Youth Perspectives on Integrated Youth Services: A Discrete Choice Conjoint Experiment

2021 ◽  
pp. 070674372110447
Author(s):  
Joanna Henderson ◽  
Lisa D. Hawke ◽  
Srividya N. Iyer ◽  
Em Hayes ◽  
Karleigh Darnay ◽  
...  
Keyword(s):  
Mental Health ◽  
Service Delivery ◽  
Social Services ◽  
Discrete Choice ◽  
Latent Class ◽  
Target Population ◽  
Latent Classes ◽  
Youth Services ◽  
Model Of Care ◽  
Health And Social Services

Objective Integrated youth services (IYS) are an emerging model of care offering a broad range of mental health and social services for youth in one location. This study aimed to determine the IYS service characteristics most important to youth, as well as to determine whether different classes of youth have different service preferences, and if so, what defines these classes. Methods Ontario youth aged 14–29 years with mental health challenges were recruited to participate in a discrete choice experiment (DCE) survey. The DCE contained 12 attributes, each represented by 4 levels representing core characteristics of IYS models. To supplement the DCE questions, demographic information was collected and a mental health screener was administered. Preferences were examined, latent class analyses were conducted, and latent classes were compared. Results As a whole, participants endorsed the IYS model of service delivery. Among 274 youth, there were three latent classes: 1) the Focused Service (37.6%) latent class prioritized efficient delivery of mental health services. 2) The Holistic Services (30.3%) latent class prioritized a diverse array of mental health and social services delivered in a timely fashion. 3) The Responsive Services (32.1%) latent class prioritized services that matched the individual needs of the youth being served. Differences between classes were observed based on sociodemographic and clinical variables. Conclusions IYS is an acceptable model of care, in that it prioritizes components that reflect youth preferences. The differences in preference profiles of different groups of youth point to the need for flexible models of service delivery. Service design initiatives should take these preferences into account, designing services that meet the needs and preferences of a broad range of youth. Working locally to co-design services with the youth in the target population who wish to be engaged will help meet the needs of youth.

scholarly journals Service providers endorse integrated services model for youth with mental health and substance use challenges: findings from a discrete choice experiment

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Lisa D. Hawke ◽  
Lehana Thabane ◽  
Srividya N. Iyer ◽  
Alexia Jaouich ◽  
Paula Reaume-Zimmer ◽  
...  
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Discrete Choice Experiment ◽  
Discrete Choice ◽  
Service Provider ◽  
Choice Experiment ◽  
Latent Class ◽  
Service Providers ◽  
Youth Services ◽  
Service Components

Abstract Background Given high rates of mental health and substance challenges among youth and substantial system access barriers, system innovation is required. Integrated youth services (IYS) models aim to transform youth mental health and substance use services by creating integrative, collaborative models of care in youth-friendly settings. This study examines service provider perspectives on the key service components to include in IYS models. Method A discrete choice experiment modeled service provider preferences for the service components of IYSs. The sample includes 388 service provider/agency leader participants (age 18+) from youth-serving organizations in Ontario. Importance scores and utility values were calculated for 12 attributes represented by four levels each. Latent class analysis identified subgroups of participants with different preferences. Results The majority of participants were direct service providers working in larger organizations in the mental health and/or substance use sectors in large urban centers. Participants strongly endorsed service models that provide rapid access to the widest variety of culturally sensitive service options, with supplementary e-health services, in youth-focused community settings with evening and weekend hours. They prefer caregiver involvement in youth services and treatment decisions and support youth and family engagement. Latent class analyses reveal three segments of service providers: a Youth-Focused Service Accessibility segment representing 62.1% (241/388) of participants, a Service Options segment representing 27.6% (107/388) of participants, and a Caregiver Integration segment representing 10.3% (40/388) of participants. Within these segments, the degree of prioritization of the various service components differ; however, the overall endorsement of the service components remains largely consistent across classes for most attributes. The segments did not differ based on demographic or agency characteristics. Conclusions The core characteristics of IYS settings for youth with mental health and substance use challenges, i.e., rapid access to a wide range of youth-oriented services, are strong priorities of service providers and youth-serving agency leaders. These findings confirm that youth-oriented service providers endorse the importance and relevance of IYS models as a whole; strong service provider buy-in to the model is expected to facilitate development, implementation and scaling of IYS models. Hearing stakeholder perspectives, including those of service providers, youth, and caregivers, is essential to developing, effectively implementing, and scaling effective youth services.

Depression in the Developing World

2017 ◽  
Author(s):  
Harry Minas
Keyword(s):  
Mental Health ◽  
International Development ◽  
Social Services ◽  
Development Programs ◽  
Middle Income ◽  
Health And Social Services ◽  
Middle Income Countries ◽  
Culturally Informed ◽  
Global Understanding

This chapter provides an overview of what is known about prevalence, social determinants, treatment, and course and impact of depression in developing, or low- and middle-income, countries. The importance of culture in depression and in the construction and application of diagnostic classifications and in health and social services is highlighted, with a particular focus on the applicability of ‘Western’ diagnostic constructs and service systems in developing country settings. The role of international organizations, such as WHO, and international development programs, such as the SDGs, in improving our understanding of depression and in developing effective and culturally appropriate responses is briefly examined. There is both a need and increasing opportunities in developing countries for greater commitment to mental health of populations, increased investment in mental health and social services, and culturally informed research that will contribute to improved global understanding of mental disorders in general and depression in particular.

scholarly journals Aftercare: who attends section 117 meetings?

1995 ◽  
Vol 19 (2) ◽  
pp. 106-107
Author(s):  
Rosemary Lethem
Keyword(s):  
Mental Health ◽  
Nursing Home ◽  
Patient Care ◽  
Social Services ◽  
Local Health ◽  
Hospital Department ◽  
Health And Social Services ◽  
Mental Health Act ◽  
Department Of Health ◽  
Legal Duty

The purpose of aftercare is to enable patients to return to their home or accommodation other than a hospital or nursing home, and to minimse the need for future in-patient care. Under section 117 of the Mental Health Act 1983, local health and social services authorities have a legal duty to provide aftercare for certain categories of patients when they leave hospital (Department of Health and Welsh Office, 1993).

Risk Factors Explaining Military Deaths From Suicide, 2008–2017: A Latent Class Analysis

2021 ◽  
pp. 0095327X2110469
Author(s):  
Scott D. Landes ◽  
Janet M. Wilmoth ◽  
Andrew S. London ◽  
Ann T. Landes
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Latent Class Analysis ◽  
Military Service ◽  
Latent Class ◽  
Service Providers ◽  
Service Members ◽  
Latent Classes ◽  
Class Analysis ◽  
Military Service Members

Military suicide prevention efforts would benefit from population-based research documenting patterns in risk factors among service members who die from suicide. We use latent class analysis to analyze patterns in identified risk factors among the population of 2660 active-duty military service members that the Department of Defense Suicide Event Report (DoDSER) system indicates died by suicide between 2008 and 2017. The largest of five empirically derived latent classes was primarily characterized by the dissolution of an intimate relationship in the past year. Relationship dissolution was common in the other four latent classes, but those classes were also characterized by job, administrative, or legal problems, or mental health factors. Distinct demographic and military-status differences were apparent across the latent classes. Results point to the need to increase awareness among mental health service providers and others that suicide among military service members often involves a constellation of potentially interrelated risk factors.

School Psychologists and Full-Service Schools: Partnerships with Medical, Mental Health, and Social Services

1997 ◽  
Vol 26 (4) ◽  
pp. 603-621 ◽  
Author(s):  
Glenn D. Reeder ◽  
Gloria C. Maccow ◽  
Steven R. Shaw ◽  
Mark E. Swerdlik ◽  
Connie B. Horton ◽  
...  
Keyword(s):  
Mental Health ◽  
School Psychologists ◽  
Social Services ◽  
Health And Social Services ◽  
Full Service Schools

More than being against it: Anti-racism and anti-oppression in mental health services

2012 ◽  
Vol 49 (2) ◽  
pp. 261-282 ◽  
Author(s):  
Simon Corneau ◽  
Vicky Stergiopoulos
Keyword(s):  
Mental Health ◽  
Social Justice ◽  
Mental Health Services ◽  
Health Services ◽  
Literature Review ◽  
Social Services ◽  
Service Provision ◽  
Alternative Healing ◽  
Health And Social Services ◽  
Alliance Building

Anti-racism and anti-oppression frameworks of practice are being increasingly advocated for in efforts to address racism and oppression embedded in mental health and social services, and to help reduce their impact on mental health and clinical outcomes. This literature review summarizes how these two philosophies of practice are conceptualized and the strategies used within these frameworks as they are applied to service provision toward racialized groups. The strategies identified can be grouped in seven main categories: empowerment, education, alliance building, language, alternative healing strategies, advocacy, social justice/activism, and fostering reflexivity. Although anti-racism and anti-oppression frameworks have limitations, they may offer useful approaches to service delivery and would benefit from further study.

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