Improving mental health services for homeless youth in downtown Montreal, Canada: Partnership between a local network and ACCESS Esprits ouverts (Open Minds), a National Services Transformation Research Initiative

Autor: Patricia Boksa, Marie-Ève Dupont, Shalini Lal, Amal Abdel-Baki, Ridha Joober, Jai Shah, Srividya N. Iyer, Raphaël Morisseau-Guillot, Pasquale Bauco, Ashok Malla, Diane Aubin
Rok vydání: 2019
Předmět:
Male
youth mental health
Supplement Articles
Psychological Distress
Health Services Accessibility
Homeless Youth
0302 clinical medicine
Urban Health Services
Sociology
Child
10. No inequality
Intersectoral Collaboration
Mental Disorders
4. Education
Quebec
1. No poverty
Public relations
Quality Improvement
mental illness
3. Good health
Outreach
Psychiatry and Mental health
General partnership
Female
Supplement Article
Health Services Research
Pshychiatric Mental Health
community mental health services
Psychosocial
Mental Health Services
Canada
Adolescent
Substance-Related Disorders
Young Adult
03 medical and health sciences
early identification
medicine
Humans
service organization
Biological Psychiatry
Patient Care Team
Downtown
business.industry
ACCESS Open Minds: Transforming Youth Mental Health Services Across Canada
Mental illness
medicine.disease
Mental health
030227 psychiatry
Transformational leadership
Sustainability
Interdisciplinary Communication
business
030217 neurology & neurosurgery
Zdroj: Early Intervention in Psychiatry
ISSN: 1751-7893
1751-7885
Popis: Aim In many parts of the world, there is growing concern about youth homelessness. Homeless youth are particularly vulnerable to psychological distress, substance use and mental disorders, and premature mortality caused by suicide and drug overdose. However, their access to and use of mental health care is very limited. Methods The Réseau d'intervention de proximité auprès des jeunes (RIPAJ), a Montreal network of over 20 community stakeholders providing a wide array of cohesive services, was created to ease homeless youth's access to mental health and psychosocial services. Its philosophy is that there should be no “wrong door” or “wrong timing” for youth seeking help. In 2014, the network partnered with the pan‐Canadian transformational research initiative, ACCESS Esprits ouverts. Results Created through this partnership, ACCESS Esprits ouverts RIPAJ has been promoting early identification through outreach activities targeting homeless youth and agencies that serve them. An ACCESS Clinician was hired to promote and rapidly respond to help‐seeking and referrals. By strengthening connections within RIPAJ and using system navigation, the site is working to facilitate youth's access to timely appropriate care and eliminate age‐based transitions between services. A notable feature of our program, that is not usually evident in homelessness services, has been the engagement of the youth in service planning and design and the encouragement of contact with families and/or friends. Conclusion Challenges remain including eliminating any remaining age‐related transitions of care between adolescent and adult services; and the sustainability of services transformation and network coordination. Nonetheless, this program serves as an example of an innovative, much‐needed, community‐oriented model for improving access to mental health care for homeless youth.
Databáze: OpenAIRE
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