Clinical and functional characteristics of a subsample of young people presenting for primary mental healthcare at headspace services across Australia

Filia, Kate; Rickwood, Debra; Menssink, Jana M.; Gao, Caroline X.; Hetrick, Sarah; Parker, Alexandra; Hamilton, Matthew; Hickie, Ian B.; Herrman, Helen; Telford, Nic; Sharmin, Selina; McGorry, Patrick D.; Cotton, Sue

doi:10.1007/s00127-020-02020-6

Cited by 21 publications

(26 citation statements)

References 44 publications

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“…This study was part of a larger study aiming to develop better patient-reported outcome measurement for young people seeking early intervention and treatments for mental ill-health (Filia et al ., 2021 ). Institutional ethics approval was obtained from the University of Melbourne Human Research Ethics Committee (1645367.1).…”

Section: Methodsmentioning

confidence: 99%

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Heterogeneity of quality of life in young people attending primary mental health services

Cotton

Hamilton

Filia

et al. 2022

Epidemiol Psychiatr Sci

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Aims The utility of quality of life (QoL) as an outcome measure in youth-specific primary mental health care settings has yet to be determined. We aimed to determine: (i) whether heterogeneity on individual items of a QoL measure could be used to identify distinct groups of help-seeking young people; and (ii) the validity of these groups based on having clinically meaningful differences in demographic and clinical characteristics. Methods Young people, at their first presentation to one of five primary mental health services, completed a range of questionnaires, including the Assessment of Quality of Life–6 dimensions adolescent version (AQoL-6D). Latent class analysis (LCA) and multivariate multinomial logistic regression were used to define classes based on AQoL-6D and determine demographic and clinical characteristics associated with class membership. Results 1107 young people (12–25 years) participated. Four groups were identified: (i) no-to-mild impairment in QoL; (ii) moderate impairment across dimensions but especially mental health and coping; (iii) moderate impairment across dimensions but especially on the pain dimension; and (iv) poor QoL across all dimensions along with a greater likelihood of complex and severe clinical presentations. Differences between groups were observed with respect to demographic and clinical features. Conclusions Adding multi-attribute utility instruments such as the AQoL-6D to routine data collection in mental health services might generate insights into the care needs of young people beyond reducing psychological distress and promoting symptom recovery. In young people with impairments across all QoL dimensions, the need for a holistic and personalised approach to treatment and recovery is heightened.

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Section: Methodsmentioning

confidence: 99%

“…The larger study comprised a total of 18 measures (Filia et al ., 2021 ); here we highlight the measures that were pertinent to the current study.…”

Section: Methodsmentioning

confidence: 99%

Heterogeneity of quality of life in young people attending primary mental health services

Cotton

Hamilton

Filia

et al. 2022

Epidemiol Psychiatr Sci

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“…Only pertinent measures are reported here; information on the wider assessment battery is reported in Filia, Rickwood [20]. Measures that collect information related to the key domains of social inclusion are included (social functioning, employment or education, and housing).…”

Section: Methodsmentioning

confidence: 99%

Social inclusion, intersectionality, and profiles of vulnerable groups of young people seeking mental health support

Filia

Menssink

Gao

et al. 2021

Soc Psychiatry Psychiatr Epidemiol

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Background headspace centres provide enhanced primary mental healthcare for young people. A priority is to provide services for all young people irrespective of a range of social disadvantages or social exclusion. The aims of this study were to: (i) delineate extent of social inclusion across domains of housing, studying/employment, functioning, alcohol, and other drug use; and (ii) map profiles of young people deemed vulnerable to experiencing additional barriers to accessing services based on their social inclusion domains (e.g., those living in unstable housing, not in employment/education, and/or experiencing intersecting or multiple forms of disadvantage or difficulties), including detailing their clinical characteristics. Methods Young people were recruited from five headspace centres. Data relevant to social inclusion were examined. Multivariate logistic regression models were used to determine overlap between vulnerable groups, functional, social, clinical, and behavioural factors. Results 1107 young people participated, aged 12-25 years (M = 18.1 years, SD = 3.3), most living in stable housing (96.5%) and engaged in studying/employment (84.8%). Specific vulnerabilities were evident in young people with NEET status (15.2%); in unstable accommodation (3.5%); of culturally diverse backgrounds (CALD) (12.2%); living in regional areas (36.1%); and identifying as lesbian, gay, bisexual, transgender, intersex, queer/questioning, and asexual plus (LGBTIQA+; 28.2%). Higher levels of distress, substance use, functional impairment, and lower social support were reported by those who were NEET and/or in unstable housing. LGBTIQA+ status was associated with high distress, depressive symptoms, and suicidal ideation. Conclusions Most participants reported good social support, stable housing, and engagement in work or education. Those deemed vulnerable were likely to experience social exclusion across multiple domains and reported more mental health problems. The co-occurrence of mental ill-health and social exclusion highlights the importance of integrated mental healthcare.

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“…This study involved analysis of three‐month follow‐up data from a cohort study examining characteristics and outcomes of young people presenting for mental health treatment: the comprehensive outcome measurement for youth (Y‐COM) study (Filia et al., 2021). Participants were recruited from three metropolitan and two regional headspace centres across Australia.…”

Section: Methodsmentioning

confidence: 99%

The Neuropsychological Symptoms Self‐Report: psychometric properties in an adolescent and young adult mental health cohort

Allott

Gao

Fisher

et al. 2021

Child Adoles Ment Health

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Background: Subjective cognitive symptoms are common in young people receiving mental health treatment and are associated with poorer outcomes. The aim of this study was to determine the psychometric properties of the Neuropsychological Symptoms Self-Report (NSSR), an eight-item measure recently developed to provide a snapshot of young people's perceived change in cognitive functioning in relation to mental health treatment. Method: The sample included 633 youth aged 12-25 years (M age = 18.2, 66.5% female, 88.6% Australian-born) who had sought mental health treatment in primary headspace services. At three-month followup, participants completed the NSSR and self-report measures of depression and anxiety. Results: Excellent internal consistency was found: Cronbach's alpha = 0.93. The NSSR had negative correlations with self-reported anxiety (r = −.33, p < .001) and depression (r = −.48, p < .001) symptoms, suggesting a link with affective symptoms, but still independence of constructs. Exploratory and confirmatory factor analyses supported a single-factor model. Item response theory (IRT) analysis suggested good model fit (homogeneity, data integrity, scalability, local independence and monotonicity) for all items. There was some evidence of measurement noninvariance (for item thresholds) by sex and age, but not diagnosis. IRT models also supported briefer sixand three-item versions of the NSSR. Conclusion: In busy clinical practice, clinicians need a rapid and reliable method for determining whether cognitive symptoms are of concern and in need of further assessment and treatment. Study findings support the NSSR as a brief, psychometrically sound measure for assessing subjective cognitive functioning in adolescents and young adults receiving mental health treatment. Key Practitioner Message• Subjective cognitive symptoms are common in young people receiving mental health treatment and are associated with poorer outcomes.• This study evaluated the psychometric properties of a new instrument, Neuropsychological Symptoms Self-Report (NSSR), in measuring subjective cognitive functioning in youth with mental ill health.• This study shows that the NSSR has sound sensitivity, structure, and internal consistency.• The NSSR can be used as brief tool to identify individuals who may be at risk of incomplete recovery and in need of further assessment and tailored treatment.

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Clinical and functional characteristics of a subsample of young people presenting for primary mental healthcare at headspace services across Australia

Cited by 21 publications

References 44 publications

Heterogeneity of quality of life in young people attending primary mental health services

Heterogeneity of quality of life in young people attending primary mental health services

Social inclusion, intersectionality, and profiles of vulnerable groups of young people seeking mental health support

The Neuropsychological Symptoms Self‐Report: psychometric properties in an adolescent and young adult mental health cohort

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