ACCESS Open Minds / ACCESS Esprits ouverts

Conditions

Youth mental health care Mental and Behavioural Disorders Youth mental health care

Patricia Boksa, Daphne Hutt‐MacLeod, Lacey Clair, Gregory Brass, Shirley Bighead et al. (21 authors)

The Canadian Journal of Psychiatry2021-11-199 citations

A minimum evaluation protocol and stepped-wedge cluster randomized trial of ACCESS Open Minds, a large Canadian youth mental health services transformation project.

Iyer SN, Shah J, Boksa P, Lal S, Joober R, Andersson N, Fuhrer R, Abdel-Baki A, Beaton AM, Reaume-Zimmer P, Hutt-MacLeod D, Levasseur MA, Chandrasena R, Rousseau C, Torrie J, Etter M, Vallianatos H, Abba-Aji A, Bighead S, MacKinnon A, Malla AK.

2019-09-0533 citations

10.1186/s12888-019-2232-2

Interventions

Each of the 12 ACCESS OM site are transforming their services to meet the new 5 ACCESS OM objectives: 1. Early Identification, to ensure that more youth are referred sooner, through ac

who respond in less than 72 hours

who can offer an initial evaluation irrespective of type/severity of mental health problem

and who can, in collaboration with youth and their families/carers, link the young person to needs-appropriate services. Other strategies for rapid access are inclusion of multiple portals for accessi

and elimination of any referral or administrative requirements. 3. Appropriate care, to offer youth evidence-informed interventions staged by phase of illness and level of care needed

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: Youth: 1. Aged between 11 and 25 2. Seeking, or being referred to, mental health services at one of the twelve sites Carers: Family members or identified caregivers of participating youths.

Exclusion criteria

Exclusion criteria: Youth: 1. Outside the age range of the project (under 11 or over 25) 2. Intellectual disability (IQ<70) 3. History of organic brain damage

Design outcomes

Primary

Measure	Time frame
1. Number of referrals from youth (or those seeking help on behalf of youth) at ACCESS OM sites is measured by comparing referral rates before and after transformation using retrospective institutional data and post-transformation data via an online data collection system (DACIMA) 2. Number of youth who receive the offer of an initial evaluation within 72 hours of referral is measured by comparing retrospective data with data collected using the Services and Interventions Documentation Form created by ACCESS OM at baseline and documents the timeline of the youth’s referral and intake as well as communication between the service user and clinician 3. Proportion of youth with a serious mental illness receiving appropriate care in less than 30 days (except for urgent cases) is measured by comparing retrospective data with data collected using the Services and Interventions Documentation Form created by ACCESS OM, which is completed at baseline, 1, 3, 6, 9, 12 and 24 months	—

Measure

Time frame

1. Number of referrals from youth (or those seeking help on behalf of youth) at ACCESS OM sites is measured by comparing referral rates before and after transformation using retrospective institutional data and post-transformation data via an online data collection system (DACIMA) 2. Number of youth who receive the offer of an initial evaluation within 72 hours of referral is measured by comparing retrospective data with data collected using the Services and Interventions Documentation Form created by ACCESS OM at baseline and documents the timeline of the youth’s referral and intake as well as communication between the service user and clinician 3. Proportion of youth with a serious mental illness receiving appropriate care in less than 30 days (except for urgent cases) is measured by comparing retrospective data with data collected using the Services and Interventions Documentation Form created by ACCESS OM, which is completed at baseline, 1, 3, 6, 9, 12 and 24 months

—

Secondary

Measure	Time frame
1. Number of help-seeking contacts before accessing appropriate mental health care for youth with serious mental illness is measured using institutional data at baseline 2. Levels of satisfaction among youth and their families/carers is measured using the Ontario Perception of Care Tool for Mental Health and Addictions (OPOC-MHA), at 1, 3, 6, 9, 12, and 24 months 3. Clinical, functional and subjective outcomes of youth receiving services at ACCESS OM sites is primarily measured using the Clinical Global Impressions - Youth Mental Health (CGI-YMH), the Social and Occupational Functioning Assessment Scale (SOFAS), Kessler-10 Psychological Distress Scale (K-10), at baseline, 1, 3, 6, 9, 12 and 24 months	—

Measure

Time frame

1. Number of help-seeking contacts before accessing appropriate mental health care for youth with serious mental illness is measured using institutional data at baseline 2. Levels of satisfaction among youth and their families/carers is measured using the Ontario Perception of Care Tool for Mental Health and Addictions (OPOC-MHA), at 1, 3, 6, 9, 12, and 24 months 3. Clinical, functional and subjective outcomes of youth receiving services at ACCESS OM sites is primarily measured using the Clinical Global Impressions - Youth Mental Health (CGI-YMH), the Social and Occupational Functioning Assessment Scale (SOFAS), Kessler-10 Psychological Distress Scale (K-10), at baseline, 1, 3, 6, 9, 12 and 24 months

—

Countries

Canada

Outcome results

None listed