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Published on: January 20, 2019
Developing the 'youth model' in mental health services.
Peter Birleson1, Alasdair Vance
1Faculty of Health, Medicine, Nursing and Behavioural Sciences, Deakin University, Parkville, VIC, Australia. peter.birleson@rch.org.au
Summary
Early intervention is key, as half of all mental disorders emerge in youth. Improving existing adult mental health services, rather than creating new youth-specific ones, is recommended to enhance access and prevent
Area of Science:
- Child and Adolescent Psychiatry
- Mental Health Services Research
Background:
- High rates of psychiatric disorders emerge during youth.
- Existing adult mental health services present access challenges for young people.
- The 'youth model' and 'headspace' service delivery structures are proposed solutions.
Purpose of the Study:
- To review the foundational principles of the 'youth model' and 'headspace' service delivery.
- To examine the suitability of these models for addressing youth mental health needs.
- To critically evaluate proposed solutions for improving mental health care access for adolescents and young adults.
Main Methods:
- A critical review of existing literature and service models.
- Analysis from the perspective of two academically oriented child and adolescent psychiatrists.
- Examination of key questions regarding youth mental health service provision.
Main Results:
- Half of all mental disorders manifest during childhood and early adolescence.
- Creating a new service system for 12-25-year-olds poses risks, including 'adultification' of younger adolescents.
- Existing adult mental health services can be improved through increased funding and cultural shifts.
Conclusions:
- Research and prevention efforts should prioritize the early developmental period.
- Health service planning must acknowledge and address developmental differences between age groups (12-17 vs. 18-25).
- Enhancing current services is preferable to establishing a new, potentially detrimental, youth-specific system.
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