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Barriers and Facilitators to the Implementation of an Integrated Youth Services Network in Ontario

INTRODUCTION: In response to the challenges of the traditional mental health system for youth both in Canada and abroad, models of integrated youth services (IYS) that span the integration of mental health, health, substance use, eucation, employment, peer support, and navigation into ‘one-stop shop...

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Autores principales: Chiodo, Debbie, Lu, Stephanie, Varatharajan, Thepikka, Costello, Jean, Rush, Brian, Henderson, J. L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Ubiquity Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9756906/
https://www.ncbi.nlm.nih.gov/pubmed/36569415
http://dx.doi.org/10.5334/ijic.6737
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author Chiodo, Debbie
Lu, Stephanie
Varatharajan, Thepikka
Costello, Jean
Rush, Brian
Henderson, J. L.
author_facet Chiodo, Debbie
Lu, Stephanie
Varatharajan, Thepikka
Costello, Jean
Rush, Brian
Henderson, J. L.
author_sort Chiodo, Debbie
collection PubMed
description INTRODUCTION: In response to the challenges of the traditional mental health system for youth both in Canada and abroad, models of integrated youth services (IYS) that span the integration of mental health, health, substance use, eucation, employment, peer support, and navigation into ‘one-stop shops’ are being established nationally and internationally. IYS models, however, need to be better described and evaluated to inform the replicability of this approach in other jurisdictions. DESCRIPTION: This paper describes the implementation of an IYS in a small urban city and rural county in Ontario, Canada, including insights from key informants into barriers, facilitators, and lessons learned. DISCUSSION: This evaluation identified a number of barriers and facilitators to the implementation of the IYS model in this specific context. Implementation facilitators included youth and family engagement, network partner collaboration, leadership, governance structure, community enthusiasm and support, and collaborative funding models. Barriers to implementation included the COVID-19 pandemic and related public health restrictions, the diverse needs of youth, change management, sustainable funding, and transportation. LESSONS LEARNED: By establishing a shared vision of delivering youth services across the integrated network, and engaging youth early in the process of model development, IYS have the potential to transform the service system for youth and their families. Meeting the diverse needs and challenges of youth who live in rural or small urban communities will enhance service delivery and experience for young people.
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spelling pubmed-97569062022-12-22 Barriers and Facilitators to the Implementation of an Integrated Youth Services Network in Ontario Chiodo, Debbie Lu, Stephanie Varatharajan, Thepikka Costello, Jean Rush, Brian Henderson, J. L. Int J Integr Care Integrated Care Case INTRODUCTION: In response to the challenges of the traditional mental health system for youth both in Canada and abroad, models of integrated youth services (IYS) that span the integration of mental health, health, substance use, eucation, employment, peer support, and navigation into ‘one-stop shops’ are being established nationally and internationally. IYS models, however, need to be better described and evaluated to inform the replicability of this approach in other jurisdictions. DESCRIPTION: This paper describes the implementation of an IYS in a small urban city and rural county in Ontario, Canada, including insights from key informants into barriers, facilitators, and lessons learned. DISCUSSION: This evaluation identified a number of barriers and facilitators to the implementation of the IYS model in this specific context. Implementation facilitators included youth and family engagement, network partner collaboration, leadership, governance structure, community enthusiasm and support, and collaborative funding models. Barriers to implementation included the COVID-19 pandemic and related public health restrictions, the diverse needs of youth, change management, sustainable funding, and transportation. LESSONS LEARNED: By establishing a shared vision of delivering youth services across the integrated network, and engaging youth early in the process of model development, IYS have the potential to transform the service system for youth and their families. Meeting the diverse needs and challenges of youth who live in rural or small urban communities will enhance service delivery and experience for young people. Ubiquity Press 2022-12-14 /pmc/articles/PMC9756906/ /pubmed/36569415 http://dx.doi.org/10.5334/ijic.6737 Text en Copyright: © 2022 The Author(s) https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/.
spellingShingle Integrated Care Case
Chiodo, Debbie
Lu, Stephanie
Varatharajan, Thepikka
Costello, Jean
Rush, Brian
Henderson, J. L.
Barriers and Facilitators to the Implementation of an Integrated Youth Services Network in Ontario
title Barriers and Facilitators to the Implementation of an Integrated Youth Services Network in Ontario
title_full Barriers and Facilitators to the Implementation of an Integrated Youth Services Network in Ontario
title_fullStr Barriers and Facilitators to the Implementation of an Integrated Youth Services Network in Ontario
title_full_unstemmed Barriers and Facilitators to the Implementation of an Integrated Youth Services Network in Ontario
title_short Barriers and Facilitators to the Implementation of an Integrated Youth Services Network in Ontario
title_sort barriers and facilitators to the implementation of an integrated youth services network in ontario
topic Integrated Care Case
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9756906/
https://www.ncbi.nlm.nih.gov/pubmed/36569415
http://dx.doi.org/10.5334/ijic.6737
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