scholarly journals Scoping review of stepped care interventions for mental health and substance use service delivery to youth and young adults

Author(s):  
Mai Berger ◽  
Saranee Fernando ◽  
AnnMarie Churchill ◽  
Peter Cornish ◽  
Joanna Henderson ◽  
...  
2018 ◽  
Vol 7 (12) ◽  
pp. 543 ◽  
Author(s):  
Sarvenaz Esmaeelzadeh ◽  
John Moraros ◽  
Lilian Thorpe ◽  
Yelena Bird

Background: The purpose of this systematic review was to examine the association and directionality between mental health disorders and substance use among adolescents and young adults in the U.S. and Canada. Methods: The following databases were used: Medline, PubMed, Embase, PsycINFO, and Cochrane Library. Meta-analysis used odds ratios as the pooled measure of effect. Results: A total of 3656 studies were screened and 36 were selected. Pooled results showed a positive association between depression and use of alcohol (odds ratio (OR) = 1.50, 95% confidence interval (CI): 1.24–1.83), cannabis (OR = 1.29, 95% CI: 1.10–1.51), and tobacco (OR = 1.65, 95% CI: 1.43–1.92). Significant associations were also found between anxiety and use of alcohol (OR = 1.54, 95% CI: 1.19–2.00), cannabis (OR = 1.36, 95% CI: 1.02–1.81), and tobacco (OR = 2.21, 95% CI: 1.54–3.17). A bidirectional relationship was observed with tobacco use at baseline leading to depression at follow-up (OR = 1.87, CI = 1.23–2.85) and depression at baseline leading to tobacco use at follow-up (OR = 1.22, CI = 1.09–1.37). A unidirectional relationship was also observed with cannabis use leading to depression (OR = 1.33, CI = 1.19–1.49). Conclusion: This study offers insights into the association and directionality between mental health disorders and substance use among adolescents and young adults. Our findings can help guide key stakeholders in making recommendations for interventions, policy and programming.


2012 ◽  
Vol 36 (2) ◽  
pp. 160-166 ◽  
Author(s):  
Mohammad R. Hayatbakhsh ◽  
Alexandra Clavarino ◽  
Gail M. Williams ◽  
William Bor ◽  
Jake M. Najman

BMJ Open ◽  
2018 ◽  
Vol 8 (12) ◽  
pp. e024487 ◽  
Author(s):  
Taryn Gmitroski ◽  
Christl Bradley ◽  
Lyn Heinemann ◽  
Grace Liu ◽  
Paige Blanchard ◽  
...  

ObjectivesThe issue of gaining employment for those with mental illness is a growing global concern. For many in the young adult population, who are at a transitional age, employment is a central goal. In response, we conducted a scoping review to answer the question, ‘What are the barriers and facilitators to employment for young adults with mental illness?’DesignWe conducted a scoping review in accordance to the Arksey and O’Malley framework. We performed a thorough search of Medline, EMBASE, CINAHL, ABI/INFORM, PsycINFO and Cochrane. We included studies that considered young adults aged 15–29 years of age with a mental health diagnosis, who were seeking employment or were included in an employment intervention.ResultsOur search resulted in 24 research articles that focused on employment for young adults with mental illness. Four main themes were extracted from the literature: (1) integrated health and social services, (2) age-exposure to employment supports, (3) self-awareness and autonomy and (4) sustained support over the career trajectory.ConclusionsOur review suggests that consistent youth-centred employment interventions, in addition to usual mental health treatment, can facilitate young adults with mental illness to achieve their employment goals. Aligning the mental health and employment priorities of young adults may result in improved health and social outcomes for this population while promoting greater engagement of young adults in care.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Lisa D. Hawke ◽  
Kamna Mehra ◽  
Cara Settipani ◽  
Jaqueline Relihan ◽  
Karleigh Darnay ◽  
...  

2017 ◽  
Vol 36 ◽  
pp. 1721-1758 ◽  
Author(s):  
Jenny Liu ◽  
Sepideh Modrek ◽  
Maia Sieverding

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