Creating an innovative youth mental health service in the United Kingdom: The Norfolk Youth Service
Open accessAbstract
Young people attempting to access mental health services in the United Kingdom often find traditional models of care outdated, rigid, inaccessible and unappealing. Policy recommendations, research and service user opinion suggest that reform is needed to reflect the changing needs of young people. There is significant motivation in the United Kingdom to transform mental health services for young people, and this paper aims to describe the rationale, development and implementation of a novel youth mental health service in the United Kingdom, the Norfolk Youth Service. The Norfolk Youth Service model is described as a service model case study. The service rationale, national and local drivers, principles, aims, model, research priorities and future directions are reported. The Norfolk Youth Service is an innovative example of mental health transformation in the United Kingdom, comprising a pragmatic, assertive and “youth‐friendly” service for young people aged 14 to 25 that transcends traditional service boundaries. The service was developed in collaboration with young people and partnership agencies and is based on an engaging and inclusive ethos. The service is a social‐recovery oriented, evidence‐based and aims to satisfy recent policy guidance. The redesign and transformation of youth mental health services in the United Kingdom is long overdue. The Norfolk Youth Service represents an example of reform that aims to meet the developmental and transitional needs of young people at the same time as remaining youth‐oriented.
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Other jurisdictions have implemented variations of similar integrated youth mental health care models, adapted to local need as well as cultural, workforce, and financial factors.
“Other jurisdictions-notably, Ireland, 289 Canada, 290-292 the UK, 293,294 Denmark, Singapore, 295 the USA, the Netherlands, 296 Japan, 297 South Korea, 298 Israel, 299 Hong Kong, 300 Iceland, France, 301 and New Zealand 302 -have implemented variations of similar models, which have been adapted to meet local need as well as cultural, workforce, and financial factors (panel”
From The Lancet Psychiatry Commission on youth mental health (2024) · cites this paper as [294]
The Abstract and Future Directions (pages unavailable) identify the Norfolk Youth Service as a UK youth mental health service and describe it as a Headspace-inspired, integrated model. Local Context says it was developed in response to locally identified needs. The cited paper does not establish that cultural, workforce, and financial factors shaped this adaptation, so it supports the UK example and local-need portion, but not all of the stated factors. (LLM, conf=0.83)
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Cites
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The Lancet Psychiatry Commission on youth mental health
McGorry, P. D., Mei, C., Dalal, N., Alvarez-Jimenez, M., Blakemore, S.-J., Browne, V., Dooley, B., Hickie, I. B., Jones, P. B., McDaid, D., et al. (2024) · The Lancet Psychiatry · doi:10.1016/s2215-0366(24)00163-9 · Cited by 663 · see citing works
Self-citationDesigning and scaling up integrated youth mental health care
McGorry, P. D., Mei, C., Chanen, A., Hodges, C., Alvarez‐Jimenez, M., & Killackey, E. (2022) · World Psychiatry · doi:10.1002/wps.20938 · Cited by 546 · see citing works
A systematic review exploring youth peer support for young people with mental health problems
de Beer, C. R. M., Nooteboom, L. A., van Domburgh, L., de Vreugd, M., Schoones, J. W., & Vermeiren, R. R. J. M. (2024) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-022-02120-5 · Cited by 86 · see citing works
Social recovery therapy for young people with emerging severe mental illness: the Prodigy RCT
Fowler, D., Berry, C., Hodgekins, J., Banerjee, R., Barton, G., Byrne, R., Clarke, T., Fraser, R., Grant, K., Greenwood, K., et al. (2021) · Health Technology Assessment · doi:10.3310/hta25700 · Cited by 7 · see citing works
- Authors
- Wilson, J., Clarke, T., Lower, R., Ugochukwu, U., Maxwell, S., Hodgekins, J., Wheeler, K., Goff, A., Mack, R., Horne, R., & Fowler, D.
- Affiliations
- University of East Anglia (GB)
- Norfolk and Suffolk NHS Foundation Trust (GB)
- Child, Family & Young People Service Norfolk and Suffolk NHS Foundation Trust Norfolk UK
- University of Sussex (GB)
- Corresponding author
- Wilson, Jon
- Venue
- Early Intervention in Psychiatry
- Publisher
- Wiley
- Published
- 2017-08-04
- Volume
- 12
- Issue
- 4
- Pages
- 740-746
- ISSN
- 1751-7885 (ISSN-L)
- 1751-7893
- OpenAlex
- W2611669637
- Cited by
- 37
- References
- 2
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 6 · 2023: 2 · 2022: 8 · 2021: 4 · 2020: 6 · 2019: 5 · 2018: 2
- FWCI
- 4.41
- Type
- journal article
- Language
- en
- Open access
- green
- ueaeprints.uea.ac.uk
- Locations
- Early Intervention in Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- UEA Digital Repository (University of East Anglia) (submittedVersion)
- Funders
- National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research
- Care East of England
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
- Keywords
- child and adolescent mental health services, service model development, mental health service reform, youth-friendly services, social recovery, service user involvement, service redesign
- MeSH terms
- Adolescent, Adult, Female, United Kingdom, Humans, Male, Mental Health Services, Adolescent Health Services, Program Development, Young Adult
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