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

机译：加拿大响应青年心理健康服务转型：访问开放思想（ESPRITS OUVERTS）

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摘要

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.
机译：目标青年心理健康对全球社会至关重要的意义。鉴于精神障碍的早期发作以及适当的服务获得不足，必要基于全球公认的原则，有意义的服务转型是必要的。本文的目的是描述一个全国加拿大项目，旨在实现心理健康服务的转型，并评估这种转型对个人和系统相关结果的影响。方法我们描述了一个在地理位置，语言和文化多样化的14种脑力健康和药物滥用问题的青少年服务的模型，包括大型城市，农村，第一国家和因纽特社区以及无家可归的青年和职位二级教育环境。引导服务转换和目标的原则在所有网站上都是相同的，但实现它们的方法根据普遍的资源，文化，地理和待服务的人口以及每个社区如何最好地利用转型的额外资源而有所不同。结果每个网站都从事服务的社区映射，然后培训，积极利益相关者与青年和家庭，早期案例鉴定举措，提供快速访问（72小时内），以评估提出的问题，促进与内部适当的服务有关30天（如果需要）没有基于11至25岁年龄组内的年龄的过渡以及在研究期间跟踪结果的结构化评估。结论可能达到大量变化的服务转型涉及由一组价值观，原则，明确目标，培训和评估引导的非常详细和精心策划的流程。从这个项目中收集的证据可以在各种环境中扩大加拿大青年心理健康服务的基础。

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  • 来源
    《Early intervention in psychiatry》 |2019年第3期|共10页
  • 作者

    Malla Ashok; Iyer Srividya; Shah Jai; Joober Ridha; Boksa Patricia; Lal Shalini; Fuhrer Rebecca; Andersson Neil; Abdel‐Baki Amal; Hutt‐MacLeod Daphne; Beaton Ann; Reaume‐Zimmer Paula; Chisholm‐Nelson Jessica; Rousseau Cécile; Chandrasena Ranjith; Bourque Jimmy; Aubin Diane; Levasseur Mary Anne; Winkelmann Ina; Etter Meghan; Kelland Jill; Tait Caroline; Torrie Jill; Vallianatos Helen; the ACCESS Open Minds Youth Mental Health Network;

  • 作者单位

    Department of PsychiatryMcGill UniversityMontréal Québec Canada;

    Department of PsychiatryMcGill UniversityMontréal Québec Canada;

    Department of PsychiatryMcGill UniversityMontréal Québec Canada;

    Department of PsychiatryMcGill UniversityMontréal Québec Canada;

    Department of PsychiatryMcGill UniversityMontréal Québec Canada;

    ACCESS Open Minds (Pan‐Canadian Youth Mental Health Services Research?Network)Douglas Mental Health;

    ACCESS Open Minds (Pan‐Canadian Youth Mental Health Services Research?Network)Douglas Mental Health;

    ACCESS Open Minds (Pan‐Canadian Youth Mental Health Services Research?Network)Douglas Mental Health;

    ACCESS Open Minds (Pan‐Canadian Youth Mental Health Services Research?Network)Douglas Mental Health;

    ACCESS Open Minds (Pan‐Canadian Youth Mental Health Services Research?Network)Douglas Mental Health;

    ACCESS Open Minds (Pan‐Canadian Youth Mental Health Services Research?Network)Douglas Mental Health;

    ACCESS Open Minds (Pan‐Canadian Youth Mental Health Services Research?Network)Douglas Mental Health;

    ACCESS Open Minds (Pan‐Canadian Youth Mental Health Services Research?Network)Douglas Mental Health;

    Department of PsychiatryMcGill UniversityMontréal Québec Canada;

    ACCESS Open Minds (Pan‐Canadian Youth Mental Health Services Research?Network)Douglas Mental Health;

    ACCESS Open Minds (Pan‐Canadian Youth Mental Health Services Research?Network)Douglas Mental Health;

    ACCESS Open Minds (Pan‐Canadian Youth Mental Health Services Research?Network)Douglas Mental Health;

    ACCESS Open Minds (Pan‐Canadian Youth Mental Health Services Research?Network)Douglas Mental Health;

    ACCESS Open Minds (Pan‐Canadian Youth Mental Health Services Research?Network)Douglas Mental Health;

    ACCESS Open Minds (Pan‐Canadian Youth Mental Health Services Research?Network)Douglas Mental Health;

    ACCESS Open Minds (Pan‐Canadian Youth Mental Health Services Research?Network)Douglas Mental Health;

    ACCESS Open Minds (Pan‐Canadian Youth Mental Health Services Research?Network)Douglas Mental Health;

    ACCESS Open Minds (Pan‐Canadian Youth Mental Health Services Research?Network)Douglas Mental Health;

    ACCESS Open Minds (Pan‐Canadian Youth Mental Health Services Research?Network)Douglas Mental Health;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 神经病学与精神病学;
  • 关键词

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

    机译：早期干预;社区精神病学;患者导向研究;服务转型;青年心理健康;

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