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Cited by 70Adolescent and Pediatric HealthcareChild and Adolescent HealthPsychiatric care and mental health services

Foundry: early learnings from the implementation of an integrated youth service network

Open access
Mathias, Steve, Tee, Karen, Helfrich, Warren, Gerty, Krista, Chan, Godwin, Barbic, Skye Pamela·2022·Early Intervention in Psychiatry
DOI 10.1111/eip.13181PMC PMC9292689
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Abstract

AIMS: To provide the first profile of the demographic and service characteristics of young people (aged 12–24 years) who access Foundry, a provincial network of integrated youth health and social service centres in British Columbia, Canada and to share early learnings about implementation and service innovation. METHODS: Using a retrospective chart review, we conducted a census of all young people accessing a Foundry centre in a ‘proof of concept’ phase. Six centres were assessed between October 2015 and March 2018. Data included demographics, mental health service access history, service type the youth was seeking, and information about how they found out about the centre. RESULTS: A total of 4783 young people presented during this proof of concept period, for a total number of 35 791 visits. The most frequently accessed category of service was mental health/substance use (57%) followed by physical health (25%). Young people were most likely to be female, aged 15–19, and White. Youth demographic characteristics showed an over‐representation of Indigenous and LGBTQ2 youth and under‐representation of males and youth aged 20–24. Youth were most likely to learn about Foundry from a friend (44%) or family member (22%). Most youth (58%) reported that they would have gone ‘nowhere’ if not for Foundry. CONCLUSIONS: Foundry is a model of integrated health and social services delivery, focused on early intervention, prevention and accessibility, driven by the needs and priorities of young people and their families. Leveraging international integrated youth health service evidence, the model addresses urgent priorities in Canadian health service delivery.

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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 [292]

    The Introduction describes Foundry as an integrated youth-service model implemented in British Columbia and co-designed around needs identified in diverse local communities. It also describes provincial and philanthropic funding. The Discussion treats culturally responsive services as an area for further development, however, and the cited passages do not establish that the model was adapted for workforce factors. (LLM, conf=0.84)

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  • In Foundry British Columbia, there is excellent access for Indigenous and LGBTIQA+ groups.

    “excellent access for Indigenous and LGBTIQA+ groups”

    From The Lancet Psychiatry Commission on youth mental health (2024) · cites this paper as [292]

    The Results (Social determinants of health; page unavailable) report that 14% of service users identified as Indigenous and 30% reported a sexual orientation other than heterosexual. The Discussion says Indigenous youth were over-represented and that Foundry appeared to serve a relatively large proportion of youth with LGBTQ2+ orientations. These findings support substantial reach during the proof-of-concept phase, but do not establish that access was excellent; the authors also call for further work on culturally responsive services for Indigenous youth. (LLM, conf=0.83)

    Experimental — accuracy not yet measured

  • In Foundry British Columbia, young people strongly agree that having multiple services in one location makes it easier to get help.

    “young people strongly agree that having multiple services in one location makes it easier to get help”

    From The Lancet Psychiatry Commission on youth mental health (2024) · cites this paper as [292]

    The Introduction says young people prioritized bringing health and social services together in one place to make care easier to find. The paper does not report that they “strongly agree” with this statement or give a measure of agreement, so that strength of endorsement is unsupported. (LLM, conf=0.83)

    Experimental — accuracy not yet measured

  • Integrated youth mental health-care services offer inclusion of marginalised and at-risk populations such as Indigenous people and LGBTIQA+ people, although effectively meeting the needs of these populations requires strengthening.

    “Independent and in-house evaluations have found that integrated youth mental health-care services are associated with high satisfaction rates among young people, 288,296,306,310,313 are cost-effective, 288 and offer a range of benefits: increased help-seeking behaviours and enhanced access to care; inclusion of marginalised and at-risk populations such as Indigenous people and LGB”

    From The Lancet Psychiatry Commission on youth mental health (2024) · cites this paper as [292]

  • In Foundry British Columbia, 81% of young people have high or very high severity of distress at entry.

    “81% of young people have high or very high severity of distress at entry”

    From The Lancet Psychiatry Commission on youth mental health (2024) · cites this paper as [292]

    The Results report service use and participant demographics, including that 57% of services accessed were for mental health or substance use, but do not report distress severity at entry. Searches for “81%,” “distress,” and “high or very high” found no passage supporting the claimed figure. (LLM, conf=0.75)

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Cites

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1 of the 43 references couldn’t be matched to a known paper.

Research works printed but not linked: 1

  1. NEJM Catalyst. (2017). Hardwiring Patient Engagement to Deliver Better Health. Retrieved from https://catalyst.nejm.org/events/hardwiring‐patient‐engagement‐better‐health/

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Authors
Mathias, S., Tee, K., Helfrich, W., Gerty, K., Chan, G., & Barbic, S. P.
Affiliations
Providence Health Care (CA)
Corresponding author
Barbic, Skye Pamela
ORCID
Venue
Early Intervention in Psychiatry
Publisher
Wiley
Published
2021-05-18
Volume
16
Issue
4
Pages
410-418
ISSN
  • 1751-7885 (ISSN-L)
  • 1751-7893
DOI
10.1111/eip.13181
PMC
PMC9292689
OpenAlex
W3161529000
Cited by
70
References
43
Citations by year
2026: 10 · 2025: 21 · 2024: 9 · 2023: 14 · 2022: 10 · 2021: 6
FWCI
12.10
Type
journal article
Language
en
Open access
Licence
Locations
  • Early Intervention in Psychiatry (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Funders
  • Michael Smith Foundation for Health Research
  • Ministry of Health
Topics
  • Health Sciences › Health Professions › Speech and Hearing › Adolescent and Pediatric Healthcare
  • Health Sciences › Health Professions › General Health Professions › Child and Adolescent Health
  • Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
Keywords
youth mental health, substance use services, Indigenous youth, access to services, early intervention, service innovation, British Columbia
MeSH terms
Adolescent, Adult, British Columbia, Child, Female, Humans, Male, Mental Health, Mental Health Services, Retrospective Studies, Adolescent Health Services, Young Adult

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