From early intervention in psychosis to youth mental health reform: a review of the evolution and transformation of mental health services for young people
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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Early intervention models, initially designed to assist people with psychotic disorders, have expanded their area of intervention to mood, personality, eating, and substance use disorders.
“Parallel, early intervention models, initially designed to assist people with psychotic disorders, have expanded their area of intervention to mood, personality, eating, and substance use disorders [128].”
From Prevention and early intervention in youth mental health: is it time for a multidisciplinary and trans-diagnostic model for care? (2020) · cites this paper as [128]
Research evidence supports the implementation of healthcare systems integrating mental, primary, and social care in order to guarantee youth a healthy mental development through promotion, prevention, and early interventions.
“In order to guarantee youth a healthy mental development through promotion, prevention, and early interventions, research evidence supports the implementation of healthcare systems integrating mental, primary, and social care [128].”
From Prevention and early intervention in youth mental health: is it time for a multidisciplinary and trans-diagnostic model for care? (2020) · cites this paper as [128]
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- Authors
- Malla, A., Iyer, S., McGorry, P., Cannon, M., Coughlan, H., Singh, S., Jones, P., & Joober, R.
- Affiliations
- Douglas Mental Health University Institute (CA)
- The University of Melbourne (AU)
- Royal College of Surgeons in Ireland (IE)
- University of Warwick (GB)
- University of Cambridge (GB)
- Corresponding author
- Malla, Ashok
- ORCID
- Venue
- Social Psychiatry and Psychiatric Epidemiology
- Published
- 2015-12-19
- Volume
- 51
- Issue
- 3
- Pages
- 319-326
- ISSN
- 0933-7954 (ISSN-L)
- 1433-9285
- OpenAlex
- W2184345338
- Cited by
- 196
- References
- 39
- Citations by year
- 2026: 8 · 2025: 17 · 2024: 26 · 2023: 18 · 2022: 26 · 2021: 25 · 2020: 24 · 2019: 20 · 2018: 18 · 2017: 11 · 2016: 3
- FWCI
- 1.54
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Social Psychiatry and Psychiatric Epidemiology (publishedVersion)
- PubMed (publishedVersion)
- Warwick Research Archive Portal (University of Warwick) (acceptedVersion)
- Apollo (University of Cambridge) (acceptedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
- Keywords
- child and adolescent mental health services, early intervention in psychosis, mental health reform, headspace, Jigsaw, philanthropy, social advocacy, service transformation, indigenous peoples, Australia, Ireland, United Kingdom, Canada
- MeSH terms
- Adolescent, Australia, Canada, Child, United Kingdom, Humans, Ireland, Mental Health Services, Psychotic Disorders, Health Care Reform, Early Intervention, Educational, Young Adult
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