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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.”
From The Lancet Psychiatry Commission on youth mental health (2024) · cites this paper as [250]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
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“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]
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“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]
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“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]
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“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]
In the citing paper
“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
In the citing paper
“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
In the citing paper
“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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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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Young peoples’ perspectives about care in a youth-friendly general practice
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Why do psychiatrists doubt the value of early intervention? The power of illusion
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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
Metadata
- 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
- 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
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › 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
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