Integrated collaborative care teams to enhance service delivery to youth with mental health and substance use challenges: protocol for a pragmatic randomised controlled trial

Henderson, Joanna; Cheung, Amy; Cleverley, Kristin; Chaim, Gloria; Moretti, Myla E; Oliveira, Claire de; Hawke, Lisa D.; Willan, Andrew R.; O’Brien, David G.; Heffernan, Olivia; Herzog, Tyson; Courey, Lynn; McDonald, Heather; Grant, Enid; Szatmári, Péter

doi:10.1136/bmjopen-2016-014080

Cited by 74 publications

(115 citation statements)

References 47 publications

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“…There is a general consensus that the current youth services system in Canada is fragmented [12345]. Researchers have identified that fragmentation of services is largely an issue related to program models failing to take context into account [3] as well as placing a focus on problems [1], and the overemphasis on siloed specialized services [13].…”

Section: Introductionmentioning

confidence: 99%

“…Researchers have identified that fragmentation of services is largely an issue related to program models failing to take context into account [3] as well as placing a focus on problems [1], and the overemphasis on siloed specialized services [13]. The historic and current approach takes an artificially segmented perspective of developing individuals.…”

Section: Introductionmentioning

confidence: 99%

“…The historic and current approach takes an artificially segmented perspective of developing individuals. Experts within youth development and mental health have recommended that the service system be enhanced through integration, consideration of context, and inclusion of individual voice [3467]. Henderson and colleagues [3] warn that the system “needs transformative change that simultaneously addresses all system levels and meaningfully integrates youth and family members.” [p. 2].…”

Section: Introductionmentioning

confidence: 99%

“…Experts within youth development and mental health have recommended that the service system be enhanced through integration, consideration of context, and inclusion of individual voice [3467]. Henderson and colleagues [3] warn that the system “needs transformative change that simultaneously addresses all system levels and meaningfully integrates youth and family members.” [p. 2]. Many recent advancements in system transformation have benefited significantly from innovations developed through practice-based insights and client lived experience, however there continues to be a need to examine these strategies using theoretical knowledge.…”

Section: Introductionmentioning

confidence: 99%

“…“Integrated youth service” [IYS] is an approach that was developed in response to a lack of access and coordination of services and has been specifically recommended for application in youth populations [3]. Although eligibility criteria vary across programs, typically client ages range from 12–25.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Examining Integrated Youth Services Using the Bioecological Model: Alignments and Opportunities

Halsall¹,

Manion²,

Henderson

2018

International Journal of Integrated Care

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Integrated youth service (IYS) is a collaborative approach that brings practitioners together from across disciplines to provide comprehensive services including mental health care for youth and their families. IYS models serve as an advancement in practice as they go beyond the capacity of individual programs and services to reduce the fragmentation of care. Yet, there continue to be opportunities to expand on this perspective and promote health beyond the scope of formalized services. The bioecological model is a theoretical model that examines individual development within multiple systems of influence as well as through interactional processes between the individual and their environment. This paper provides an overview of the bioecological model and the major components of the IYS model, describing alignment and complementarity. The bioecological model provides some explanations for why IYS models may be effective and helps to provide direction to expand applied practice toward a more holistic perspective.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Examining Integrated Youth Services Using the Bioecological Model: Alignments and Opportunities

Halsall¹,

Manion²,

Henderson

2018

International Journal of Integrated Care

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Predicting Functional Outcomes in Early-Stage Mental Illness

Voineskos

2018

JAMA Psychiatry

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Nearly 75% of mental health conditions begin before the age of 25 years. The disability associated with mental health problems is well established, with depression as the leading cause worldwide. In youth and emerging adults, the top causes of disability in Organisation for Economic Co-operation and Development countries are primarily disorders of mental health, including those that typically present with a first episode of psychosis, such as schizophrenia and bipolar disorder. A clinically useful prediction algorithm that is able to inform functioning (a major determinant of disability) in early phases of these disorders might be tremendously useful.The study by Koutsouleris et al 1 in this issue of JAMA Psychiatry is a bold, brave, yet pragmatic attempt to assess the accuracy and utility of predictive models in youth and emerging adults based on clinical data, neuroimaging data, or their combination for both role functioning and social functioning. In any multicenter or multisite study, prospective rather than retrospective efforts go a long way toward design, quality, data aggregation, and general rigor, informing results and conclusions. The success of studies combining clinical, cognitive, and imaging data from the general population, such as the Philadelphia Neurodevelopmental Cohort and Adolescent Brain Cognitive Development studies, as well as those drawing from severe mental illness populations, such as Bipolar and Schizophrenia Network for Intermediate Phenotypes and Social Processes Initiative in Neurobiology of the Schizophrenia(s) studies, all share the common thread of prospective planning, preparation, and solid execution. The present study is a similar example of such efforts in a population at risk for or experiencing early signs of mental illness.The authors studied 116 participants at clinical high risk (CHR) (ie, those in the psychosis prodrome phase) and 120 participants with recent-onset depression (ROD) aged 15 to 40 years as well as 176 healthy control participants. 1 Their work represents a herculean effort of planning and execution, with data collection at 7 academic early recognition services across 5 European countries. Scanning and neurocognitive data acquisition occurred at months 0 and 9, while clinical assessments were conducted every 3 months over an 18-month period, collectively constituting a longitudinal observational study design. Efforts were made to demonstrate interrater reliability on key outcome measures of global functioning roles and social scales. Magnetic resonance imaging (MRI) harmonization was conducted using a minimal approach, but decisions were clearly defined. Magnetic resonance imaging pro-

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Effects of consumers and health providers working in partnership on health services planning, delivery and evaluation

Lowe

Ryan

Schonfeld

et al. 2021

Cochrane Database of Systematic Reviews

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Integrated collaborative care teams to enhance service delivery to youth with mental health and substance use challenges: protocol for a pragmatic randomised controlled trial

Cited by 74 publications

References 47 publications

Examining Integrated Youth Services Using the Bioecological Model: Alignments and Opportunities

Examining Integrated Youth Services Using the Bioecological Model: Alignments and Opportunities

Predicting Functional Outcomes in Early-Stage Mental Illness

Effects of consumers and health providers working in partnership on health services planning, delivery and evaluation

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