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Transforming youth mental health care in a semi‐urban and rural region of Canada: A service description of ACCESS Open Minds Chatham‐Kent

AIM: This study describes how mental health services for youth are being transformed within the context of a semi‐urban and rural region of Canada (Chatham‐Kent, Ontario), based on the framework of ACCESS Open Minds (ACCESS OM), a pan‐Canadian youth mental health research and evaluation network. MET...

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Detalles Bibliográficos
Autores principales: Reaume‐Zimmer, Paula, Chandrasena, Ranjith, Malla, Ashok, Joober, Ridha, Boksa, Patricia, Shah, Jai L., Iyer, Srividya N., Lal, Shalini
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wiley Publishing Asia Pty Ltd 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6771628/
https://www.ncbi.nlm.nih.gov/pubmed/31243909
http://dx.doi.org/10.1111/eip.12818
Descripción
Sumario:AIM: This study describes how mental health services for youth are being transformed within the context of a semi‐urban and rural region of Canada (Chatham‐Kent, Ontario), based on the framework of ACCESS Open Minds (ACCESS OM), a pan‐Canadian youth mental health research and evaluation network. METHODS: Transformation has focused on the five key objectives of ACCESS OM, namely early identification, rapid access, appropriate care, continuity of care, and youth and family engagement. A community mapping process was conducted at the beginning of the transformation to help develop a comprehensive inventory of services, identify challenges and optimize partnerships to address the five key objectives. RESULTS: The following strategies represent key elements in the transformation: coordination and partnerships between hospital, community and voluntary organizations, as well as different sectors of the community (e.g., Child and Youth Services, Education, Community Safety and Correctional Services, CSCS); working with local champions (e.g., Youth Diversion Officer and the Mental Health and Addictions Nurse in the school sectors); establishing a youth‐friendly space in a central part of the community, where services are co‐located and operate within an open‐concept design; training of ACCESS Clinicians to conduct an initial assessment; engaging youth and family in service‐level recruitment, planning, daily operations, and evaluation, including hiring of youth and family peer navigators; and, engaging the community through awareness and educational events. CONCLUSIONS: The success of this transformation needs to be measured on various outcome parameters, but it is notable that neighbouring communities are already beginning to implement a similar model.