Targeting mental health care attributes by diagnosis and clinical stage: the views of youth mental health clinicians

Hamilton, Matthew; Hetrick, Sarah; Mihalopoulos, Cathrine; Baker, David; Browne, Vivienne; Chanen, Andrew M; Pennell, Kerryn; Purcell, Rosemary; Stavely, Heather; McGorry, Patrick D.

doi:10.5694/mja17.00692

Cited by 5 publications

(5 citation statements)

References 17 publications

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“…Thus, hYEPP clinicians may have greater opportunities for deeper knowledge of their clients, including being able to gauge neurocognitive function and observe potential impairments. A recent international survey of youth mental health practitioners found that neuropsychological assessment was believed to be relatively more important for psychosis than other disorders (Hamilton et al, ). Taken together, there is strong alignment between previous objective and the current subjective findings, indicating that the assessment and management of neurocognitive impairments is an essential component of early intervention for mental ill health.…”

Section: Discussionmentioning

confidence: 99%

“…Holistic and timely assessment has been identified as an important and potentially cost‐effective attribute of youth mental health services (Hamilton et al, ). Neurocognitive and symptom assessment specifically, is internationally recognised as important to youth mental health care (Hamilton et al, ). CNA is the most comprehensive and reliable means to assessing neurocognitive functioning in individuals (Braun et al, ; Lezak, Howieson, & Loring, ; Meyer et al, ; Roebuck‐Spencer et al, ).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Need for clinical neuropsychological assessment in headspace youth mental health services: A national survey of providers

Allott

van‐der‐EL

Bryce

et al. 2019

Australian Journal of Psychology

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Objective: To determine the perceived met and unmet need for clinical neuropsychological assessment (CNA) in headspace youth mental health services Australia wide. Method: Brief online survey of headspace service providers exploring the number and types of clients seen, confidence in identifying neurocognitive impairments, and need, availability and usefulness of CNA. A total of 532 salaried, private, and in-kind service providers working across 103 primary headspace and headspace Youth Early Psychosis Programs completed the survey from May to December 2017. Results: Survey respondents were 76% female with a mean age of 38 (range 22-74 years). The majority had psychology (42%) or social work (21%) backgrounds. CNA was believed to be beneficial for 35% of headspace clients on average, but 86% of service providers reported that CNA was unavailable. Only 12% of clients were estimated to have received CNA when it was needed. On average, 36% of headspace clients were estimated to present with neurocognitive impairment and 38% were described as diagnostically complex (e.g., comorbid medical, developmental, substance use, trauma presentations). A mean of 27% were described as having a suspected or diagnosed developmental condition (e.g., intellectual disability, learning disorder, autism spectrum disorder, attentiondeficit/hyperactivity disorder). Respondents rated their confidence in identifying cognitive impairment as moderate. Conclusions: There is marked unmet need for CNA to provide diagnostic clarification and inform treatment approaches in youth mental health care. Funding for CNA under the Medicare Benefits Schedule, headspace workforce development in neurocognitive screening and cognitive interventions, and tele-neuropsychological services should be explored.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Need for clinical neuropsychological assessment in headspace youth mental health services: A national survey of providers

Allott

van‐der‐EL

Bryce

et al. 2019

Australian Journal of Psychology

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“…This highly personalised and measurement‐based model of care, linked to relevant service structures, has the potential to better match treatment type and intensity (defined by cost, time and risk). The clear goals are to prevent illness progression and promote recovery …”

Section: A Service Delivery Model To Support Highly Personalised and mentioning

confidence: 99%

Right care, first time: a highly personalised and measurement‐based care model to manage youth mental health

Hickie

Scott

Cross

et al. 2019

Medical Journal of Australia

126

137

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“…Transitions within stepped or staged care processes may be required so that young people receive the level of care that best meets their needs (Hamilton et al, ). For example, headspace centres are expected to be strongly connected with local schools so that young people can be identified as in‐need at school and receive a well‐coordinated approach to care at the local headspace centre.…”

Section: Service Componentsmentioning

confidence: 99%

Australia's innovation in youth mental health care: The headspace centre model

Rickwood

Paraskakis

Quin

et al. 2018

Early Intervention Psych

169

165

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Aim headspace is Australia's innovation in youth mental healthcare and comprises the largest national network of enhanced primary care, youth mental health centres world‐wide. headspace centres aim to intervene early in the development of mental ill‐health for young people aged 12 to 25 years by breaking down the barriers to service access experienced by adolescents and emerging adults and providing holistic healthcare. Centres have been progressively implemented over the past 12 years and are expected to apply a consistent model of integrated youth healthcare. Internationally, several countries are implementing related approaches, but the specific elements of such models have not been well described in the literature. Method This paper addresses this gap by providing a detailed overview of the 16 core components of the headspace centre model. Results The needs of young people and their families are the main drivers of the headspace model, which has 10 service components (youth participation, family and friends participation, community awareness, enhanced access, early intervention, appropriate care, evidence‐informed practice, four core streams, service integration, supported transitions) and six enabling components (national network, Lead Agency governance, Consortia, multidisciplinary workforce, blended funding, monitoring and evaluation). Conclusion Through implementation of these core components headspace aims to provide easy access to one‐stop, youth‐friendly mental health, physical and sexual health, alcohol and other drug, and vocational services for young people across Australia.

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Targeting mental health care attributes by diagnosis and clinical stage: the views of youth mental health clinicians

Cited by 5 publications

References 17 publications

Need for clinical neuropsychological assessment in headspace youth mental health services: A national survey of providers

Need for clinical neuropsychological assessment in headspace youth mental health services: A national survey of providers

Right care, first time: a highly personalised and measurement‐based care model to manage youth mental health

Australia's innovation in youth mental health care: The headspace centre model

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