 15.4 per cent in Quebec to 31.4 per cent in Prince Edward Island.
Similarly, almost every province recorded a drop in the share of aggregate income donated to charity, with the largest being the 24.7 per cent decline seen in P.E.I. The only province to buck this trend was Alberta, which saw a 3.9 per cent increase in the share of aggregate income donated over the decade.
Just as Canada as a whole saw a recent improvement in the share of aggregate income donated, so too did many of the provinces. Indeed, seven provinces (except Manitoba, Nova Scotia and Newfoundland and Labrador) saw an increase in the share of aggregate income donated to charity from 2022 to 2023, with the largest increases occurring in Saskatchewan (7.9 per cent) and Alberta (6.7 per cent).
Canadians also volunteer their time to help those in need, yet the latest data show that volunteerism is also on the wane. According to Statistics Canada, the share of Canadians who volunteered (both formally and informally) fell by 8 per cent from 2018 to 2023. And the total numbers of hours volunteered (again, both formal and informal) fell by 18 per cent over that same period.
With many Canadians struggling to make ends meet, food banks, shelters and other charitable organizations play a critical role in providing basic necessities to those in need. Yet charitable giving—which provides resources for these charities—has long been on the decline. Hopefully, we’ll see this trend turn around swiftly.
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