Implementing Strategic Flexibility in the Delivery of Youth Mental Health Care: A Tailoring Framework for Thoughtful Clinical Practice

Author(s):  
Christopher Georgiadis ◽  
Tara S. Peris ◽  
Jonathan S. Comer
2022 ◽  
Vol 21 (1) ◽  
pp. 78-79
Author(s):  
Ashok Malla ◽  
Patricia Boksa ◽  
Ridha Joober

2022 ◽  
Vol 21 (1) ◽  
pp. 85-86
Author(s):  
Eric Y.H. Chen ◽  
Stephanie M.Y. Wong

2020 ◽  
pp. 103985622094301
Author(s):  
Iain Macmillan ◽  
Andrew Thompson ◽  
Megan Kalucy ◽  
Daniel Pellen ◽  
Eóin Killackey ◽  
...  

Objective: This paper provides the rationale for the development of sub-specialty training in youth psychiatry. Method: Training needs for youth psychiatry are discussed and the opportunities provided by sub-specialisation in youth psychiatry are presented. Results: The majority of mental disorders have their onset prior to 25 years. There has been substantial recent growth in services to meet the clinical needs of young people. The development of these services has exposed gaps in current training for psychiatrists, which varies considerably between child and adolescent, and adult psychiatry. Competencies acquired by psychiatrists in youth mental health are non-standardised, which may hinder optimal care. Conclusions: Sub-specialty training in youth psychiatry is needed to meet workforce demands. The development of a certificate in youth psychiatry, by the RANZCP Section for Youth Mental Health, is underway. This will complement existing training and provide trainees and psychiatrists the opportunity to develop specialist skills in the provision of mental health care for young people negotiating the transition between adolescence and adulthood.


2019 ◽  
Vol 13 (S1) ◽  
pp. 48-55 ◽  
Author(s):  
Paula Reaume‐Zimmer ◽  
Ranjith Chandrasena ◽  
Ashok Malla ◽  
Ridha Joober ◽  
Patricia Boksa ◽  
...  

Author(s):  
Giovanni Stanghellini

This book will build on and develop the assumption that to be human means to be in dialogue. Dialogue is a unitary concept that will attempt to address in a coherent way three essential issues for clinical practice: ‘What is a human being?’, ‘What is mental pathology?’, and ‘What is care?’. It will argue that to be human means to be in dialogue with alterity, that mental pathology is the outcome of a crisis of one’s dialogue with alterity, and that care is a method wherein dialogues take place whose aim is to re-enact interrupted dialogue with alterity within oneself and with the external world.This book is an attempt to re-establish such a fragile dialogue of the soul with herself and with others. Such an attempt is based on two pillars: a dialectic, person-centred understanding of mental disorders, and values-based practice. Building on and extending these two approaches, it aims to improve therapeutic practice in mental health care. Within this framework, care is a dialogue with a method—or better, a method wherein dialogues take place whose aim is to re-enact interrupted dialogue with alterity within oneself and with the external world. The method at issue includes devices and practices that belong both to logic—e.g. the method for unfolding the Other’s life-world and to rescue its fundamental structure—and empathy—e.g. the readiness to offer oneself as a dialoguing person, and the capacity to resonate with the Other’s experience and attune/regulate the emotional field.


Author(s):  
Maartje A. M. S. van Sonsbeek ◽  
Giel J. M. Hutschemaekers ◽  
Jan W. Veerman ◽  
Ad Vermulst ◽  
Marloes Kleinjan ◽  
...  

Abstract BackGround Studies on feedback in youth mental health care are scarce and implementation of feedback into clinical practice is problematic. Objective To investigate potentially effective components of feedback from Routine Outcome Monitoring (ROM) in youth mental health care in the Netherlands through a three-arm, parallel-group, randomized controlled trial in which a literature-based, multi-faceted implementation strategy was used. Method Participants were randomly allocated to three conditions (basic feedback about symptoms and quality of life; basic feedback supplemented with clinical support tools; discussion of the feedback of the second condition with a colleague while following a standardized format for case consultation) using a block randomization procedure, stratified by location and participants’ age. The youth sample consisted of 225 participants (mean age = 15.08 years; 61.8% female) and the parent sample of 234 mothers and 54 fathers (mean age of children = 12.50 years; 47.2% female). Primary outcome was symptom severity. Secondary outcomes were quality of life and end-of-treatment variables. Additionally, we evaluated whether being Not On Track (NOT) moderated the association between condition and changes in symptom severity. Results No significant differences between conditions and no moderating effect of being NOT were found. This outcome can probably be attributed to limited power and implementation difficulties, such as infrequent ROM, unknown levels of viewing and sharing of feedback, and clinicians’ poor adherence to feedback conditions. Conclusions The study contributes to our limited knowledge about feedback from ROM and underscores the complexity of research on and implementation of ROM within youth mental health care. Trial registration Dutch Trial Register NTR4234 .


2019 ◽  
Vol 13 (S1) ◽  
pp. 29-34 ◽  
Author(s):  
Anik Dubé ◽  
Penelopia Iancu ◽  
Carole C. Tranchant ◽  
Danielle Doucet ◽  
Aduel Joachin ◽  
...  

2019 ◽  
Vol 18 (2) ◽  
pp. 140-141 ◽  
Author(s):  
Patrick McGorry ◽  
Jason Trethowan ◽  
Debra Rickwood

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