Youth mental health in Ireland: a lot done, more to do?

Coughlan, Helen; Doyle, Madeline B.

doi:10.1017/ipm.2014.68

Cited by 5 publications

(8 citation statements)

References 15 publications

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“…The WHO reports that mental health disorders account for 45% of the disease burden in the world's young adults. Approximately, one in five young people under the age of 18 years will suffer from mental illness (Coughlan & Doyle, ; World Health Organisation, ). The fifth Annual Child and Adolescent Mental Health Services report, (2012–2013), reported a significant increase in the prevalence of mental health disorders amongst Irish young people.…”

Section: Introductionmentioning

confidence: 99%

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A theory of youth mental health recovery from a parental perspective

Kelly

Coughlan

2018

Child Adoles Ment Health

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Background Mental health disorders have a negative impact on the individual, society and global economy. The prevalence of mental disorders is increasing in young people, if unaddressed, they may develop into severe and chronic illnesses. Despite this, research into youth mental health recovery is limited. The current study aims to develop a theoretical framework of recovery in youth mental health and identify what facilitates this process. Methods Fourteen parents of children engaged with the Child and Adolescent Mental Health Service were interviewed in relation to their understanding of youth mental health recovery. The transcripts of these interviews were analysed using the constructivist grounded theory approach. Results A theoretical model of youth mental health was developed. The model provides an understanding of (a) the characteristics of youth mental health recovery, (b) the facilitators of recovery and (c) the barriers to recovery. The theory suggests that due to developmental factors youth mental health recovery occurs within the ecological context of complex social systems. Conclusions The theory reflects elements of existing developmental and recovery research and provides a novel understanding of youth mental health recovery. This model may inform social, government and service attitudes and policy, and highlights areas for future research.

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Section: Introductionmentioning

confidence: 99%

“…Despite these guidelines, many of the policy recommendations for youth mental health have not been implemented (Kerin, ). Coughlan and Doyle () stated that to bridge the gap between aspirations and tangible outcomes, it is necessary to implement recovery‐orientated, creative, multifaceted and innovative principles in youth mental health.…”

Section: Introductionmentioning

confidence: 99%

A theory of youth mental health recovery from a parental perspective

Kelly

Coughlan

2018

Child Adoles Ment Health

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“…An initial first step could be the establishment of a leading authority for the youth mental health sector. Such an authority could ensure the adequate resourcing of the sector to create quality and responsive services (Coughlan & Doyle, 2015). Practical actions such as a detailed audit of supports and services operating within the Irish mental health sector would be welcome.…”

Section: Develop a Systemic Integrated Approach To Service Provisionmentioning

confidence: 99%

“…Mental health services have traditionally tended to be allocated based on client age; with 18 years old generally cited as the cut-off point at which adult services assume responsibility from child and adolescent services. Coughlan & Doyle (2015) propose that the use of age as a criterion for inclusion or exclusion has potentially resulted in many young people aged 16-18 years old being excluded from both child and adolescent and from adult mental health services solely on account of their age. Internationally there exists a strong case for a paradigm shift in mental health service provision, whereby services are informed by epidemiological evidence and organised on the basis of need (Coughlan & Doyle, 2015).…”

Section: Revise/change the Cut-off Age For Servicesmentioning

confidence: 99%

“…Coughlan & Doyle (2015) propose that the use of age as a criterion for inclusion or exclusion has potentially resulted in many young people aged 16-18 years old being excluded from both child and adolescent and from adult mental health services solely on account of their age. Internationally there exists a strong case for a paradigm shift in mental health service provision, whereby services are informed by epidemiological evidence and organised on the basis of need (Coughlan & Doyle, 2015). For example, Jigsaw has embraced this paradigm shift by offering a service to young people aged 12-25 years thus providing a template to guide the reconfiguration of other services to cater more appropriately for the needs of young people.…”

Section: Revise/change the Cut-off Age For Servicesmentioning

confidence: 99%

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Where next for youth mental health services in Ireland?

McMahon¹,

Ryan²,

Cannon³

et al. 2018

Ir. j. psychol. Med.

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To date, Ireland has been a leading light in the provision of youth mental health services. However, cognisant of the efforts of governmental and non-governmental agencies working in youth mental health, there is much to be done. Barriers into care as well as discontinuity of care across the spectrum of services remain key challenges. This editorial provides guidance for the next stage of development in youth mental care and support that will require significant national engagement and resource investment.

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Examining the mental health trajectories of children and adolescents: a cross-cohort analysis

McNicholas,

Gavin,

Sellers

et al. 2024

Psychol. Med.

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Background Epidemiological samples provide opportunity to understand the development of mental health trajectories to better understand whether such epidemiological data can help to plan and modify service delivery for youth mental health. Variation between countries is not well understood and thus applying evidence from other countries to national strategies limits support service policy and planning. We therefore examine developmental patterns of youth mental health across different countries using the Growing Up in Ireland (GUI) Cohorts, with comparison to existing UK longitudinal cohort data (Millennium Cohort Study, MCS; Growing up in Scotland, GUS). Methods Youth mental health problems within each cohort across development (5–17/18 years) were assessed using parent reported Strengths and Difficulties Questionnaire (SDQ) scores. Using latent growth curve analyses, we examined trajectories of emotional, conduct, and hyperactivity problems for boys and girls, separately for each cohort. Results Across cohorts, we observed similar developmental patterns for emotional, conduct, and hyperactivity problems. However, the GUI emotional problems in Ireland emerged earlier than in the UK. By adolescence, GUI emotional scores were similar to the UK, suggesting that the differences in emotional problems between the ROI and UK had narrowed by adolescence. Covariates also had different associations with youth mental health trajectories across cohorts. Conclusions Utilizing multiple nationally representative cohort longitudinal datasets can help inform clinically meaningful conclusions and potential recommendations on population level multi-tiered service needs and development in the area of child and adolescent mental health support and future provision.

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Youth mental health in Ireland: a lot done, more to do?

Abstract: The emergence of a new youth mental health paradigm has challenged how we think about the provision of mental health care for adolescents and young adults. This editorial tracks the origins of this new paradigm within the field of mental health both internationally and in Ireland.

Cited by 5 publications

References 15 publications

A theory of youth mental health recovery from a parental perspective

A theory of youth mental health recovery from a parental perspective

Where next for youth mental health services in Ireland?

Examining the mental health trajectories of children and adolescents: a cross-cohort analysis

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