The leading cause of disability in Canada is mental health and addiction illnesses. Statistics Canada reported that 5.3 million people in Canada stated that they had a need for mental health services in the previous year and about half of those seeking help had their needs either partially met or not met at all. In addition, only 35-50% of individuals afflicted by these illnesses receive care. Some studies have found that Francophones living in Canada may have poorer health outcomes compared to other Canadians however research is sparse and findings are not consistent due to different mental health indicators, different provinces, and the time period in which the study was conducted. Significant gaps are present when trying to access services or information on mental health and substance abuse including lack of support, stigma, culture, and cost of services. These gaps may also be greater for francophones in Canada. A virtual assistant named MIRA has been developed by the Mood Disorder Society of Canada and the University of Alberta to help navigate the Canadian mental healthcare system and reduce the barriers to receiving care. MIRA is unique because it does not offer therapeutic services however it directs individuals to the appropriate resources for their needs. MIRA is publicly available, accessible, and utilizes machine learning to improve services and protect user privacy. Interaction with MIRA is very user friendly as users are asked a few simple questions before being referred to resources. Resources within MIRA have been submitted by users, developers, and volunteers, and have been reviewed by our expert advisory committee to ensure accurate information and appropriate resources are being provided. To be accessible to more Canadians, MIRA is being expanded to also serve francophones. Development of the French version of MIRA began with translation of the conversational script of the virtual assistant, followed by the recruitment of French speaking volunteers with varying experiences within the mental healthcare system, or lived experience with mental health or substance abuse illnesses. Volunteers continue to help with the identification and adding appropriate resources into the MIRA library. Further progress will involve the collection of data from surveys and focus groups to obtain crucial stakeholder feedback and assess the current acceptability and efficacy of MIRA, and better understand the perspectives of francophones in relation to navigating the mental healthcare system. MIRA is among the first digital navigational tools in Canada to offer information and services in French and English. Results from this research can be used to develop a framework on how to implement digital navigational tools for different cultural groups, and could also be transferable in navigating the whole Canadian healthcare system.
