Format

Send to

Choose Destination
Early Interv Psychiatry. 2019 Jun;13(3):697-706. doi: 10.1111/eip.12772. Epub 2018 Dec 16.

Canadian response to need for transformation of youth mental health services: ACCESS Open Minds (Esprits ouverts).

Author information

1
Department of Psychiatry, McGill University, Montréal, Québec, Canada.
2
ACCESS Open Minds (Pan-Canadian Youth Mental Health Services Research Network), Douglas Mental Health University Institute, Montréal, Québec, Canada.
3
Prevention and Early Intervention Program for Psychosis (PEPP), Douglas Mental Health University Institute, Montréal, Québec, Canada.
4
Douglas Mental Health University Institute, Montréal, Québec, Canada.
5
School of Rehabilitation, Faculty of Medicine, Université de Montréal, Montréal, Québec, Canada.
6
Centre de recherche du Centre hospitalier de l'Université de Montréal (CRCHUM), Montréal, Québec, Canada.
7
Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montréal, Québec, Canada.
8
Department of Family Medicine, Community Information and Epidemiological Technologies (CIET) Institute and Participatory Research at McGill (PRAM), McGill University, Montréal, Québec, Canada.
9
McGill University Institute for Human Development and Well-being, Montréal, Québec, Canada.
10
Department of Psychiatry, Université de Montréal, Montréal, Québec, Canada.
11
Centre hospitalier de l'Université de Montréal (CHUM), CRCHUM, Montréal, Québec, Canada.
12
Eskasoni Mental Health Services, Eskasoni, Nova Scotia, Canada.
13
School of Psychology, Faculty of Health Sciences and Community Services, Université de Moncton, Moncton, New Brunswick, Canada.
14
Mental Health and Addictions Services, Bluewater Health and Canadian Mental Health Association, Lambton Kent, Ontario, Canada.
15
Centre de recherche SHERPA, Institut Universitaire au regard des communautés culturelles, Centre intégré universitaire de santé et de services sociaux (CIUSSS) du Centre-Ouest-de-l'Île-de-Montréal, Montréal, Québec, Canada.
16
Schulich School of Medicine, Western University, London, Ontario, Canada.
17
Faculty of Education, Université de Moncton, Moncton, New Brunswick, Canada.
18
Dans La Rue and Réseau d'intervention de proximité auprès des jeunes de la rue (RIPAJ)-Montréal/Homeless Youth Network, Montréal, Québec, Canada.
19
ACCESS Open Minds Family and Carers Council, Douglas Mental Health University Institute, Montréal, Québec, Canada.
20
Counselling Services, Inuvialuit Regional Corporation, Inuvik, Northwest Territories, Canada.
21
Young Adult and Cross Level Services, Addiction and Mental Health, Edmonton Zone, Alberta Health Services, Edmonton, Alberta, Canada.
22
Department of Psychiatry, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
23
Public Health Department, Cree Board of Health and Social Services of James Bay, Mistissini, Québec, Canada.
24
Department of Anthropology, University of Alberta, Edmonton, Alberta, Canada.

Abstract

AIM:

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.

METHOD:

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.

RESULTS:

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.

CONCLUSIONS:

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.

KEYWORDS:

community psychiatry; early intervention; patient oriented research; service transformation; youth mental health

PMID:
30556335
DOI:
10.1111/eip.12772

Supplemental Content

Full text links

Icon for Wiley
Loading ...
Support Center