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Developing Youth mental health services. The Story. May 2010: Killarney Youth Summit: Young person inclusive, International declaration on Youth mental health Youth Conference Birmingham (Oct 2010)
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The Story • May 2010: Killarney Youth Summit: Young person inclusive, International declaration on Youth mental health • Youth Conference Birmingham (Oct 2010) • CLARHC Initial Problem Solving Session: Systematic Review of Young peoples Views on Mental Health in Britain • 10 years of lobbying by youth movement…… “How many times do we have to tell you” (NAC)
Why Youth Mental Health? • 75% of mental health disorders commence before 24 yrs of age (Kessler et al 2005) • “the surge of new morbidity between the ages of 15 and 25 is paired with the worst access to services, the system is weakest where it needs to be strongest.” (McGorry,2009) • Most transitions are poorly planned, poorly executed and poorly experienced (Singh et al 2010)
Why a systematic review? • How good is the evidence? • Whose evidence? • Relevance to UK? • Cornerstone of any proposed service developments
“A systematic review of studies of young peoples views of services available for people with mental health problems!” • Research question • Research protocol (SCIE) • Title and abstract screening • Paper screening • Hand searches • Quality evaluation / data extraction • Initial findings • Final narrative • Write up and submission
Studies of views of young people, who have not used mental health services. (9936 young people questionnaires, 238 qualitative)
And what they said, ordered by weight of evidence: Key themes: school main source support/information. Do not see GP or mental health services as relevant for mental health problems
Studies of views of young people, who have used mental health services (total n=625)
And what they said, ordered by weight of evidence Key themes: flexibility, continuity, inclusion, family work, community based, information
BLOCKS: Research said: CAMH and AMH barriers incl. Managerial/funding streams Research said: Lack of young people involved in service development Trust Transformation/CSIP Lack of stakeholder commitment across agencies SOLUTIONS: Scoping meetings with CAMHS Development of working group with CAMH, Consultants and Managers using local data To Set up a working party (YPPI) to develop a young person advisors group (U-think) Engage Senior Managers/Board, trust 5 yr plan and under 17’s Regional network and stakeholder conference Research Into Practice