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      Australia's innovation in youth mental health care: The headspace centre model

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          Abstract

          Aim

          headspace is Australia's innovation in youth mental healthcare and comprises the largest national network of enhanced primary care, youth mental health centres world‐wide. headspace centres aim to intervene early in the development of mental ill‐health for young people aged 12 to 25 years by breaking down the barriers to service access experienced by adolescents and emerging adults and providing holistic healthcare. Centres have been progressively implemented over the past 12 years and are expected to apply a consistent model of integrated youth healthcare. Internationally, several countries are implementing related approaches, but the specific elements of such models have not been well described in the literature.

          Method

          This paper addresses this gap by providing a detailed overview of the 16 core components of the headspace centre model.

          Results

          The needs of young people and their families are the main drivers of the headspace model, which has 10 service components (youth participation, family and friends participation, community awareness, enhanced access, early intervention, appropriate care, evidence‐informed practice, four core streams, service integration, supported transitions) and six enabling components (national network, Lead Agency governance, Consortia, multidisciplinary workforce, blended funding, monitoring and evaluation).

          Conclusion

          Through implementation of these core components headspace aims to provide easy access to one‐stop, youth‐friendly mental health, physical and sexual health, alcohol and other drug, and vocational services for young people across Australia.

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          Most cited references18

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          Cultures for mental health care of young people: an Australian blueprint for reform.

          Mental ill health is now the most important health issue facing young people worldwide. It is the leading cause of disability in people aged 10-24 years, contributing 45% of the overall burden of disease in this age group. Despite their manifest need, young people have the lowest rates of access to mental health care, largely as a result of poor awareness and help-seeking, structural and cultural flaws within the existing care systems, and the failure of society to recognise the importance of this issue and invest in youth mental health. We outline the case for a specific youth mental health stream and describe the innovative service reforms in youth mental health in Australia, using them as an example of the processes that can guide the development and implementation of such a service stream. Early intervention with focus on the developmental period of greatest need and capacity to benefit, emerging adulthood, has the potential to greatly improve the mental health, wellbeing, productivity, and fulfilment of young people, and our wider society.
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            Integrated (one-stop shop) youth health care: best available evidence and future directions.

            Although mental health problems represent the largest burden of disease in young people, access to mental health care has been poor for this group. Integrated youth health care services have been proposed as an innovative solution. Integrated care joins up physical health, mental health and social care services, ideally in one location, so that a young person receives holistic care in a coordinated way. It can be implemented in a range of ways. A review of the available literature identified a range of studies reporting the results of evaluation research into integrated care services. The best available data indicate that many young people who may not otherwise have sought help are accessing these mental health services, and there are promising outcomes for most in terms of symptomatic and functional recovery. Where evaluated, young people report having benefited from and being highly satisfied with these services. Some young people, such as those with more severe presenting symptoms and those who received fewer treatment sessions, have failed to benefit, indicating a need for further integration with more specialist care. Efforts are underway to articulate the standards and core features to which integrated care services should adhere, as well as to further evaluate outcomes. This will guide the ongoing development of best practice models of service delivery.
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              Systematic review of barriers and facilitators to accessing and engaging with mental health care among at-risk young people.

              This study aims to review the literature on barriers and facilitators to accessing and engaging with mental health care among young people from potentially disadvantaged groups, including young people identified as Aboriginal or Torres Strait Islander (ATSI); culturally and linguistically diverse (CALD); lesbian, gay, bisexual, transgender, queer, or intersex (LGBTQI); homeless; substance using; and youth residing in rural or remote areas.
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                Author and article information

                Contributors
                drickwood@headspace.org.au
                Journal
                Early Interv Psychiatry
                Early Interv Psychiatry
                10.1111/(ISSN)1751-7893
                EIP
                Early Intervention in Psychiatry
                Wiley Publishing Asia Pty Ltd (Melbourne )
                1751-7885
                1751-7893
                12 October 2018
                February 2019
                : 13
                : 1 ( doiID: 10.1111/eip.2019.13.issue-1 )
                : 159-166
                Affiliations
                [ 1 ] headspace National Youth Mental Health Foundation Melbourne Victoria Australia
                [ 2 ] Faculty of Health University of Canberra Canberra Australian Capital Territory Australia
                [ 3 ] Orygen: The National Centre of Excellence in Youth Mental Health Melbourne Victoria Australia
                Author notes
                [*] [* ] Correspondence

                Prof Debra Rickwood, headspace National Youth Mental Health Foundation, 485 LaTrobe St, Melbourne, VIC 3000, Australia.

                Email: drickwood@ 123456headspace.org.au

                Author information
                https://orcid.org/0000-0002-4227-0231
                Article
                EIP12740
                10.1111/eip.12740
                6585724
                30311423
                75d40179-c8ed-4f91-9422-e35ea120fb0d
                © 2018 The Authors Early Intervention in Psychiatry Published by John Wiley & Sons Australia, Ltd

                This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.

                History
                : 23 March 2018
                : 07 August 2018
                : 30 August 2018
                Page count
                Figures: 1, Tables: 0, Pages: 8, Words: 7372
                Categories
                Early Intervention in the Real World
                Early Intervention in the Real World
                Custom metadata
                2.0
                eip12740
                February 2019
                Converter:WILEY_ML3GV2_TO_NLMPMC version:5.6.4 mode:remove_FC converted:20.06.2019

                early intervention,integrated models,mental health,models of care,youth

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