Transforming youth mental health services in a large urban centre: ACCESS Open Minds Edmonton

Autor: Pierre Chue, Ridha Joober, Ashok Malla, Christine Mummery, Katherine Hay, Adam Abba-Aji, Cindy Gerdes, Mark Snaterse, Jill Kelland, Patricia Boksa, Jai Shah, Liana Urichuk, Shalini Lal, Srividya N. Iyer
Rok vydání: 2019
Předmět:
Adult
Male
Mental Health Services
Canada
Adolescent
Substance-Related Disorders
Restructuring
youth mental health
Supplement Articles
Space (commercial competition)
Health Services Accessibility
Alberta
Young Adult
03 medical and health sciences
access
0302 clinical medicine
Service utilization
Urban Health Services
Humans
030212 general & internal medicine
Sociology
Child
service transformation
Referral and Consultation
Biological Psychiatry
Patient Care Team
Service (business)
business.industry
Mental Disorders
case identification
ACCESS Open Minds: Transforming Youth Mental Health Services Across Canada
Public relations
Mental health
030227 psychiatry
Psychiatry and Mental health
Identification (information)
Adolescent Health Services
Sustainability
Female
Supplement Article
Pshychiatric Mental Health
business
Urban centre
Delivery of Health Care
Zdroj: Early Intervention in Psychiatry
ISSN: 1751-7893
1751-7885
Popis: Aim This paper outlines the transformation of youth mental health services in Edmonton, Alberta, a large city in Western Canada. We describe the processes and challenges involved in restructuring how services and care are delivered to youth (11‐25 years old) with mental health needs based on the objectives of the pan‐Canadian ACCESS Open Minds network. Methods We provide a narrative review of how youth mental health services have developed since our engagement with the ACCESS Open Minds initiative, based on its five central objectives of early identification, rapid access, appropriate care, continuity of care, and youth and family engagement. Results Building on an initial community mapping exercise, a service network has been developed; teams that were previously age‐oriented have been integrated together to seamlessly cover the age 11 to 25 range; early identification has thus far focused on high‐school populations; and an actual drop‐in space facilitates rapid access and linkages to appropriate care within the 30‐day benchmark. Conclusions Initial aspects of the transformation have relied on restructuring and partnerships that have generated early successes. However, further transformation over the longer term will depend on data demonstrating how this has impacted clinical outcomes and service utilization. Ultimately, sustainability in a large urban centre will likely involve scaling up to a network of similar services to cover the entire population of the city.
Databáze: OpenAIRE
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