Abstract
In order to improve the youth mental health system, there is an international movement toward developing community-based service hubs that provide integrated, collaborative care to youth. However, the implementation of multisystem collaboration is complex and can be hampered by barriers. This paper presents a formative evaluation of the YouthCan IMPACT integrated youth services project based on the Consolidated Framework for Implementation Research (CFIR), to identify facilitators and barriers to successful implementation. Results highlight that previous positive working relationships along with collaborative investment of resources from partnering organizations are essential to implement an integrated youth service model. In addition, it is important that representative members of all key stakeholder groups, including staff, youth, and caregivers, be involved in the development and execution of the project to ensure effective implementation. Attention to the facilitators and barriers to implementation may help teams seeking to implement highly collaborative, integrated models of service delivery for youth in the community.
Highlights
Adolescence marks the developmental transition from the dependency of childhood to the independence of adulthood.[1]
Consistent with implementation science recommendations and the call for formative assessments to inform implementation,[30] it was expected that this evaluation would enhance the implementation of the YouthCan IMPACT initiative and produce knowledge about the implementation process that could be used to optimize the potential launch of additional local YouthCan IMPACT integrated youth services (YCI-IYS) sites
The main objectives of this study were to describe the startup process of the YouthCan IMPACT project and examine the barriers and facilitators encountered during this process
Summary
Adolescence marks the developmental transition from the dependency of childhood to the independence of adulthood.[1] During this critical time, an estimated 12.6% of Canadian youth experience mental illness.[2] Mental illnesses can be chronic and disabling, with wide-reaching effects on quality of life, productivity, and functioning.[3] Adolescence is an especially important period, since over 70% of mental illnesses first present before adulthood.[4] suicide is the second leading cause of youth mortality.[5] Despite the clear need for prevention and early intervention services, youth worldwide face barriers with regard to service acceptability, accessibility, availability, and equity.[6]
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