Research Square (Research Square),
Journal Year:
2023,
Volume and Issue:
unknown
Published: April 17, 2023
Abstract
Background
There
has
been
limited
focus
on
understanding
the
barriers
and
facilitators
to
meeting
broader
psychosocial
needs
of
young
people
with
mental
illness,
from
perspectives
themselves.
This
knowledge
is
required
advance
local
evidence
base
inform
service
design
development.
Therefore,
aim
this
qualitative
study
was
explore
people’s
(10–25
years)
carers’
experiences
health
services,
focusing
services
supporting
functioning.
Method
Young
living
experience
illness
were
involved
in
all
stages
research.
Semi-structured
interviews
conducted
32
aged
10–25
years
29
carers
(12
parent-child
dyads).
Qualitative
analysis
guided
by
Social-Ecological
Framework
identify
at
individual
(young
person/carer
level),
interpersonal,
service/systemic
level.
Results
identified
eight
six
across
various
levels.
Barriers
included,
level:
(1)
complexity
(2)
lack
awareness/knowledge
available;
interpersonal
(3)
negative
adults
(4)
fragmented
communication
between
family;
systemic
(5)
services;
(6)
long
waiting
periods;
(7)
accessibility;
(8)
missing
middle.
Facilitators
education
for
carers;
positive
therapeutic
relationships
carer
advocacy/support;
flexible
or
responsive
that
address
factors;
safe
environments.
Conclusions
lived-experience
recommendations
public
policy
practice,
including
To
better
enhance
their
functioning,
want
workers
provide
practical
wrap-around
support,
they
integrate
social
care,
are
flexible,
safe.
These
findings
will
co-design
development
a
new
community-based
youth
support
wellbeing
experiencing
severe
illness.
Australasian Psychiatry,
Journal Year:
2025,
Volume and Issue:
unknown
Published: April 21, 2025
Background
During
COVID-19
pandemic,
the
Assertive
Community
Service
Response
Team
(ASCR
team)
was
set
up
in
Brisbane,
Australia
to
provide
a
rapid
response,
8-week
MDT
intervention
young
people
(aged
18
and
below)
who
presented
with
acute
mental
health
issues.
Methods
Data
involving
attended
ACSR
team
(from
June
2021–June
2022)
analysed
evaluate
differences
pre-
post-clinician-rated
outcome
measures.
The
proportion
of
experienced
Reliable
Change
(defined
as
1.96
Index
(RCI);
RCI
=
x2-x1/Standard
deviation)
estimated,
predictive
factors
were
explored.
Results
Among
79
consumers
ACSR,
there
statistically
significant
improvements
symptom,
functioning,
risk
scores.
More
than
30%
40%
reliable
changes
symptomatology
respectively.
Despite
improvement,
nearly
80%
ongoing
emotional
difficulties,
60%
reported
family
relationship
difficulties.
Conclusion
While
brief
feasible
acceptable
for
concerns
meaningful
clinical
future
studies
control
designs
should
explore
if
could
be
attributed
intervention.
Early Intervention in Psychiatry,
Journal Year:
2025,
Volume and Issue:
19(2)
Published: Feb. 1, 2025
ABSTRACT
Introduction
Previous
work
showed
that
young
people
prefer
youth‐oriented
mental
health
services
offer
individual
help
in
houses
urban
areas,
with
short
wait
times
and
low
costs.
The
present
paper
aims
to
examine
which
service
options
professionals
working
social
welfare
or
for
addressing
people's
needs,
comparing
their
views
those
of
people.
Methods
Professionals
(N
=
176)
youth
aged
16–24
years
258)
participated
a
discrete
choice
experiment
(DCE).
Panel
mixed
logit
(PML)
models
were
used
both
stakeholder
groups
ascertain
relative
differences
attribute
weights.
We
also
estimated
an
overall
PML
model
incorporating
the
effect
group
on
attributes.
Results
found
attributes
‘cost’
‘wait
times’
most
relevant
indicating
preference
characterised
by
affordability
minimal
periods.
In
contrast,
adhered
more
importance
‘format’
(individual
rather
than
therapy).
Furthermore,
considered
café
centre
suitable
location
service,
house
city,
they
disfavoured
care
provision
adult
did.
Finally,
‘peer
support’,
‘opening
hours’
‘anonymity’
deemed
but
not
Conclusion
perspectives
unique
point
view
provision,
stressing
integrating
them
preference‐based
research
design.
International Journal of Environmental Research and Public Health,
Journal Year:
2023,
Volume and Issue:
20(5), P. 4066 - 4066
Published: Feb. 24, 2023
Partnerships
between
school
staff
and
mental
health
professionals
have
the
potential
to
improve
access
support
for
students,
but
uncertainty
remains
regarding
whether
how
they
work
in
practice.
We
report
on
two
pilot
projects
aimed
at
understanding
implementation
drivers
of
tailored
strategies
supporting
engaging
front-line
student
health.
The
first
project
provided
regular,
accessible
with
whom
could
meet
discuss
individual
or
systemic
concerns
(a
‘InReach’
service),
other
offered
a
short
skills
training
programme
commonly
used
psychotherapeutic
techniques
(the
School
Mental
Health
Toolbox;
SMHT).
findings
from
activity
15
InReach
workers
over
3
years
105
individuals
who
attended
SMHT
demonstrate
that
made
good
use
these
services.
reported
more
than
1200
activities
schools
(notably
providing
specialist
advice
support,
especially
anxiety
emotional
difficulties),
whilst
most
attendees
utilisation
tools
(in
particular,
better
sleep
relaxation
techniques).
measures
acceptability
possible
impacts
services
were
also
positive.
These
studies
suggest
investment
into
partnerships
interface
education
can
availability
students.
Social Psychiatry and Psychiatric Epidemiology,
Journal Year:
2023,
Volume and Issue:
59(5), P. 745 - 758
Published: June 6, 2023
Abstract
Purpose
This
Multicenter
Youth
Flexible
ACT
Study
examined
the
effect
of
Assertive
Community
Treatment
on
symptomatic,
social,
and
personal
recovery
outcomes
adolescents
dealing
with
multifaceted
psychiatric
social
care
needs
who
do
not
readily
engage
in
regular
office-based
mental
health
services.
Methods
Newly
admitted
clients
(
n
=
199)
aged
12–24
years
from
16
teams
participated
this
observational
prospective
cohort
study.
Client
practitioner
questionnaires
were
administered
every
6
months,
up
to
18
months.
Latent
growth
curve
analyses
conducted
examine
changes
throughout
ACT.
Results
Our
client-reported
showed
a
decrease
overall
psychosocial
difficulties,
depressive
symptoms,
subclinical
psychosis
symptoms.
Moreover,
improved
interaction
peers,
quality
life,
feelings
empowerment
fewer
contacts
police/legal
system.
In
addition,
clinician-reported
problems
related
family
peer
relationships,
school/work
attendance,
emotional
attentional
problems.
Problems
finance,
school
work
status,
substance
misuse,
disruptive
aggressive
behavior,
self-injury,
self-care
independence
remained
unchanged.
Conclusion
results
that
participating
over
With
its
integrated
approach
personalized
care,
service
delivery
model
is
promising
for
unable
successfully
(office
based)
support
Child and Adolescent Psychiatry and Mental Health,
Journal Year:
2023,
Volume and Issue:
17(1)
Published: June 9, 2023
Abstract
Background
There
has
been
limited
focus
on
understanding
the
barriers
and
facilitators
to
meeting
broader
psychosocial
needs
of
young
people
with
mental
illness
from
perspectives
people.
This
is
required
advance
local
evidence
base
inform
service
design
development.
The
aim
this
qualitative
study
was
explore
people’s
(10–25
years)
carers’
experiences
health
services,
focusing
services
supporting
functioning.
Methods
conducted
throughout
2022
in
Tasmania,
Australia.
Young
lived
experience
were
involved
all
stages
research.
Semi-structured
interviews
32
aged
10–25
years
illness,
29
carers
(
n
=
12
parent–child
dyads).
Qualitative
analysis
guided
by
Social-Ecological
Framework
identify
at
individual
(young
person/carer
level),
interpersonal,
service/systemic
level.
Results
identified
eight
six
across
various
levels
Framework.
Barriers
included,
level:
(1)
complexity
(2)
lack
awareness/knowledge
available;
interpersonal
(3)
negative
adults
(4)
fragmented
communication
between
family;
systemic
(5)
services;
(6)
long
waiting
periods;
(7)
accessibility;
(8)
missing
middle.
Facilitators
education
for
carers;
positive
therapeutic
relationships
carer
advocacy/support;
flexible
or
responsive
that
address
factors;
safe
environments.
Conclusions
key
accessing
utilising
may
design,
development,
policy
practice.
To
enhance
their
functioning,
want
lived-experience
workers
provide
practical
wrap-around
support,
integrate
social
care,
are
flexible,
safe.
These
findings
will
co-design
a
community-based
support
experiencing
severe
illness.
BMC Psychiatry,
Journal Year:
2023,
Volume and Issue:
23(1)
Published: Aug. 4, 2023
Even
though,
there
is
a
particularly
high
prevalence
of
depression
among
individuals
from
the
hill
tribes
in
northern
Thailand,
they
are
unable
to
receive
appropriate
intervention
due
cultural,
transportation,
communication,
and
legal
barriers.
Using
community-based
participatory
research
(CBPR),
care
model
was
developed
for
tribe
population.
The
effectiveness
this
examined
using
questionnaires,
observations,
focus
groups,
in-depth
interviews.Participants
include
people
with
(n
=
17)
who
were
chosen
based
on
their
mild
moderately
severe
scores
Patient
Health
Questionnaire
9-item
(PHQ-9
5-19)
caregivers
5).
interview
conducted
distinguish
selected
participants
into
two
groups.
first
group,
self-help
group
program,
consisted
12
endorsing
negative
thoughts
about
themselves
inappropriate
problems
solving.
second
family
camp
had
ten
participants,
including
five
patients
family-related
issues
members.
Subjects
separately
participated
either
or
groups
over
three
weeks.
They
completed
PHQ-9
at
beginning
end
intervention.
Questionnaires,
interviews
used
evaluate
model.
Content
analysis
examine
qualitative
data.
Wilcoxon
signed-rank
test
analyze
changes
severity
before
after
participation
intervention.The
improved
significantly
(11.92
±
1.08
vs.
3.08
0.51;
p
0.002)
following
group.
Increased
self-esteem
interpersonal
relationships
reported
by
program
during
interviews.
There
no
significant
difference
10
participating
(6.00
3.83
5.30
3.56;
0.161).A
tested
community,
its
clearly
observed.
can
be
applied
other
communities
Thailand
improve
care.
Health & Social Care in the Community,
Journal Year:
2023,
Volume and Issue:
2023, P. 1 - 17
Published: July 14, 2023
Objective.
Mental
ill-health
is
a
common
occurrence
globally
and
represents
significant
burden
of
disease.
In
Australia,
the
development
improvement
programs
that
connect
individuals
earlier
in
their
mental
journey
national
health
priority.
However,
there
are
current
informational
gaps
on
community-based
initiatives
associated
outcomes.
This
review
aimed
to
systematically
identify,
assess,
analyse
studies
reporting
outreach
interventions
for
experiencing
ill-health.
Method.
A
systematic
literature
was
conducted
across
6
electronic
databases
Google
Scholar
01
November
2021
12
June
2022.
The
National
Health
Medical
Research
Council
Evidence
Hierarchy
used
assess
study
quality,
PAGER
framework
synthesise
results
included
studies.
Results.
Eighty-three
met
inclusion
criteria;
51%
(n
=
42
studies)
incorporated
digital
technology,
49%
41
involved
nonclinical
light-touch
interventions.
Individuals
with
severe
were
likely
benefit
from
targeted
interventions,
mild
moderate
symptoms
involving
high
levels
engagement
participants.
Conclusion.
Results
this
provide
an
understanding
patterns
related
effectiveness
Knowledge
will
inform
implementation
strategies
enhance
proactive
provision
services
community.
Standardised
outcome
measures
needed
strengthen
evidence
base
by
enabling
researchers
service
providers
explore
which
type
intervention
what
intensity
best
suited
participants
varying
Australian & New Zealand Journal of Psychiatry,
Journal Year:
2022,
Volume and Issue:
57(2), P. 197 - 212
Published: Sept. 16, 2022
Objective:
No
synthesis
of
the
Australian
evidence
regarding
targeted
prevention
and
early
intervention
for
mental
health
concerns
among
young
children
exists.
This
review
aimed
to
(1)
describe
types
community-based
programmes
evaluated
in
Australia
support
aged
1–9
years
exhibiting
internalising
and/or
externalising
symptoms
(2)
examine
their
impact
on
children’s
disorder
diagnosis.
Method:
A
systematic
meta-analysis
was
conducted
(PROSPERO:
CRD42021255257).
Four
databases
(PsycINFO,
PsycArticles,
MEDLINE
CINAHL)
were
searched
studies
published
past
10
that
quantitatively
a
programme
health.
The
National
Institute
Health
Quality
Assessment
Tools
used
evaluate
study
quality.
Results:
Forty-two
included;
majority
(67%)
medium
mean
sample
size
142
(SD
=
170),
average
age
5.78
2.44)
58%
male.
Aboriginal
Torres
Strait
Islander
underrepresented.
Studies
16
(
n
20
studies,
6
programmes),
14
7
programmes)
or
(3)
both,
termed
transdiagnostic
8
3
programmes).
Externalising
achieved
significant
moderate
reduction
behaviours
(standardised
differences
−0.56),
yielded
small
improvement
anxiety
−0.25)
57%
reduced
odds
Evidence
supporting
inconclusive.
Conclusion:
Parenting-focused
targeting
have
largest
local
base
effectiveness.
Limitations
include
lack
engagement
with
fathers,
triangulation
outcomes,
homogeneity
implementation
reporting.
Greater
evaluation
community-driven
integrated
systemic
approaches
identify,
engage
Australia’s
most
disadvantaged
cohorts
families
are
needed.
