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Early intervention in psychiatry
06, 2019;13 (3): 697-706.

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

Ashok Malla, Srividya Iyer, Jai Shah, Ridha Joober, Patricia Boksa, Shalini Lal, Rebecca Fuhrer, Neil Andersson, Amal Abdel-Baki, Daphne Hutt-MacLeod, Ann Beaton, Paula Reaume-Zimmer, Jessica Chisholm-Nelson, Cécile Rousseau, Ranjith Chandrasena, Jimmy Bourque, Diane Aubin, Mary Anne Levasseur, Ina Winkelmann, Meghan Etter, Jill Kelland, Caroline Tait, Jill Torrie, Helen Vallianatos, ACCESS Open Minds Youth Mental Health Network
Author Information
  1. Ashok Malla: Department of Psychiatry, McGill University, Montréal, Québec, Canada.
  2. Srividya Iyer: Department of Psychiatry, McGill University, Montréal, Québec, Canada. ORCID
  3. Jai Shah: Department of Psychiatry, McGill University, Montréal, Québec, Canada.
  4. Ridha Joober: Department of Psychiatry, McGill University, Montréal, Québec, Canada.
  5. Patricia Boksa: Department of Psychiatry, McGill University, Montréal, Québec, Canada.
  6. Shalini Lal: ACCESS Open Minds (Pan-Canadian Youth Mental Health Services Research Network), Douglas Mental Health University Institute, Montréal, Québec, Canada.
  7. Rebecca Fuhrer: ACCESS Open Minds (Pan-Canadian Youth Mental Health Services Research Network), Douglas Mental Health University Institute, Montréal, Québec, Canada.
  8. Neil Andersson: ACCESS Open Minds (Pan-Canadian Youth Mental Health Services Research Network), Douglas Mental Health University Institute, Montréal, Québec, Canada.
  9. Amal Abdel-Baki: ACCESS Open Minds (Pan-Canadian Youth Mental Health Services Research Network), Douglas Mental Health University Institute, Montréal, Québec, Canada. ORCID
  10. Daphne Hutt-MacLeod: ACCESS Open Minds (Pan-Canadian Youth Mental Health Services Research Network), Douglas Mental Health University Institute, Montréal, Québec, Canada.
  11. Ann Beaton: ACCESS Open Minds (Pan-Canadian Youth Mental Health Services Research Network), Douglas Mental Health University Institute, Montréal, Québec, Canada.
  12. Paula Reaume-Zimmer: ACCESS Open Minds (Pan-Canadian Youth Mental Health Services Research Network), Douglas Mental Health University Institute, Montréal, Québec, Canada.
  13. Jessica Chisholm-Nelson: ACCESS Open Minds (Pan-Canadian Youth Mental Health Services Research Network), Douglas Mental Health University Institute, Montréal, Québec, Canada.
  14. Cécile Rousseau: Department of Psychiatry, McGill University, Montréal, Québec, Canada.
  15. Ranjith Chandrasena: ACCESS Open Minds (Pan-Canadian Youth Mental Health Services Research Network), Douglas Mental Health University Institute, Montréal, Québec, Canada.
  16. Jimmy Bourque: ACCESS Open Minds (Pan-Canadian Youth Mental Health Services Research Network), Douglas Mental Health University Institute, Montréal, Québec, Canada.
  17. Diane Aubin: ACCESS Open Minds (Pan-Canadian Youth Mental Health Services Research Network), Douglas Mental Health University Institute, Montréal, Québec, Canada.
  18. Mary Anne Levasseur: ACCESS Open Minds (Pan-Canadian Youth Mental Health Services Research Network), Douglas Mental Health University Institute, Montréal, Québec, Canada.
  19. Ina Winkelmann: ACCESS Open Minds (Pan-Canadian Youth Mental Health Services Research Network), Douglas Mental Health University Institute, Montréal, Québec, Canada.
  20. Meghan Etter: ACCESS Open Minds (Pan-Canadian Youth Mental Health Services Research Network), Douglas Mental Health University Institute, Montréal, Québec, Canada.
  21. Jill Kelland: ACCESS Open Minds (Pan-Canadian Youth Mental Health Services Research Network), Douglas Mental Health University Institute, Montréal, Québec, Canada.
  22. Caroline Tait: ACCESS Open Minds (Pan-Canadian Youth Mental Health Services Research Network), Douglas Mental Health University Institute, Montréal, Québec, Canada.
  23. Jill Torrie: ACCESS Open Minds (Pan-Canadian Youth Mental Health Services Research Network), Douglas Mental Health University Institute, Montréal, Québec, Canada.
  24. Helen Vallianatos: ACCESS Open Minds (Pan-Canadian Youth Mental Health Services Research Network), Douglas Mental Health University Institute, Montréal, Québec, Canada.
PMID: 30556335 DOI: 10.1111/eip.12772

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

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Grants

  1. 01308-000/CIHR

MeSH Term

Adolescent
Canada
Child
Delivery of Health Care
Female
Health Services Accessibility
Health Services Needs and Demand
Humans
Male
Mental Disorders
Mental Health Services
Outcome and Process Assessment, Health Care
Substance-Related Disorders
Young Adult
Journal Article
Article has an altmetric score of 11

Word Cloud

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