Youth services: meeting the mental health needs of adolescents

Vyas, Nora S.; Birchwood, Max; Singh, Swaran P.

doi:10.1017/ipm.2014.73

Cited by 35 publications

(38 citation statements)

References 63 publications

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“…Problems were variously described and included anger issues, stress, family problems, relationship issues, adjustment problems, low mood, depression, mood difficulties, mood disorders, suicide‐related behaviour, anxiety, learning difficulties, low self‐esteem, alcohol and other drug problems, school issues including bullying, sexual assault and domestic violence. In a few centres (CHAT, 62 Youthspace, 53 , 55 SPOT 63 and headspace 68 , 69 , 79 ), young people were reported as presenting with first‐episode psychosis, psychosis or (more commonly) being “at risk of” psychosis. Eating disorders were seen at headspace centres 74 , 79 but were a focus at the Paris Maison de Solenn, 92 where young people were also reported to be presenting with impaired attention, antisocial behaviour and other personality disorders.…”

Section: Outcome Evaluationmentioning

confidence: 99%

“…In 17 of the 43 included evaluations, outcomes relevant to the satisfaction of users and acceptability and appropriateness of the services to users were reported (). When measured, generally high levels of satisfaction were reported (Foundry, unpublished data) 51 , 55 , 56 , 58 . ‐ 61 , 71 , 73 ‐ 76 , 80 ‐ 82 , 92 In particular, young people reported satisfaction with the staff providing the services, 51 , 59 , 61 , 71 , 75 , 76 , 81 , 91 stating that they valued these relationships and noting the importance of staff who were friendly, non‐judgemental and respectful, 51 , 59 , 71 who genuinely liked young people 58 and who were able to understand issues young people presented with 59 , 61 .…”

Section: Outcome Evaluationmentioning

confidence: 99%

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Integrated (one‐stop shop) youth health care: best available evidence and future directions

Hetrick

Bailey

Smith³

et al. 2017

Medical Journal of Australia

194

280

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Although mental health problems represent the largest burden of disease in young people, access to mental health care has been poor for this group. Integrated youth health care services have been proposed as an innovative solution. Integrated care joins up physical health, mental health and social care services, ideally in one location, so that a young person receives holistic care in a coordinated way. It can be implemented in a range of ways. A review of the available literature identified a range of studies reporting the results of evaluation research into integrated care services. The best available data indicate that many young people who may not otherwise have sought help are accessing these mental health services, and there are promising outcomes for most in terms of symptomatic and functional recovery. Where evaluated, young people report having benefited from and being highly satisfied with these services. Some young people, such as those with more severe presenting symptoms and those who received fewer treatment sessions, have failed to benefit, indicating a need for further integration with more specialist care. Efforts are underway to articulate the standards and core features to which integrated care services should adhere, as well as to further evaluate outcomes. This will guide the ongoing development of best practice models of service delivery.

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Section: Outcome Evaluationmentioning

confidence: 99%

Section: Outcome Evaluationmentioning

confidence: 99%

Integrated (one‐stop shop) youth health care: best available evidence and future directions

Hetrick

Bailey

Smith³

et al. 2017

Medical Journal of Australia

194

280

View full text Add to dashboard Cite

show abstract

“…Jigsaw (which has replaced Headstrong as the brand for youth mental health in Ireland) has proven to be an accessible and effective community-based mental health service for young people aged 12–25 years 22. In the UK, the creation of Youthspace, a youth-based mental health service in Birmingham, has led to the commissioning of an integrated care pathway for individuals aged 0–25 years 23. Further international developments include headspace in Denmark, Israel and very soon in California, the Adolescent/young adult Connections to Community-driven Early Strengths-based and Stigma-free services (ACCESS) in Canada,24 the rapid scaling up of ‘The Foundry’ model in British Columbia and the launch of @ease in the Netherlands.…”

Section: Service Reform: Youth-focused Integrated Models For Early Imentioning

confidence: 99%

Early intervention in youth mental health: progress and future directions

McGorry

Mei

2018

Evid Based Mental Health

217

186

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Early intervention is a fundamental principle in health care and the past two decades have seen it belatedly introduced into the field of mental health. This began in psychotic disorders, arguably the least promising place to start. The steady accumulation of scientific evidence for early intervention has eventually overwhelmed the sceptics, transformed thinking in psychotic disorders and created an international wave of service reform. This paradigm shift has paved the way to a more substantial one: early intervention across the full diagnostic spectrum. 75% of mental illnesses emerge before the age of 25 years, and young people bear the major burden for those disorders that threaten the many decades of productive adult life. The paradox is that young people aged between 12 and 25 years have had by far the worst levels of access to mental health care across the whole lifespan. Health services are poorly designed, grossly under-resourced and typically unfriendly to, and untrusted by, young people. Furthermore, until recently there has been a quite striking lack of interest in this transitional age group from clinicians and researchers alike, who had unthinkingly accepted the paediatric–adult split of mainstream medicine without questioning its utility and validity for our field and our young patients. Over the past decade, however, a major shift in momentum has occurred to take early intervention in youth mental health more seriously. Here we discuss the recent advances and evidence supporting an innovative integrated model of youth mental health care and look to the future.

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“…La demande d'aide spécialisée varie beaucoup en fonction de l'âge et du genre des personnes touchées par une problématique de santé mentale. Ainsi, l'utilisation des services spécialisés en santé mentale des jeunes (19-24 ans) souffrant de problème de dépression est, en général, plus faible que celle des autres catégories d'âge (McGorry et coll., 2013), car ces derniers demandent généralement moins d'aide professionnelle que la population adulte (Vyas, Birchwood et Singh, 2015). Dans ce contexte, il n'est donc pas étonnant que parmi les jeunes adultes de 19 à 24 ans souffrant de dépression, 42 % n'avaient utilisé aucun service de santé mentale formel.…”

Section: Les Barrières D'accès Aux Services De Santé Mentaleunclassified

Les Enjeux Intersectionnels De La Demande De Services De Santé Mentale Au Canada

Gaborean¹,

Negura²,

Moreau³

2018

cswr

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Dans cet article, nous présentons, selon le cadre théorique féministe intersectionnel, une étude visant à mieux comprendre les dynamiques identitaires qui influencent la demande de services de santé mentale des jeunes femmes francophones vivant en situation minoritaire ainsi que les effets croisés de celles-ci sur les facteurs déclencheurs de la dépression, la perception des symptômes et le parcours thérapeutique. Notre analyse révèle que l’imbrication de plusieurs catégories d’inégalité complexifie l’accès aux services de santé mentale des jeunes femmes dépressives en situation minoritaire tout en favorisant l’émergence de stratégies de lutte et de résistance. Le croisement des catégories identitaires de genre, d’âge et de langue parlée produit des effets compensatoires sur la demande de services de santé mentale. Alors que l’image sociale positive de la jeunesse les fait hésiter dans la demande de services, celle liée à l’identité féminine légitime, la dépression et les faiblesses qui pourraient en découler. Les femmes mettent en oeuvre des stratégies pour pallier les inégalités d’accès aux services de santé mentale en français et trouver les services qu’elles considèrent appropriés pour leur problème spécifique. Au lieu de favoriser la discrimination ou la marginalisation, cette imbrication d’appartenances identitaires multiples permet le renforcement du pouvoir d’agir des jeunes femmes francophones.

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Youth services: meeting the mental health needs of adolescents

Abstract: Pilot youth mental projects currently underway can help radically redesign the existing child and adolescent services. This will in turn lead to an improvement in the young people's experience of engagement with the services so that they too have a positive future.

Cited by 35 publications

References 63 publications

Integrated (one‐stop shop) youth health care: best available evidence and future directions

Integrated (one‐stop shop) youth health care: best available evidence and future directions

Early intervention in youth mental health: progress and future directions

Les Enjeux Intersectionnels De La Demande De Services De Santé Mentale Au Canada

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