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Cited by 36Psychiatric care and mental health servicesMental Health Treatment and AccessAdolescent and Pediatric Healthcare

Youth Wellness Hubs Ontario: development and initial implementation of integrated youth services in Ontario, Canada

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Henderson, Joanna Lyn, Chiodo, Debbie, Varatharasan, Nirupa, Andari, Swelen, Luce, Janine, Wolfe, Janis·2023·Early Intervention in Psychiatry
DOI 10.1111/eip.13315PMC PMC10084342
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Abstract

Aim: The need for youth‐friendly early intervention services to meet the mental health, substance use, primary care, and other social needs of adolescents and young adults is well‐documented. This article describes Youth Wellness Hubs Ontario, a province‐wide initiative in Ontario, Canada to build and implement a one‐stop‐shop model of integrated youth services. Methods: We describe the development of Youth Wellness Hubs Ontario, in the context of global youth mental health system transformation, as well as pan‐Canadian youth mental health system change. We also describe Youth Wellness Hubs Ontario's values and services. Results: The demonstration phase of Youth Wellness Hubs Ontario was initiated in 2017–2018. Youth Wellness Hubs Ontario is co‐created with youth for youth aged 12–25 years old across diverse community contexts. Youth Wellness Hubs Ontario centres engagement and equity, and offers developmentally‐appropriate services in an integrated, community‐based walk‐in format. As an initiative committed to continuous learning and quality improvement, Youth Wellness Hubs Ontario offers evidence‐based and evidence‐generating services, and measurement‐based care. Youth Wellness Hubs Ontario is supported by backbone resources with expertise in implementation science, health equity, Indigenous practices, youth and family engagement, evaluation, and knowledge translation. In 2020 Youth Wellness Hubs Ontario secured sustainable funding for the first 10 locations and scale‐up began in 2021, with 10 additional locations in development. Conclusions: Youth Wellness Hubs Ontario demonstrates the feasibility of integrated mental health and substance use early intervention services, offered in the context of a broad range of health and social services.

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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 [290]

  • In Youth Wellness Hubs Ontario, 91% of young people have moderate-to-severe psychological distress at entry.

    “91% of young people have moderate-to-severe psychological distress at entry”

    From The Lancet Psychiatry Commission on youth mental health (2024) · cites this paper as [290]

    The Introduction discusses youth mental health needs, and the Abstract describes Youth Wellness Hubs Ontario’s development and services. Neither reports psychological distress at entry or a 91% figure; searches for “91%,” “moderate-to-severe psychological distress,” and intake or baseline distress found no supporting passage in our copy. (LLM, conf=0.75)

    Experimental — accuracy not yet measured

  • In Youth Wellness Hubs Ontario, >90% of young people report positive service experience across multiple service domains.

    “>90% of young people report positive service experience across multiple service domains”

    From The Lancet Psychiatry Commission on youth mental health (2024) · cites this paper as [290]

    The “Continuous learning and quality improvement” section says the YWHO evaluation framework includes youth and family service experience, but it does not report experience ratings. Searches for “90%,” positive service experience, and satisfaction found no passage reporting that more than 90% of young people had positive experiences across multiple domains (page unavailable in our copy). (LLM, conf=0.76)

    Experimental — accuracy not yet measured

  • In Youth Wellness Hubs Ontario, 46% of young people report suicidal ideation in the past 2 weeks.

    “46% of young people report suicidal ideation in the past 2 weeks”

    From The Lancet Psychiatry Commission on youth mental health (2024) · cites this paper as [290]

    The Abstract Results describe the hubs’ implementation and services, while the Introduction discusses youth mental health needs; neither reports a rate of suicidal ideation. Searches for “46%,” “suicid,” and “past two weeks” found no passage supporting the claimed figure or timeframe. (LLM, conf=0.75)

    Experimental — accuracy not yet measured

  • In Youth Wellness Hubs Ontario, post-treatment, statistically significant reductions in distress and severity of mental health problems, and improvements in mental health occurred.

    “post- treatment, statistically significant reductions in distress and severity of mental health problems, and improvements in mental health occurred”

    From The Lancet Psychiatry Commission on youth mental health (2024) · cites this paper as [290]

    The Abstract’s Results describe implementation and services, not post-treatment outcomes. The Values and commitments section says measures are used to track change, but reports no statistically significant reductions in distress or problem severity, or improvements in mental health. Searches for those outcomes found no supporting passage in our copy. (LLM, conf=0.76)

    Experimental — accuracy not yet measured

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Cites

Flagged first, then by citations

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Authors
Henderson, J. L., Chiodo, D., Varatharasan, N., Andari, S., Luce, J., & Wolfe, J.
Affiliations
  • Centre for Addiction and Mental Health (CA)
  • Western University (CA)
Corresponding author
Henderson, Joanna Lyn
ORCID
Venue
Early Intervention in Psychiatry
Publisher
Wiley
Published
2022-06-24
Volume
17
Issue
1
Pages
107-114
ISSN
  • 1751-7885 (ISSN-L)
  • 1751-7893
DOI
10.1111/eip.13315
PMC
PMC10084342
OpenAlex
W4283372194
Cited by
36
References
9
Citations by year
2026: 6 · 2025: 14 · 2024: 8 · 2023: 6 · 2022: 2
FWCI
6.85
Type
journal article
Language
en
Open access
Licence
Locations
  • Early Intervention in Psychiatry (publishedVersion, cc-by-nc-nd)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
Funders
Government of Ontario
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 › Speech and Hearing › Adolescent and Pediatric Healthcare
Keywords
integrated youth services, youth mental health, substance use services, early intervention, adolescents and young adults, health equity, youth participation, community-based services, measurement-based care, scale-up, Ontario
MeSH terms
Adolescent, Adult, Canada, Child, Humans, Mental Health, Mental Health Services, Ontario, Substance-Related Disorders, Young Adult

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