Transforming child and youth mental health care: ACCESS Open Minds New Brunswick in the rural Francophone region of the Acadian Peninsula

Autor: Penelopia Iancu, Anik Dubé, Sophie Robichaud, Ann M. Beaton, Srividya N. Iyer, Aduel Joachin, Jimmy Bourque, Julie Malchow, Laure Bourdon, Danielle Doucet, Martine Haché, Isabelle Godin, Carole C. Tranchant, Ashok Malla
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Male
youth mental health
Supplement Articles
Health Services Accessibility
0302 clinical medicine
access
Peninsula
New Brunswick
Sociology
media_common
youth
geography.geographical_feature_category
4. Education
Mental Disorders
Public relations
Continuity of Patient Care
Psychiatry and Mental health
Supplement Article
Pshychiatric Mental Health
Thematic analysis
0305 other medical science
Mental Health Services
mental health care
Canada
Adolescent
media_common.quotation_subject
Fidelity
Context (language use)
03 medical and health sciences
francophone linguistic minority
Young Adult
Early Medical Intervention
Humans
Human resources
Poverty
Biological Psychiatry
geography
Health Services Needs and Demand
030505 public health
business.industry
transformation
ACCESS Open Minds: Transforming Youth Mental Health Services Across Canada
Health Plan Implementation
Mental health
Focus group
030227 psychiatry
Early Diagnosis
Rural Health Services
Rural area
business
Zdroj: Early Intervention in Psychiatry
ISSN: 1751-7893
1751-7885
Popis: Aim This paper describes how the transformation of youth mental health services in the rural Francophone region of the Acadian Peninsula in New Brunswick, Canada, is meeting the five objectives of ACCESS Open Minds. Methods Implementation of the ACCESS Open Minds framework of care in the Acadian Peninsula of New Brunswick began in 2016 at a well‐established volunteer centre and community‐based mental health organization. Through focus groups with youth aged 14 to 22 (n = 13), community mapping was used to describe the youth‐related mental health service transformation, followed by thematic analysis, validation by member checking and triangulation. Results Preliminary results show a generally successful implementation of the ACCESS Open Minds model, as evidenced by the transformation of mental health service provision, the enhancement of capacity in human resources and the participation of youth. Transformation was evidenced across the five objectives of mental healthcare of ACCESS Open Minds, albeit to variable extents. Several facilitating factors and challenges are identified based on youths' accounts. Conclusions It is possible to successfully implement the ACCESS Open Minds model among francophones living in a minority setting and despite the constraints of a rural area. Most key components of the framework were implemented with high program fidelity. The rural context presents unique challenges that require creative and effective use of resources, while offering opportunities that arise from a culture of resourcefulness and collaboration.
Databáze: OpenAIRE
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