|Title:||Integrated (one-stop shop) youth health care: best available evidence and future directions|
|Journal:||Med J Aust|
|ISSN:||1326-5377 (Electronic);0025-729X (Linking)|
|Keywords:||Adolescent;Australia;Delivery of Health Care/*organization & administration;Evidence-Based Medicine;*Health Services;Humans;Mental Disorders/*therapy;Mental Health Services/*organization & administration;Primary Health Care/*organization & administration;Young Adult;Adolescent psychiatry;Health services research;Mental health policy|
|Abstract:||Although mental health problems represent the largest burden of disease in young people, access to mental health care has been poor for this group. Integrated youth health care services have been proposed as an innovative solution. Integrated care joins up physical health, mental health and social care services, ideally in one location, so that a young person receives holistic care in a coordinated way. It can be implemented in a range of ways. A review of the available literature identified a range of studies reporting the results of evaluation research into integrated care services. The best available data indicate that many young people who may not otherwise have sought help are accessing these mental health services, and there are promising outcomes for most in terms of symptomatic and functional recovery. Where evaluated, young people report having benefited from and being highly satisfied with these services. Some young people, such as those with more severe presenting symptoms and those who received fewer treatment sessions, have failed to benefit, indicating a need for further integration with more specialist care. Efforts are underway to articulate the standards and core features to which integrated care services should adhere, as well as to further evaluate outcomes. This will guide the ongoing development of best practice models of service delivery.|
|Notes:||Hetrick, Sarah E;Bailey, Alan P;Smith, Kirsten E;Malla, Ashok;Mathias, Steve;Singh, Swaran P;O'Reilly, Aileen;Verma, Swapna K;Benoit, Laelia;Fleming, Theresa M;Moro, Marie Rose;Rickwood, Debra J;Duffy, Joseph;Eriksen, Trissel;Illback, Robert;Fisher, Caroline A;McGorry, Patrick D;eng;Review;Australia;2017/11/14 06:00;Med J Aust. 2017 Nov 20;207(10):S5-S18.|
|Authors Address:||Orygen, The National Centre of Excellence in Youth Mental Health and The Centre for Youth Mental Health, University of Melbourne, Melbourne, VIC email@example.com.;Orygen, The National Centre of Excellence in Youth Mental Health and The Centre for Youth Mental Health, University of Melbourne, Melbourne, VIC.;Evolve Youth Services, Wellington, New Zealand.;Department of Psychiatry, McGill University, Montreal, Quebec, Canada.;Foundry, Department of Psychiatry, University of British Columbia, and FRAYME/CADRE Knowledge Network, Vancouver, British Columbia, Canada.;Division of Health Sciences, University of Warwick, Coventry, UK.;Jigsaw, The National Centre for Youth Mental Health, Dublin, Ireland.;Department of Early Psychosis Intervention, Institute of Mental Health, Singapore, Singapore.;Sorbonne University and Maisons des Adolescents, Maison de Solenn, Cochin Hospital, Paris, France.;Department of Psychological Medicine, University of Auckland, Auckland, and Te Wahanga Tatai Hauora, Victoria University of Wellington, Wellington, New Zealand.;headspace, National Youth Mental Health Foundation, Melbourne, VIC.;Youth One Stop Shop, Network of Youth One Stop Shops, Palmerston North, New Zealand.;REACH of Louisville, Louisville, Ky, USA.;Allied Health - Psychology, Royal Melbourne Hospital, Melbourne, VIC.|
|Appears in Collections:||2017|
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