Demographic and Clinical Presentations of Youth using Enhanced Mental Health Services in Six Indigenous Communities from the ACCESS Open Minds Network
Objective In many Indigenous communities, youth mental health services are inadequate. Six Indigenous communities participating in the ACCESS Open Minds (AOM) network implemented strategies to transform their youth mental health services. This report documents the demographic and clinical presentati...
Published in: | The Canadian Journal of Psychiatry |
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Online Access: | http://dx.doi.org/10.1177/07067437211055416 http://journals.sagepub.com/doi/pdf/10.1177/07067437211055416 http://journals.sagepub.com/doi/full-xml/10.1177/07067437211055416 |
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crsagepubl:10.1177/07067437211055416 2023-05-15T16:16:11+02:00 Demographic and Clinical Presentations of Youth using Enhanced Mental Health Services in Six Indigenous Communities from the ACCESS Open Minds Network Boksa, Patricia Hutt-MacLeod, Daphne Clair, Lacey Brass, Gregory Bighead, Shirley MacKinnon, Aileen Etter, Meghan Gould, Hayley Sock, Eva Matoush, Julie Rabbitskin, Norma Ballantyne, Clifford Goose, Annie Rudderham, Heather Plourde, Vickie Gordon, Maria Gilbert, Lorna Ramsden, Vivian R. Noel, Valerie Malla, Ashok Iyer, Srividya N. Canadian Institutes of Health Research and the Graham Boeckh Foundation 2021 http://dx.doi.org/10.1177/07067437211055416 http://journals.sagepub.com/doi/pdf/10.1177/07067437211055416 http://journals.sagepub.com/doi/full-xml/10.1177/07067437211055416 en eng SAGE Publications https://creativecommons.org/licenses/by-nc/4.0/ CC-BY-NC The Canadian Journal of Psychiatry volume 67, issue 3, page 179-191 ISSN 0706-7437 1497-0015 Psychiatry and Mental health journal-article 2021 crsagepubl https://doi.org/10.1177/07067437211055416 2022-09-21T19:49:26Z Objective In many Indigenous communities, youth mental health services are inadequate. Six Indigenous communities participating in the ACCESS Open Minds (AOM) network implemented strategies to transform their youth mental health services. This report documents the demographic and clinical presentations of youth accessing AOM services at these Indigenous sites. Methods Four First Nations and two Inuit communities contributed to this study. Youth presenting for mental health services responded to a customized sociodemographic questionnaire and presenting concerns checklist, and scales assessing distress, self-rated health and mental health, and suicidal thoughts and behaviors. Results Combined data from the First Nations sites indicated that youth across the range of 11–29 years accessed services. More girls/women than boys/men accessed services; 17% identified as LBGTQ+. Most (83%) youth indicated having access to at least one reliable adult and getting along well with the people living with them. Twenty-five percent of youth reported difficulty meeting basic expenses. Kessler (K10) distress scores indicated that half likely had a moderate mental health problem and a fourth had severe problems. Fifty-five percent of youth rated their mental health as fair or poor, while 50% reported suicidal thoughts in the last month. Anxiety, stress, depression and sleep issues were the most common presenting problems. Fifty-one percent of youth either accessed services themselves or were referred by family members. AOM was the first mental health service accessed that year for 68% of youth. Conclusions This report is the first to present a demographic and clinical portrait of youth presenting at mental health services in multiple Indigenous settings in Canada. It illustrates the acceptability and feasibility of transforming youth mental health services using core principles tailored to meet communities’ unique needs, resources, and cultures, and evaluating these using a common protocol. Data obtained can be valuable in ... Article in Journal/Newspaper First Nations inuit SAGE Publications (via Crossref) Canada The Canadian Journal of Psychiatry 070674372110554 |
institution |
Open Polar |
collection |
SAGE Publications (via Crossref) |
op_collection_id |
crsagepubl |
language |
English |
topic |
Psychiatry and Mental health |
spellingShingle |
Psychiatry and Mental health Boksa, Patricia Hutt-MacLeod, Daphne Clair, Lacey Brass, Gregory Bighead, Shirley MacKinnon, Aileen Etter, Meghan Gould, Hayley Sock, Eva Matoush, Julie Rabbitskin, Norma Ballantyne, Clifford Goose, Annie Rudderham, Heather Plourde, Vickie Gordon, Maria Gilbert, Lorna Ramsden, Vivian R. Noel, Valerie Malla, Ashok Iyer, Srividya N. Demographic and Clinical Presentations of Youth using Enhanced Mental Health Services in Six Indigenous Communities from the ACCESS Open Minds Network |
topic_facet |
Psychiatry and Mental health |
description |
Objective In many Indigenous communities, youth mental health services are inadequate. Six Indigenous communities participating in the ACCESS Open Minds (AOM) network implemented strategies to transform their youth mental health services. This report documents the demographic and clinical presentations of youth accessing AOM services at these Indigenous sites. Methods Four First Nations and two Inuit communities contributed to this study. Youth presenting for mental health services responded to a customized sociodemographic questionnaire and presenting concerns checklist, and scales assessing distress, self-rated health and mental health, and suicidal thoughts and behaviors. Results Combined data from the First Nations sites indicated that youth across the range of 11–29 years accessed services. More girls/women than boys/men accessed services; 17% identified as LBGTQ+. Most (83%) youth indicated having access to at least one reliable adult and getting along well with the people living with them. Twenty-five percent of youth reported difficulty meeting basic expenses. Kessler (K10) distress scores indicated that half likely had a moderate mental health problem and a fourth had severe problems. Fifty-five percent of youth rated their mental health as fair or poor, while 50% reported suicidal thoughts in the last month. Anxiety, stress, depression and sleep issues were the most common presenting problems. Fifty-one percent of youth either accessed services themselves or were referred by family members. AOM was the first mental health service accessed that year for 68% of youth. Conclusions This report is the first to present a demographic and clinical portrait of youth presenting at mental health services in multiple Indigenous settings in Canada. It illustrates the acceptability and feasibility of transforming youth mental health services using core principles tailored to meet communities’ unique needs, resources, and cultures, and evaluating these using a common protocol. Data obtained can be valuable in ... |
author2 |
Canadian Institutes of Health Research and the Graham Boeckh Foundation |
format |
Article in Journal/Newspaper |
author |
Boksa, Patricia Hutt-MacLeod, Daphne Clair, Lacey Brass, Gregory Bighead, Shirley MacKinnon, Aileen Etter, Meghan Gould, Hayley Sock, Eva Matoush, Julie Rabbitskin, Norma Ballantyne, Clifford Goose, Annie Rudderham, Heather Plourde, Vickie Gordon, Maria Gilbert, Lorna Ramsden, Vivian R. Noel, Valerie Malla, Ashok Iyer, Srividya N. |
author_facet |
Boksa, Patricia Hutt-MacLeod, Daphne Clair, Lacey Brass, Gregory Bighead, Shirley MacKinnon, Aileen Etter, Meghan Gould, Hayley Sock, Eva Matoush, Julie Rabbitskin, Norma Ballantyne, Clifford Goose, Annie Rudderham, Heather Plourde, Vickie Gordon, Maria Gilbert, Lorna Ramsden, Vivian R. Noel, Valerie Malla, Ashok Iyer, Srividya N. |
author_sort |
Boksa, Patricia |
title |
Demographic and Clinical Presentations of Youth using Enhanced Mental Health Services in Six Indigenous Communities from the ACCESS Open Minds Network |
title_short |
Demographic and Clinical Presentations of Youth using Enhanced Mental Health Services in Six Indigenous Communities from the ACCESS Open Minds Network |
title_full |
Demographic and Clinical Presentations of Youth using Enhanced Mental Health Services in Six Indigenous Communities from the ACCESS Open Minds Network |
title_fullStr |
Demographic and Clinical Presentations of Youth using Enhanced Mental Health Services in Six Indigenous Communities from the ACCESS Open Minds Network |
title_full_unstemmed |
Demographic and Clinical Presentations of Youth using Enhanced Mental Health Services in Six Indigenous Communities from the ACCESS Open Minds Network |
title_sort |
demographic and clinical presentations of youth using enhanced mental health services in six indigenous communities from the access open minds network |
publisher |
SAGE Publications |
publishDate |
2021 |
url |
http://dx.doi.org/10.1177/07067437211055416 http://journals.sagepub.com/doi/pdf/10.1177/07067437211055416 http://journals.sagepub.com/doi/full-xml/10.1177/07067437211055416 |
geographic |
Canada |
geographic_facet |
Canada |
genre |
First Nations inuit |
genre_facet |
First Nations inuit |
op_source |
The Canadian Journal of Psychiatry volume 67, issue 3, page 179-191 ISSN 0706-7437 1497-0015 |
op_rights |
https://creativecommons.org/licenses/by-nc/4.0/ |
op_rightsnorm |
CC-BY-NC |
op_doi |
https://doi.org/10.1177/07067437211055416 |
container_title |
The Canadian Journal of Psychiatry |
container_start_page |
070674372110554 |
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1766002037658484736 |