Publications

These are select articles published by the Family Navigation Project as well as conference presentations by the Family Navigation Project:
- Markoulakis R, Cader H, Wong K, Kodeeswaran S, Addison T, Walsh C, Charles J, Cheung A, Sur D, Willis D, Levitt A. (2025). Experiences of barriers and facilitators in mental health care transitions: A qualitative exploration of perspectives from transitional-aged youth, family, and service providers (Part 1). Health Care Transitions, 3, 10087.
- Markoulakis R, Cader H., Wong K., Kodeeswaran S, Addison T, Walsh C, Charles J, Cheung A, Sur D, Willis D, Levitt A. (2025). The role of navigation services in supporting mental health and addictions care transitions: A qualitative exploration of perspectives from transitional-aged youth, family, and service providers (Part 2). Health Care Transitions, 3, 100082.
- Markoulakis R, Levitt A. (2024). Navigating Youth Mental Health and Addictions Care in the Context of the COVID-19 Pandemic. In Rajendram, R., Preedy, V., Patel, V., Martin, C. (Eds.) Linking Neuroscience and Behaviour in COVID-19. ELSEVIER Publishing.
- *Chang O, Levitt, A, Khalid M, Kodeeswaran S, Markoulakis R. The Prevalence and Predictors of Mental Health and Addiction Concerns during the COVID-19 Pandemic in Ontario, Canada: A Cross-Sectional Study. PLOS ONE. 2024 Jun;19(6):e0305229.
- *Chiang M, Markoulakis R, Khalid M, Kodeeswaran S, Levitt, A. Impact of the COVID-19 Pandemic on Perceived Changes in Child and Youth Caregiving Responsibilities among Ontario Adults. BJPsych Open. 2024 Jan;10(1):e35. (Trainee publication, summer student). Co-author.
- Levitt E, Markoulakis R, Weingust S, Dobbin K, Levitt A. Predictors of Burden in Families of Youth Experiencing Mental Health and/or Addiction Concerns in Ontario, Canada. Canadian Journal of Community Mental Health. 2024 Jan;42(4):49-62.
- Young A, Levitt A, Kodeeswaran S, Markoulakis R. “Just because we’re younger doesn’t mean our opinions should be any less valued”: A Qualitative Study of Youth Perspectives on a Youth Advisory Council in a Mental Health Care Context. Health Expectations. 2023 Oct;26(5):1883-1894.
- *Wong R, Podolsky A, Levitt A, Da Silva A, Kodeeswaran S, Markoulakis R. A qualitative exploration of Ontario caregivers’ perspectives of their role in navigating mental health and/or addiction services for their youth. Journal of Behavioral Health Services and Research. 2023 Oct;50:486-499.
- Markoulakis R, Cader H, Chan S, Kodeeswaran S, Addison T, Walsh C, Cheung A, Charles J, Sur D, Scarpitti M, Willis D, Levitt, A. Transitions in mental health and addiction care for youth and their families: a scoping review of needs, barriers, and facilitators. BMC Health Services Research. 2023 May;23(1):470.
- Kourgiantakis T, Markoulakis R, Lee E, Hussain A, Lau, C, Ashcroft, R, Goldstein A, Kodeeswaran S, Williams CC, Levitt A. Access to mental health and addiction services for youth and their families in Ontario: perspectives of parents, youth, and service providers. International Journal of Mental Health Systems. 2023 Mar;17(1):4.
- Chan S, Markoulakis R, Levitt, A. Predictors of barriers to accessing youth mental health and/or addiction care. Journal of the Canadian Academy of Child and Adolescent Psychiatry. 2023 Feb;32(1):27-37.
- Kokorelias K, Markoulakis R, Hitzig S. Considering a Need for Dementia-Specific, Family-Centered Patient Navigation in Canada. Journal of Applied Gerontology. 2023 Jan;42(1):19-27.
- *Mullen J, Levitt A, Markoulakis R. Supporting individuals with mental illness and/or addictions through Navigation services: A scoping review. Community Mental Health Journal. 2023 Jan;59(1):35-56.
- Kourgiantakis T, Markoulakis R, Hussain A, Lee E, Ashcroft, R, Williams CC, Lau C, Goldstein A, Kodeeswaran S, Levitt A. Navigating inequities in the delivery of youth mental health care during the COVID-19 pandemic: Perspectives of youth, families, and service providers. Canadian Journal of Public Health. 2022 Dec;113(6):806-816.
- Markoulakis R, Arora SRA, Kodeeswaran S, Di Febo M, Kuuter L, Fleming J, Walsh C, Hauser A, Cleverley K, Hitzig S, Kokorelias K, Cheung A, Willis D, Levitt, A. Navigation for youth mental health and addictions: Protocol for a realist review and synthesis of approaches and practices (the NavMAP standards project). BMJ Open. 2022 Nov;12(11):e068211.
- *Ceccacci A, Markoulakis R, Levitt, A. Factors associated with symptom severity in Canadian youth with mental health and/or addictions concerns accessing service navigation. Health and Social Care in the Community. 2022 Nov;30(6):e5125-e5134. (Trainee publication, summer student).
- Markoulakis R, Khalid M, Da Silva A, Kodeeswaran S, Sinyor M, Cheung A, Redelmeier D, MacKillop J, Scarpitti M, Laird H, Foot J, Levitt A. Cross-sectional survey of the Mental health and Addictions effects, Service impacts and Care needs of children, youth and families during the COVID-19 pandemic: the COVID-19 MASC study protocol. BMJ Open. 2022 Oct;12(10):e066190.
- Markoulakis R, *Bowles K, Chan S, Weingust, S, Dobbin K, Levitt A. Changes in Perception of Caregiving Experience Following Caregiver Peer Support Within a Mental Health and Addictions Navigation Service. Community Mental Health Journal. 2022 May;58(4):740-748.
- Markoulakis R, Da Silva A, Kodeeswaran S, Levitt, A. Youth mental health and/or addiction concerns and service needs during the COVID-19 pandemic: Caregiver experiences and perspectives. BMC Child and Adolescent Psychiatry and Mental Health. 2022 May;16(1):35.
- *Song K, Markoulakis R, Levitt, A. Predictors of strain for Canadian caregivers seeking service navigation for their youth with mental health and/or addictions issues. Health and Social Care in the Community. 2022 Feb;30(2):735-743.
- Markoulakis R, Luke A, Reid A, Mehra K, Levitt A, Doucet S. Proceedings of the inaugural Canadian Healthcare Navigation Conference: A forum for sharing innovations and best practices in navigation services. BMC Proceedings. 2021 Nov;15(Suppl 16):24.
- Markoulakis R, Levitt A. Considerations in Developing a Feasibility Study of a Mixed-Methods Pragmatic Randomized Controlled Trial of Navigation for Youth with Mental Health and/or Addictions Concerns and their Families. Sage Research Methods Cases: Medicine and Health Part 2. 2020. Available from: https://dx.doi.org/10.4135/9781529742923
- *Bowles K, Markoulakis R, Weingust S Levitt, A. Family and youth mental health needs and outcomes in a navigation service: A retrospective chart review. Journal of the Canadian Academy of Child and Adolescent Psychiatry. 2020 Nov;29(4), 218-228.
- Markoulakis R, Chan S, Levitt A. The needs and service preferences of families with youth with mental health and/or addictions concerns. BMC Psychiatry. 2020 Aug;20, 409. https://doi.org/10.1186/s12888-020-02801-y
- Markoulakis R, Chan S, Levitt A. Identifying the key outcomes of Navigation services for youth with mental health and/or addictions issues and their families: A Delphi study. BMC Health Services Research. 2019 Feb;19,137. Available from: https://doi.org/10.1186/s12913-019-3968-6
- Markoulakis R, Turner M, Wicik K, Weingust S, Dobbin K, Levitt A. Exploring peer support needs of caregivers for youth with mental illness or addictions concerns in Family Navigation services. Community Mental Health Journal. 2018 Jul;54(5), 555-561. Available from: https://doi.org/10.1007/s10597-017-0191-y
- *Fishman K, Levitt A, Markoulakis R, Weingust S. Satisfaction with mental health navigation services: Evaluation with a new scale. Community Mental Health Journal. 2018 Jul;54(5), 521-532. Available from: https://doi.org/10.1007/s10597-017-0201-0
- Markoulakis R, Levitt A, Weingust S, Foot J. The Family Navigation Project: An innovation in working with families to match mental health services with their youth’s needs. Canadian Journal of Community Mental Health. 2016 Feb;35(1),63-66. Available from: https://doi.org/10.7870/cjcmh-2016-026