Investigating service features to sustain engagement in early intervention mental health services

Becker, Mackenzie; Cunningham, Charles E.; Christensen, Bruce K.; Furimsky, Ivana; Rimas, Heather; Wilson, Francis A.; Jeffs, Lisa; Madsen, Victoria; Bieling, Peter; Chen, Yvonne; Mielko, Stephanie; Zipursky, Robert B.

doi:10.1111/eip.12470

Cited by 8 publications

(6 citation statements)

References 43 publications

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“…Conditions such as anxiety and depression may lead to heightened negative responses to obstacles, which can be debilitating. Additionally, serious mental health conditions can deteriorate very quickly without early intervention leading to a point of crisis (Becker et al, 2019). Consequently, it seems likely that the sorts of impediments to accessing primary care described by Bernadette may have a disproportionate effect on people with mental health problems, leading to enhanced experiences of care discontinuities whilst self-managing under the GP.…”

Section: Experienced Discontinuities Within Primary Mental Healthcarementioning

confidence: 99%

Recovery and care continuity experiences of people in mental health care: A conciliatory approach to the challenge of implementing recovery‐based services

Weaver

2021

Sociology Health & Illness

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This study investigates recovery and care continuity experiences of people with serious mental illness negotiating transforming services in the wake of recovery-based policy implementation. Data were collected in two phases involving (n = 16) service users who had transited from secondary to primary care and (n = 16) supporting workers. A qualitative methodology employed semi-structured interviews and thematic discourse analysis generating three themes. First, participants' expectations were misaligned with transforming services. Second, participants constructed competing versions of recovery in their talk. Third, analysis revealed care discontinuities concentrated at the primary care level. A singular notion of top-down recovery, a proliferation of bottom-up, competing recovery versions, and misaligned expectations of transforming services are closely allied with escalating service system complexity and fragmentation. This has detrimental implications for care continuity. Top-down, policy-based recovery implementation is viewed as a neoliberalist colonization of the recovery concept, understood in the Habermasian sense of colonization of the lifeworld. The detrimental effects of recovery colonization should not lead to repudiation of the concept altogether. Rather, the original | 1997 RECOVERY IN SERVICES: A CONCILIATORY APPROACH How to cite this article: Weaver, N. Recovery and care continuity experiences of people in mental health care: A conciliatory approach to the challenge of implementing recovery-based services.

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Section: Experienced Discontinuities Within Primary Mental Healthcarementioning

confidence: 99%

Recovery and care continuity experiences of people in mental health care: A conciliatory approach to the challenge of implementing recovery‐based services

Weaver

2021

Sociology Health & Illness

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“…The service was initially constructed around the concept of patient navigators (Bieling, Madsen, & Zipursky, 2013), linking clients to existing services. The preferences of young people and clinicians for a variety of services parameters were collected from a quantitative study (Becker et al, 2016(Becker et al, , 2017. Youth preferences included: choice of multiple treatment modalities; family involvement; availability of physicians, nurses and doctoral level staff; integrated addictions services and text message or phone support (Becker et al, 2017).…”

Section: Service Developmentmentioning

confidence: 99%

“…The preferences of young people and clinicians for a variety of services parameters were collected from a quantitative study (Becker et al, , ). Youth preferences included: choice of multiple treatment modalities; family involvement; availability of physicians, nurses and doctoral level staff; integrated addictions services and text message or phone support (Becker et al, ). The service was designed outside a hospital setting in a central, downtown location to reach youth from marginalized populations.…”

Section: Introductionmentioning

confidence: 99%

Rethinking service design for youth with mental health needs: The development of the Youth Wellness Centre, St. Joseph's Healthcare Hamilton

Wang

Tobon

Bieling

et al. 2019

Early Intervention Psych

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Aim: This article describes the development and design of the Youth Wellness Centre (YWC), an innovative, youth-friendly centre providing mental health and addiction services for emerging adults aged 17 to 25 in Hamilton, Canada. We also report on demographic and clinical characteristics of clients to evaluate how the YWC is serving populations at increased risk of developing mental disorders.Methods: Data were extracted from clinic databases for 1520 youth at the YWC between March 2015 and 2018 to report on demographic characteristics, clinical profiles, primary presenting problems, service use and overall satisfaction with services.Results: Marginalized groups, particularly street-involved individuals and LGBTQ+ youth, are highly represented at the YWC, keeping with the centre's mandate of reaching at-risk populations. Youth at the YWC carry significant mental health burdens, with 80.8% having a history of suicidal ideation and 32.8% having a history of a substance use disorder. The primary route of referral is self-referral and the number of new clients has increased by nearly 20% in the first 3 years of operations. Overall satisfaction with the centre is on par with or slightly above provincial averages. Conclusions:The YWC was developed to meet the mental health needs of transition-aged youth in Hamilton by providing early intervention, system navigation and transition services. The success of the YWC in reaching high-risk youth is demonstrated by the significant proportion of clients reporting demographic and clinical risk factors associated with increased risk for development of mental disorders. The increasing referrals to the YWC highlight the ongoing need for similar services.

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“…In these environments, service users are offered a diverse range of treatments such as cognitive behavioural therapy, dialectical behavioural therapy, and medication (Citizens Information, 2020 ; Health Service Executive, 2022 ). As a consequence of not accessing appropriate services, the benefits of early intervention, such as increased rate of recovery and reduced hospitalization rates (Allouche et al, 2021 ; Becker et al, 2019 ; Peiper et al, 2017 ), are often rendered impossible to adolescents.…”

Section: Introductionmentioning

confidence: 99%

“We’re not educated on that enough, and we really should be”: adolescents’ views of mental health service education

Goodwin,

Savage,

O’Brien

et al. 2023

International Journal of Qualitative Studies on Health and Well

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Purpose Despite the susceptibility to the experience of mental distress during adolescence, this population often demonstrate poor help-seeking behaviours. Efforts have been made by schools to address adolescents’ knowledge around mental health; less focus has been given to addressing their knowledge of mental health services and avenues for help-seeking. This study aimed to explore adolescents’ views of mental health services education. Methods An interpretive descriptive design was adopted. Thirty adolescents from Ireland participated in individual interviews. Data were analysed using content analysis. Two themes were identified Recognizing Gaps in Knowledge about Mental Health Service Education, and Enhancing Mental Health Service Education for Young People. Participants reported gaps in their knowledge about mental health services and were uncertain how to access help. Current strategies (e.g., print media) were considered tokenistic and ineffective; instead, multimedia (film/TV) approaches were recommended. Results Two themes were identified: Recognizing Gaps in Knowledge about Mental HealthService Education, and Enhancing Mental Health Service Education for YoungPeople. Participants reported gaps in their knowledge about mental healthservices and were uncertain how to access help. Current strategies (e.g., print media) were considered tokenistic and ineffective; instead, multimedia (film/TV) approaches were recommended. Conclusions Current mental health education programmes need to expand their focus beyond social/emotional well-being, providing adolescents with the knowledge they need to access appropriate supports. Considering traditional print media was viewed as ineffective, while film/TV had an influence on perceptions of mental health services, a multimedia approach to education may be an effective way of engaging this population.

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Investigating service features to sustain engagement in early intervention mental health services

Cited by 8 publications

References 43 publications

Recovery and care continuity experiences of people in mental health care: A conciliatory approach to the challenge of implementing recovery‐based services

Recovery and care continuity experiences of people in mental health care: A conciliatory approach to the challenge of implementing recovery‐based services

Rethinking service design for youth with mental health needs: The development of the Youth Wellness Centre, St. Joseph's Healthcare Hamilton

“We’re not educated on that enough, and we really should be”: adolescents’ views of mental health service education

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