Youth engagement with an emerging Irish mental health early intervention programme ( Jigsaw ): participant characteristics and implications for service delivery
Abstract
Background/aims The transition to adulthood represents a critical period which influences mental health problems, but access to and utilisation of mental health services by young people is poor. Jigsaw is a response to the challenge of transforming how young people access mental health support and attain positive outcomes. This article presents an overview of the characteristics of young people engaging with this service. Method Data about young people who engage with Jigsaw are captured through an online system designed to record salient clinical, case management, service delivery, and outcome information. Participant characteristics are summarised to portray the young people who engaged with the service for the first time during 2013 (N = 2420). Results The majority of young people engaging with Jigsaw were female, aged 15-17 years, and were referred by their parents. Over half were in full-time education, although many 21-25-year-olds were unemployed. Young people presented with a range of difficulties which varied by age and gender. They reported high levels of distress, with age and gender having a significant impact on their well-being. Conclusions This study provides emerging evidence to support the need for an early intervention component within the system of mental health care.
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In Jigsaw Ireland, 52% of young people have moderate-to-severe or severe distress at entry.
“52% of young people have moderate-to-severe or severe distress at entry”
From The Lancet Psychiatry Commission on youth mental health (2024) · cites this paper as [309]
In Jigsaw Ireland, post-treatment, 62% aged 17-25 years showed reliable and clinically significant improvement and 68% aged 12-16 years showed reliable improvement.
“psychological distress post- treatment: 62% aged 17-25 years showed reliable and clinically significant improvement and 68% aged 12-16 years showed reliable improvement”
From The Lancet Psychiatry Commission on youth mental health (2024) · cites this paper as [309]
Cites
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“The CORE questionnaires have been widely used in evaluation of counseling services in the UK (Bewick et al., 2008; Twigg et al., 2009), and were selected for use in Jigsaw for a number of reasons.”
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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
Integrated (one‐stop shop) youth health care: best available evidence and future directions
Hetrick, S. E., Bailey, A. P., Smith, K. E., Malla, A., Mathias, S., Singh, S. P., O'Reilly, A., Verma, S. K., Benoit, L., Fleming, T. M., et al. (2017) · Medical Journal of Australia · doi:10.5694/mja17.00694 · Cited by 288 · see citing works
Self-citationHickie, I. B., Scott, E. M., Cross, S. P., Iorfino, F., Davenport, T. A., Guastella, A. J., Naismith, S. L., Carpenter, J. S., Rohleder, C., Crouse, J. J., et al. (2019) · Medical Journal of Australia · doi:10.5694/mja2.50383 · Cited by 208 · see citing works
Key attributes of integrated community-based youth service hubs for mental health: a scoping review
Settipani, C. A., Hawke, L. D., Cleverley, K., Chaim, G., Cheung, A., Mehra, K., Rice, M., Szatmari, P., & Henderson, J. (2019) · International Journal of Mental Health Systems · doi:10.1186/s13033-019-0306-7 · Cited by 172 · see citing works
Iorfino, F., Cross, S. P., Davenport, T., Carpenter, J. S., Scott, E., Shiran, S., & Hickie, I. B. (2019) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2019.00595 · Cited by 125 · see citing works
- Authors
- O'Reilly, A., Illback, R., Peiper, N., O'Keeffe, L., & Clayton, R.
- Affiliations
- University of Kentucky (US)
- ORCID
- Peiper, Nicholas
- Venue
- Journal of Mental Health
- Publisher
- Informa UK Limited
- Published
- 2015-07-20
- Volume
- 24
- Issue
- 5
- Pages
- 283-288
- ISSN
- 0963-8237 (ISSN-L)
- 1360-0567
- OpenAlex
- W1916523914
- Cited by
- 34
- References
- 4
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 2 · 2023: 1 · 2022: 2 · 2021: 8 · 2020: 1 · 2019: 10 · 2018: 2 · 2017: 2 · 2016: 2
- FWCI
- 3.25
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Mental Health (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- youth mental health, early intervention, coming of age, service utilization, participant characteristics, gender differences, age differences, psychological distress, service delivery, youth
- MeSH terms
- Adolescent, Adult, Age Factors, Mental Disorders, Female, Health Services Accessibility, Humans, Ireland, Male, Mental Health Services, Referral and Consultation, Early Intervention, Educational, Young Adult
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