Canadian response to need for transformation of youth mental health services: ACCESS Open Minds (Esprits ouverts).
Adolescent
Canada
Child
Delivery of Health Care
/ organization & administration
Female
Health Services Accessibility
/ organization & administration
Health Services Needs and Demand
/ organization & administration
Humans
Male
Mental Disorders
/ diagnosis
Mental Health Services
/ organization & administration
Outcome and Process Assessment, Health Care
Substance-Related Disorders
/ diagnosis
Young Adult
community psychiatry
early intervention
patient oriented research
service transformation
youth mental health
Journal
Early intervention in psychiatry
ISSN: 1751-7893
Titre abrégé: Early Interv Psychiatry
Pays: Australia
ID NLM: 101320027
Informations de publication
Date de publication:
06 2019
06 2019
Historique:
received:
23
03
2018
revised:
18
10
2018
accepted:
04
11
2018
pubmed:
18
12
2018
medline:
18
12
2019
entrez:
18
12
2018
Statut:
ppublish
Résumé
Youth mental health is of paramount significance to society globally. Given early onset of mental disorders and the inadequate access to appropriate services, a meaningful service transformation, based on globally recognized principles, is necessary. The aim of this paper is to describe a national Canadian project designed to achieve transformation of mental health services and to evaluate the impact of such transformation on individual and system related outcomes. We describe a model for transformation of services for youth with mental health and substance abuse problems across 14 geographically, linguistically and culturally diverse sites, including large and small urban, rural, First Nations and Inuit communities as well as homeless youth and a post-secondary educational setting. The principles guiding service transformation and objectives are identical across all sites but the method to achieve them varies depending on prevailing resources, culture, geography and the population to be served and how each community can best utilize the extra resources for transformation. Each site is engaged in community mapping of services followed by training, active stakeholder engagement with youth and families, early case identification initiatives, providing rapid access (within 72 hours) to an assessment of the presenting problems, facilitating connection to an appropriate service within 30 days (if required) with no transition based on age within the 11 to 25 age group and a structured evaluation to track outcomes over the period of the study. Service transformation that is likely to achieve substantial change involves very detailed and carefully orchestrated processes guided by a set of values, principles, clear objectives, training and evaluation. The evidence gathered from this project can form the basis for scaling up youth mental health services in Canada across a variety of environments.
Identifiants
pubmed: 30556335
doi: 10.1111/eip.12772
pmc: PMC6563151
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
697-706Subventions
Organisme : CIHR
ID : 01308-000
Pays : Canada
Informations de copyright
© 2018 The Authors Early Intervention in Psychiatry Published by John Wiley & Sons Australia, Ltd.
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