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From early intervention in psychosis to youth mental health reform: a review of the evolution and transformation of mental health services for young people

Social Psychiatry and Psychiatric Epidemiology volume 51, pages 319–326 (2016)Cite this article

Abstract

Purpose

The objective of this review is to report on recent developments in youth mental health incorporating all levels of severity of mental disorders encouraged by progress in the field of early intervention in psychotic disorders, research in deficiencies in the current system and social advocacy.

Methods

The authors have briefly reviewed the relevant current state of knowledge, challenges and the service and research response across four countries (Australia, Ireland, the UK and Canada) currently active in the youth mental health field.

Results

Here we present information on response to principal challenges associated with improving youth mental services in each country. Australia has developed a model comprised of a distinct front-line youth mental health service (Headspace) to be implemented across the country and initially stimulated by success in early intervention in psychosis; in Ireland, Headstrong has been driven primarily through advocacy and philanthropy resulting in front-line services (Jigsaw) which are being implemented across different jurisdictions; in the UK, a limited regional response has addressed mostly problems with transition from child–adolescent to adult mental health services; and in Canada, a national multi-site research initiative involving transformation of youth mental health services has been launched with public and philanthropic funding, with the expectation that results of this study will inform implementation of a transformed model of service across the country including indigenous peoples.

Conclusions

There is evidence that several countries are now engaged in transformation of youth mental health services and in evaluation of these initiatives.

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Author information

Affiliations

  1. Department of Psychiatry, McGill University, Montreal, QC, Canada

    Ashok Malla, Srividya Iyer & Ridha Joober

  2. ACCESS Open Minds Canada, Douglas Mental Health University Institute, Montreal, Canada

    Ashok Malla, Srividya Iyer & Ridha Joober

  3. ORYGEN, University of Melbourne, Parkville, Australia

    Patrick McGorry

  4. Department of Psychiatry, Royal College of Surgeons of Ireland, Dublin, Ireland

    Mary Cannon & Helen Coughlan

  5. Division of Mental Health, Warwick University, Coventry, England, UK

    Swaran Singh

  6. Department of Psychiatry, Cambridge University, Cambridge, England, UK

    Peter Jones

  7. Douglas Hospital Research Centre, ACCESS Open Minds Pavilion, 6625 LaSalle Boulevard, Montreal, QC, H4H 1R3, Canada

    Ashok Malla

Authors
  1. Ashok Malla
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  2. Srividya Iyer
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  3. Patrick McGorry
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  4. Mary Cannon
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  5. Helen Coughlan
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  6. Swaran Singh
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  7. Peter Jones
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  8. Ridha Joober
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Corresponding author

Correspondence to Ashok Malla.

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Malla, A., Iyer, S., McGorry, P. et al. From early intervention in psychosis to youth mental health reform: a review of the evolution and transformation of mental health services for young people. Soc Psychiatry Psychiatr Epidemiol 51, 319–326 (2016). https://doi.org/10.1007/s00127-015-1165-4

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  • DOI: https://doi.org/10.1007/s00127-015-1165-4

Keywords

  • Youth mental health
  • Service delivery
  • Early intervention