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 presentat...
Published in: | The Canadian Journal of Psychiatry |
---|---|
Main Authors: | , , , , , , , , , , , , , , , , , , , , |
Format: | Text |
Language: | English |
Published: |
SAGE Publications
2021
|
Subjects: | |
Online Access: | http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8935596/ http://www.ncbi.nlm.nih.gov/pubmed/34796730 https://doi.org/10.1177/07067437211055416 |
id |
ftpubmed:oai:pubmedcentral.nih.gov:8935596 |
---|---|
record_format |
openpolar |
spelling |
ftpubmed:oai:pubmedcentral.nih.gov:8935596 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. 2021-11-19 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8935596/ http://www.ncbi.nlm.nih.gov/pubmed/34796730 https://doi.org/10.1177/07067437211055416 en eng SAGE Publications http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8935596/ http://www.ncbi.nlm.nih.gov/pubmed/34796730 http://dx.doi.org/10.1177/07067437211055416 © The Author(s) 2021 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage). CC-BY-NC Can J Psychiatry Regular Articles Text 2021 ftpubmed https://doi.org/10.1177/07067437211055416 2022-03-27T01:41:48Z 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 ... Text First Nations inuit PubMed Central (PMC) Canada The Canadian Journal of Psychiatry 67 3 179 191 |
institution |
Open Polar |
collection |
PubMed Central (PMC) |
op_collection_id |
ftpubmed |
language |
English |
topic |
Regular Articles |
spellingShingle |
Regular Articles 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 |
Regular Articles |
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 ... |
format |
Text |
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://www.ncbi.nlm.nih.gov/pmc/articles/PMC8935596/ http://www.ncbi.nlm.nih.gov/pubmed/34796730 https://doi.org/10.1177/07067437211055416 |
geographic |
Canada |
geographic_facet |
Canada |
genre |
First Nations inuit |
genre_facet |
First Nations inuit |
op_source |
Can J Psychiatry |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8935596/ http://www.ncbi.nlm.nih.gov/pubmed/34796730 http://dx.doi.org/10.1177/07067437211055416 |
op_rights |
© The Author(s) 2021 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
op_rightsnorm |
CC-BY-NC |
op_doi |
https://doi.org/10.1177/07067437211055416 |
container_title |
The Canadian Journal of Psychiatry |
container_volume |
67 |
container_issue |
3 |
container_start_page |
179 |
op_container_end_page |
191 |
_version_ |
1766002028007391232 |