Integrated (one‐stop shop) youth health care: best available evidence and future directions
Open accessAbstract
Although mental health problems represent the largest burden of disease in young people, access to mental health care has been poor for this group. Integrated youth health care services have been proposed as an innovative solution. Integrated care joins up physical health, mental health and social care services, ideally in one location, so that a young person receives holistic care in a coordinated way. It can be implemented in a range of ways. A review of the available literature identified a range of studies reporting the results of evaluation research into integrated care services. The best available data indicate that many young people who may not otherwise have sought help are accessing these mental health services, and there are promising outcomes for most in terms of symptomatic and functional recovery. Where evaluated, young people report having benefited from and being highly satisfied with these services. Some young people, such as those with more severe presenting symptoms and those who received fewer treatment sessions, have failed to benefit, indicating a need for further integration with more specialist care. Efforts are underway to articulate the standards and core features to which integrated care services should adhere, as well as to further evaluate outcomes. This will guide the ongoing development of best practice models of service delivery.
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Although primary care services are predominantly designed for young people with mild-to-moderate needs, individuals with higher or more complex needs are increasingly accessing these services.
“Although primary care services are predominantly designed for young people with mild-to-moderate needs, individuals with higher or more complex needs are increasingly accessing these services.”
From The Lancet Psychiatry Commission on youth mental health (2024) · cites this paper as [250]
The Discussion describes the integrated model as entry-level enhanced primary care and says it attracts young people with severe and complex difficulties as well as those with milder illness. It does not establish that access by young people with higher or more complex needs is increasing over time. (LLM, conf=0.84)
Experimental — accuracy not yet measuredEasy-access, youth-friendly, and integrated community-based primary care services that provide evidence-based interventions for people aged 12-25 years have been established in several countries.
“Easy-access, youth-friendly, and integrated communitybased primary care services that provide evidence-based interventions for people aged 12-25 years have been established in several countries. 250”
From The Lancet Psychiatry Commission on youth mental health (2024) · cites this paper as [250]
The Discussion (page unavailable) describes integrated services for people aged 12–25, and the service-description section says several initiatives have been developed internationally with easy access to physical, mental-health and social care. But the paper says services *should* be evidence-based; its Services received section describes counselling without establishing that the interventions provided across these services were evidence-based. (LLM, conf=0.83)
Experimental — accuracy not yet measuredWithin the past two decades, a range of integrated youth mental health care services have emerged internationally, although reform has largely occurred in high-resource settings.
“Within the past two decades, a range of integrated youth mental health care services have emerged internationally, although reform has largely occurred in high-resource settings. 209,250,286”
From The Lancet Psychiatry Commission on youth mental health (2024) · cites this paper as [250]
A 2017 review of integrated youth mental health services confirmed that young people are highly satisfied with these services and have benefitted from improvements in service accessibility as well as symptomatic and functional recovery.
“A 2017 review of integrated youth mental health services confirmed that young people are highly satisfied with these services and have benefitted from improvements in service accessibility as well as symptomatic and functional recovery. 250”
From The Lancet Psychiatry Commission on youth mental health (2024) · cites this paper as [250]
These services have been shown to increase access to mental health services and improve symptomatic and functional recovery post-service.
“These services have been shown to increase access to mental health services and improve symptomatic and functional recovery postservice. 250”
From The Lancet Psychiatry Commission on youth mental health (2024) · cites this paper as [250]
Global examples of coordinated youth-centred programs exist, including the Canadian Foundry initiative.
“Global examples for coordinated youth-centred programs exist (Hetrick et al. 2017; Rickwood et al. 2014), including a new Canadian initiative called Foundry (www.foundrybc.ca).”
From Clinical and functional characteristics of young adults living in single room occupancy housing: preliminary findings from a 10-year longitudinal study (2018) · cites this paper as Hetrick et al. 2017
A recent review of one-stop shop services found that young people with complex needs, like those in this study, require early service integration with rapid access to specialist social and health services.
“A recent review of these Bone-stop shop^services revealed that young people with complex needs, such as those in this study, require early integration of services with rapid access to specialist social and health services (Hetrick et al. 2017).”
From Clinical and functional characteristics of young adults living in single room occupancy housing: preliminary findings from a 10-year longitudinal study (2018) · cites this paper as Hetrick et al. 2017
Early intervention services for adolescents and young people at primary care level (such as Jigsaw in Ireland and Headspace in Australia) are being rolled out in line with international best practice.
“Early intervention services for adolescents and young people at primary care level (such as Jigsaw in Ireland and Headspace in Australia) are also being rolled out in line with international best practice (Hetrick et al. 2017; McGorry et al. 2013).”
From Youth mental health in the time of COVID-19 (2020) · cites this paper as Hetrick et al. 2017
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Self-citationWhat Do Parents Expect in the 21st Century? A Qualitative Analysis of Integrated Youth Care
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Self-citationBuilding the momentum and blueprint for reform in youth mental health
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Toward a Paradigm for Youth Mental Health
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Unmet Needs in Youth Mental Health: Transforming Models of Care to Improve Outcomes
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Self-citationTransforming youth mental health services in a large urban centre: ACCESS Open Minds Edmonton
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Self-citationInterprofessional collaboration in mental health settings: a social network analysis
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“…the use of care: adolescents are least likely to seek help, due to age specific barriers, such as a lack of mental health literacy, poor access, financial costs and a misfit between service structures and the needs of youngsters (Hetrick et al., 2017; Rickwood et al., 2007; Vyas et al., 2015).”
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After the storm, Solar comes out: A new service model for children and adolescent mental health
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The New Wave of Youth Mental Health Services: Time for Reflection and Caution
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COVID-19 and the Future with Digital Mental Health: Need for Attention to Complexities
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Self-citationYouth Perspectives on Integrated Youth Services: A Discrete Choice Conjoint Experiment
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Self-citationBarriers and Facilitators to Mental Health Service Integration: A Scoping Review
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Self-citationPublic discourse on mental health: a critical view
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Early intervention services for non-psychotic mental health disorders: a scoping review protocol
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A mixed methods evaluation of an integrated adult mental health service model
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Self-citationFrayme: Building the structure to support the international spread of integrated youth services
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Self-citation
- Authors
- 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., Moro, M. R., Rickwood, D. J., Duffy, J., Eriksen, T., Illback, R., Fisher, C. A., & McGorry, P. D.
- Affiliations
- The University of Melbourne (AU)
- Evolve Youth Services, Wellington, New Zealand
- McGill University (CA)
- University of British Columbia (CA)
- University of Warwick (GB)
- Jigsaw, The National Centre for Youth Mental Health, Dublin, Ireland
- Institute of Mental Health (SG)
- Sorbonne Université (FR)
- University of Auckland (NZ)
- headspace, National Youth Mental Health Foundation, Melbourne, VIC
- Youth One Stop Shop, Network of Youth One Stop Shops, Palmerston North, New Zealand
- REACH of Louisville, Louisville, Ky, USA
- The Royal Melbourne Hospital (AU)
- Corresponding author
- McGorry, Patrick D
- ORCID
- Venue
- Medical Journal of Australia
- Publisher
- Wiley
- Published
- 2017-11
- Volume
- 207
- Issue
- S10
- Pages
- S5-S18
- ISSN
- 0025-729X (ISSN-L)
- 1326-5377
- OpenAlex
- W2768989615
- Cited by
- 288
- References
- 89
- Citations by year
- 2026: 23 · 2025: 35 · 2024: 36 · 2023: 23 · 2022: 39 · 2021: 44 · 2020: 41 · 2019: 27 · 2018: 18 · 2017: 1 · 2013: 1
- FWCI
- 3.65
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- Locations
- The Medical Journal of Australia (publishedVersion)
- PubMed (publishedVersion)
- Minerva Access (University of Melbourne) (submittedVersion)
- ResearchSpace (University of Auckland) (submittedVersion)
- 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
- child and adolescent mental health services, access to mental health care, service integration, service evaluation, service satisfaction, service standards, service delivery models, youth
- MeSH terms
- Adolescent, Australia, Mental Disorders, Delivery of Health Care, Health Services, Humans, Mental Health Services, Primary Health Care, Evidence-Based Medicine, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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