Model Brief Description Aims Resources Challenges Leadership
System Design Model - Exemplars
Headspace, care model with four central elements: services, and drug and alcohol expertise.
1. Increase the
community’s capacity to assist in the early identification of well as at the state/
territory government
• Extensive website that assists youth with finding a centre, finding
Model Brief Description Aims Resources Challenges Leadership has grown from the need for evidence-based mental health services focusing on the unique needs of youth. They work from an integrated model and their families to ensure optimal mental health outcomes for people age 15–25 in the western and north-western areas of including the US, UK, Canada, Switzerland, Norway, Denmark, The Netherlands, Hong Kong, and Singapore.
1. Focus on youth 2. Early intervention 3. Clinical staging
(interventions are
5. Youth participation 6. Family participation 7. Case management 8. Family and peer
support
9. Functional recovery 10. Mental health
promotion
• Specialized youth mental health clinical service
• Research centre
• Integrated training and communications
Model Brief Description Aims Resources Challenges Leadership Trust created a youth services program,
2. Encourage people to support and motivate 5. Provide useful help
and advice to anyone in distress
6. Provide general links and resources for
• Youth assessment services
• Reporting to primary care
FRIENDS for Life is an evidence-based prevention program proven to be effective in building emotional resilience and teaching strategies that are practical and useful for coping with times of worry and change.
• Training workshops for school
professionals
• Website
Not stated Paula
Barrett
Model Brief Description Aims Resources Challenges Leadership Youth One Stop
Shops (YOSS) www.yoss.org.nz
YOSS is an approved social service provider, supported by the Department of Child, Youth and Family, the Ministry of Health and Central PHO. They use multidisciplinary staff to provide services from a youth development framework, focusing on preparing youth for adult life rather than primarily focusing on their problems. They serve ages 10–24.
1. Preparing youth for adulthood people to develop the skills, self-confidence, and resilience to cope with mental health challenges.
1. Give every young person in Ireland somewhere to turn and someone to talk to
2. Change the way Ireland thinks about youth mental health
• Service Development (Jigsaw) brings community services together around youth issues in each community for the project “My World,” which seeks TIP model seeks to improve outcomes for
None stated Hewitt B.
“Rusty”
Clark
Model Brief Description Aims Resources Challenges Leadership achieved using the TIP model framework and program is a national mental health initiative Institute. They use a whole-school approach 3. Develop the social
and emotional skills required to meet life’s challenges
4. Help school communities create a climate of positive mental health and well-being
5. Develop strategies to enable a continuum 6. Enable schools to
better collaborate with families and the health sector
Model Brief Description Aims Resources Challenges Leadership
— including one for Youth Health.
To inform young people about issues that affect their health and wellbeing.
• Comprehensive website
• Online information pamphlets about
Transition Management Model – Exemplars
Ottawa Project is a research project funded in part by the Ontario Centre of Excellence and the Champlain LHIN to develop and test a shared management model for transitional care.
To navigate the in-kind contributions agreed
• Service managers from both the child and adult systems
Promote a gradual shift in care to prepare all youth with chronic health conditions to leave Sick Kids by the age of 18 years created a number of tools to aid in this process, including:
• transition readiness checklists
Model Brief Description Aims Resources Challenges Leadership
NHS Lothian, UK www.nhslothian.
scot.nhs.uk/
OurOrganisation/
Strategies/
Documents/
SenseOfBelonging.
pdf (4.9)
This guideline outlines seven principles that are currently being adapted into the Lothian Model of Transition of Care.
1. Recognize and respect different cultures 2. Be flexible,
considering personal, clinical, and social stage rather than age 3. Early preparation and
forward planning is the responsibility of both child and adult services
4. Care planning should involve both child and adult systems and include a period of overlap
5. Both adult and child systems must develop a shared values base to respond to the needs of young people
6. Systems and protocols should be developed and put in place to transition youth smoothly 7. Ensure that services
received by the patient before and after transition are equitable
Memorandum of understanding between the child and adult mental healthcare providers
More precise agreements must be drafted for local areas as variation in adult mental health services exist by location
Cathy Richards
Model Brief Description Aims Resources Challenges Leadership IWK/CHC,
Halifax, NS, Canada
Their current transfer strategy uses a shared management model.
Successful transition between child and adult mental healthcare systems that is gradual and guided by youth readiness, stages of development, and needs.
Primary care Child mental health representative Adult mental health representative Memorandum of understanding between facilities
• Service gaps exist in adult context (e.g.
develop-mental clinic)
• Involve-ment of primary care physician
• Ongoing collabor-ation with com-munity partners
• Financial support for peer and family mentors
• Emer-gency entry referrals to tran-sition services
• Co-ordination with Complex Case Co-ordinators
• Lack of elec-tronic health record across fac-ilities
David Pilon
Model Brief Description Aims Resources Challenges Leadership Kids Rehab to help families understand them. It is primarily a timetable and a series of checklists to make parents aware of the activities their child needs to be involved in at different ages and stages. Life Skills and Wellness Institute), and a demonstration clinic (through Bloorview and Toronto Rehab) that aims to smooth the transition from children to adult rehab services.
To prepare and support children with disabilities
• Education sessions led by caregiver peers
• Access to Bloorview’s Life Skills and to the adult healthcare system.
• life skills coaching
Not stated Andrea
Lauzon
Model Brief Description Aims Resources Challenges Leadership for youth ages 14–30 with a serious mental illness.
Provides MST-EA in a home-based intervention designed to target the major problem behaviours
This research focuses on programs that support education, training, and working during the transition phase and into adulthood.
The program delivers evidence-based practices in an in-home setting, at a high degree of intensity, with a multidisciplinary team to provide individualized “youth driven” care.
• Three therapists
• On-site supervisor
• Off-site consultant
• Part-time psychiatrist
• Four life-coaches – all of whom work on to serve inner city youth with mental health problems or illnesses in Vancouver, British Columbia. They collaborate with other agencies in the area like Covenant House, follow up with youth wherever possible), and an “attachment informed” therapeutic framework. They provide a wide range of services, including in a network of related services. The program serves all youth age 24 or younger, with or without a fixed address, that are currently living with a mental health or substance misuse disorder.
Priority is given to fostering attachment to the spaces held by collaborators and many other scattered sites
• Eight psychiatrists
• Two social workers
• Highly integrated community network
Model Brief Description Aims Resources Challenges Leadership (EPPIC) is an integrated and comprehensive
EPPIC is a specialist clinical program of
Model Brief Description Aims Resources Challenges Leadership for a first episode of psychosis. The alumni program is a shared care program involving Cleghorn program staff and the family physician and is designed to transition patients mental illness such as poverty, stigma, and basic support such as income
• Recovery support workers in Australia and to reduce the associated leadership to reduce the impact of depression and anxiety in the Australian community.
They seek to:
1. Increase awareness of depression and anxiety
2. Reduce stigma and discrimination an essential part of education.
1. Advance the science of social and
field and impact of social and emotional learning
• Comprehensive website
• Strong organizational capacity to bring together researchers and practitioners
Not stated Roger
Weissberg
Model Brief Description Aims Resources Challenges Leadership
All individuals with a neurodevelopmental disorder are exempt, except if they have a comorbid mental involved at the request of either a CAMHS or to evaluate how the addition of a transition worker facilitates this shift, over and above a protocol-driven transition period in the UK.