Transforming youth mental health services in a large urban centre: ACCESS Open Minds Edmonton

• DOI: 10.1111/eip.12813
• Publication Date: 2019-06-27T07:53:17Z
• Authors: Adam Abba‐Aji; Katherine Hay; Jill Kelland; Christine Mummery; Liana Urichuk; Cindy Gerdes; Mark Snaterse; Pierre Chue; Shalini Lal; Ridha Joober; Patricia Boksa; Ashok Malla; Srividya N. Iyer; Jai L. Shah
• Keywords: Adult; Male; Mental Health Services; Canada; Adolescent; Substance-Related Disorders; Health Services Accessibility; Alberta; Young Adult; 03 medical and health sciences; 0302 clinical medicine; Case identification; 11. Sustainability; Urban Health Services; Humans; Child; Referral and Consultation; Patient Care Team; Mental Disorders; ACCESS Open Minds: Transforming Youth Mental Health Services Across Canada; Access; 3. Good health; Youth mental health; Adolescent Health Services; Service transformation; Female; Delivery of Health Care

AbstractAimThis paper outlines the transformation of youth mental health services in Edmonton, Alberta, a large city in Western Canada. We describe the processes and challenges involved in restructuring how services and care are delivered to youth (11‐25 years old) with mental health needs based on the objectives of the pan‐Canadian ACCESS Open Minds network.MethodsWe provide a narrative review of how youth mental health services have developed since our engagement with the ACCESS Open Minds initiative, based on its five central objectives of early identification, rapid access, appropriate care, continuity of care, and youth and family engagement.ResultsBuilding on an initial community mapping exercise, a service network has been developed; teams that were previously age‐oriented have been integrated together to seamlessly cover the age 11 to 25 range; early identification has thus far focused on high‐school populations; and an actual drop‐in space facilitates rapid access and linkages to appropriate care within the 30‐day benchmark.ConclusionsInitial aspects of the transformation have relied on restructuring and partnerships that have generated early successes. However, further transformation over the longer term will depend on data demonstrating how this has impacted clinical outcomes and service utilization. Ultimately, sustainability in a large urban centre will likely involve scaling up to a network of similar services to cover the entire population of the city.