Early Intervention and Youth Mental Health: Synergistic Paradigms to Transform Mental Health Outcomes

Mei, Cristina; Killackey, Eóin; Chanen, Andrew; McGorry, Patrick

doi:10.1007/978-3-319-70134-9_77-1

Cited by 2 publications

(2 citation statements)

References 58 publications

(69 reference statements)

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“…We did not call for the dismantling of ARMS services. Rather we noted with approval, that McGorry, Yung and their colleagues appear to have accepted the limitations of ARMS clinics, and now adopt a more comprehensive approach by advocating Youth Mental Health Services to care for those with a range of psychiatric disorders (Mei, Killackey, Chanen, & McGorry, 2019). This approach appears to us to be more logical and has many advantages over clinics aiming at the narrower clientele.…”

Section: Introductionmentioning

confidence: 99%

Prevention of psychosis: moving on from the at-risk mental state to universal primary prevention

2020

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The value of services for those with the ‘At Risk Mental State for Psychosis’ (ARMS) continues to be disputed. ARMS services have provided a valuable stimulus to academic research into the transition into psychosis. Furthermore, there is currently a welcome trend to transform such clinics into youth mental health services catering for the broader clientele of young people suffering from anxiety and depression, who already constitute the bulk of those seen at ARMS clinics. However, such services are never likely to make major inroads into preventing psychosis because they only reach a small proportion of those at risk. Evidence from medicine shows that avoiding exposure to factors which increase the risk of disease (e.g. poor nutrition, transmission of infection, tobacco smoking), produces greater public benefit than focussing efforts on individuals with, or about to develop, disease. We consider that the most productive approach for psychosis prevention is avoiding exposure to risk-increasing factors. The best-established risk factors for psychosis are obstetric events, childhood abuse, migration, city living, adverse life events and cannabis use. Some as city living, are likely proxies for an unknown causal factor(s) while preventing others such as childhood abuse is currently beyond our powers. The risk factor for psychosis which is most readily open to this approach is the use of cannabis. Therefore, as an initial step towards a strategy for universal primary prevention, we advocate public health campaigns to educate young people about the harms of regular use of high potency cannabis.

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Section: Introductionmentioning

confidence: 99%

Prevention of psychosis: moving on from the at-risk mental state to universal primary prevention

2020

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“…Among many contributing factors, the COVID-19 pandemic may have intensified these challenges, with most young adults (74–87%) experiencing mental health deteriorations during the pandemic (Headspace, 2020 ; Radomski et al, 2023 ). Despite the escalating number of young adults requiring greater levels of support, access to timely mental health care is currently insufficient (McGorry et al, 2022 ; Mei et al, 2019 ). Some of the common barriers to accessing support and services include perceived stigma, privacy concerns, and poor health literacy (Amone-P’Olak et al, 2023 ; Renwick et al, 2022 ).…”

Section: Introductionmentioning

confidence: 99%

Outcomes of Best-Practice Guided Digital Mental Health Interventions for Youth and Young Adults with Emerging Symptoms: Part II. A Systematic Review of User Experience Outcomes

Opie,

Vuong,

Welsh

et al. 2024

Clin Child Fam Psychol Rev

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Although many young people demonstrate resilience and strength, research and clinical evidence highlight an upward trend in mental health concerns among those aged 12 to 25 years. Youth-specific digital mental health interventions (DMHIs) aim to address this trend by providing timely access to mental health support for young people (12–25 years). However, there is a considerable gap in understanding young people user experiences with digital interventions. This review, co-designed with Australia’s leading mental health organization Beyond Blue, utilizes a systematic methodology to synthesize evidence on user experience in youth-oriented digital mental health interventions that are fully or partially guided. Five relevant online databases were searched for articles published from 2018 to 2023, yielding 22,482 articles for screening and 22 studies were included in the present analysis. User experience outcomes relating to satisfaction and engagement were assessed for each included intervention, with experience indicators relating to usefulness, usability, value, credibility, and desirability being examined. Elements associated with positive/negative outcomes were extracted. Elements shown to positively influence user experience included peer engagement, modern app-based delivery, asynchronous support, and personalized content. In contrast, users disliked static content, homework/log-keeping, the requirement for multiple devices, and social media integration. Asynchronous interventions showed high satisfaction but faced engagement issues, with combined asynchronous/synchronous interventions reporting better completion rates. DMHIs offer a promising platform for youth mental health support and has the potential to dramatically increase the reach of interventions through the adoption of technological and user experience best practices. While young people respond positively to many aspects of intervention modernization, such as interactive, app-based design, other concepts, such as social media integration, they need to be adopted by the field more cautiously to ensure trust and engagement.Trial Registration CRD42023405812

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Early Intervention and Youth Mental Health: Synergistic Paradigms to Transform Mental Health Outcomes

Cited by 2 publications

References 58 publications

Prevention of psychosis: moving on from the at-risk mental state to universal primary prevention

Prevention of psychosis: moving on from the at-risk mental state to universal primary prevention

Outcomes of Best-Practice Guided Digital Mental Health Interventions for Youth and Young Adults with Emerging Symptoms: Part II. A Systematic Review of User Experience Outcomes

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