Children and young adults are waiting far too long for mental health services, report warns

BMJ ◽  
2021 ◽  
pp. n3053
Author(s):  
Jacqui Wise
2020 ◽  
Vol 71 (6) ◽  
pp. 555-561
Author(s):  
Kiara L. Moore ◽  
Lucy Lopez ◽  
David Camacho ◽  
Michelle R. Munson

Author(s):  
Stephen M Schueller ◽  
Angela C Glover ◽  
Anne K Rufa ◽  
Claire L Dowdle ◽  
Gregory D Gross ◽  
...  

BACKGROUND Youth homelessness is a substantial issue, and many youths experiencing homelessness have mental health issues as both a cause and consequence of homelessness. These youths face many barriers to receiving traditional mental health services, and as a result, only a few youths experiencing homelessness receive any form of mental health care. OBJECTIVE This project aimed to develop and determine the feasibility and acceptability of engaging young adults (ie, individuals aged 18-24 years) experiencing homelessness in a remotely delivered mental health intervention. This intervention provided brief emotional support and coping skills, drawing from cognitive behavioral principles as an introduction into psychosocial support. The intervention was piloted in a homeless shelter network. METHODS A total of 35 young adults experiencing homelessness participated in a single-arm feasibility pilot trial. Participants received a mobile phone, a service and data plan, and 1 month of support from a coach consisting of up to 3 brief phone sessions, text messaging, and mobile mental health apps. We evaluated feasibility by looking at completion of sessions as well as the overall program and acceptability with satisfaction ratings. We also collected clinical symptoms at baseline and the end of the 1-month support period. We used validity items to identify participants who might be responding inappropriately and thus only report satisfaction ratings and clinical outcomes from valid responses. RESULTS Most participants (20/35, 57%) completed all 3 of their phone sessions, with an average of 2.09 sessions (SD 1.22) completed by each participant. Participants sent an average of 15.06 text messages (SD 12.62) and received an average of 19.34 messages (SD 12.70). We found higher rates of satisfaction among the participants with valid responses, with 100% (23/23) of such participants indicating that they would recommend participation to someone else and 52% (12/23) reporting that they were very or extremely satisfied with their participation. We found very little change from pre- to posttreatment on measures of depression (d=0.27), post-traumatic stress disorder (d=0.17), and emotion regulation (d=0.10). CONCLUSIONS This study demonstrated that it was feasible to engage homeless young adults in mental health services in this technology-based intervention with high rates of satisfaction. We did not find changes in clinical outcomes; however, we had a small sample size and a brief intervention. Technology might be an important avenue to reach young adults experiencing homelessness, but additional work could explore proper interventions to deliver with such a platform. CLINICALTRIAL ClinicalTrials.gov NCT03620682; https://clinicaltrials.gov/ct2/show/NCT03620682


2018 ◽  
Vol 9 ◽  
pp. 110-133
Author(s):  
Anne Mari Steigen ◽  
Bengt Eriksson ◽  
Ragnfrid Eline Kogstad ◽  
Helge Prytz Toft ◽  
Daniel Bergh

Young adults with mental health problems who do not attend school or work constitute a significant welfare challenge in Norway. The welfare services available to these individuals include nature-based services, which are primarily located on farms and integrate the natural and agricultural environment into their daily activities. The aim of this study is to examine young adults (16–30 years old) not attending school or work who participated in nature-based services in Norway. In particular, the study analyses mental health problems among the participants and in-group variations regarding their symptoms of mental health problems using the Hopkins Symptoms Checklist (HSCL-10). This paper compares symptoms of mental health problems among participants in nature-based services with those of a sample from the general population and a sample of those receiving clinical in-patient mental healthcare. A questionnaire was developed for the study and was completed by 93 participants in nature-based services. The majority of these participants were recruited from the Norwegian Labour and Welfare Administration (NAV), local mental health services, and school authorities. Results indicate that just more than half of the respondents exhibited symptoms of mental health problems based on their HSCL-10 scores. In general, they reported fewer symptoms than the clinical in-patient sample (18–30 years old) and more symptoms than the general population sample (18–19 years old). Among the participants in nature-based services, those recruited through NAV and local mental health services exhibited no differences in symptoms. Half of the participants older than 23 years in nature-based services had not completed upper secondary school. The participants, including those with symptoms of mental health problems and low expectations at the outset of their participation, generally expressed high satisfaction with the services.


2008 ◽  
Vol 73 (1) ◽  
pp. 97-104 ◽  
Author(s):  
Kathleen Vanheusden ◽  
Cornelis L. Mulder ◽  
Jan van der Ende ◽  
Frank J. van Lenthe ◽  
Johan P. Mackenbach ◽  
...  

2019 ◽  
Author(s):  
Lindsay Dewa ◽  
Mary Lavelle ◽  
Katy Pickles ◽  
Caroline Kalorkoti ◽  
Jack Jaques ◽  
...  

BACKGROUND Technological interventions may help support and improve our mental health. Yet young peoples’ perspectives on using different technologies to detect deteriorating mental health in those already diagnosed with a mental health condition is lacking. OBJECTIVE To explore the perspectives of young patients on the feasibility and acceptability of using wearables, social media and technologies to detect mental health deterioration METHODS The study was co-produced with young adults with past mental health difficulties. Semi-structured interviews were conducted with young adults with mental health difficulties and data was triangulated. Themes were finalised and presented in a thematic map. RESULTS Sixteen participants were interviewed (81% female). Wearables and mobile apps were considered acceptable and feasible to detect mental health deterioration in real-time if they could measure changes in sleep patterns, mood or activity levels as signs of deterioration. Getting help earlier was deemed essential particularly in reference to dissatisfaction with the current non-technological mental health services. However, patients identified issues to consider before implementation including viability, safeguarding and patient preference. CONCLUSIONS Wearables and mobile apps could be viable technological options to help detect deterioration in young people to intervene early and avoid delay in accessing mental health services. However immediate action following detection is required for the patient to trust and use the intervention.


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