Centre for Youth Mental Health, Orygen, The National Centre of Excellence in Youth Mental Health, Melbourne, Victoria, Australia.
North-Western Mental Health, Melbourne Health, Melbourne, Victoria, Australia.
Early Interv Psychiatry. 2018 Jun;12(3):513-519. doi: 10.1111/eip.12429. Epub 2017 Apr 12.
Guiding principles are arguably central to the development of any health service. The aim of this article is to report on the outcomes of a youth mental health (YMH) community of practice (CoP), which identified a range of guiding principles that provide a clear point of comparison for the only other set of principles for YMH service delivery proposed to date.
A YMH CoP was established in 2010 as part of the Victorian State Government approach to improving YMH care. An initial literature search was undertaken to locate articles on YMH service delivery. A number of common themes were identified, which the YMH community of practice (YMHCoP) members then elaborated upon by drawing from their collective experience of the YMH sector. The resultant themes were then refined through subsequent group discussions to derive a definitive set of guiding principles. These principles were then augmented by a second literature search conducted in July 2015.
Fifteen key themes were derived from the initial literature search and YMH CoP discussions. These were refined by the YMH CoP to produce 10 guiding principles for YMH service development. These are discussed through reference to the relevant literature, using the only other article on principles of YMH service delivery as a notable point of comparison.
The 10 principles identified may be useful for quality improvement and are likely to have international relevance. We suggest the timely pursuit of an international consensus on guiding principles for service delivery under the auspices of a peak body for YMH.
指导原则可被视为任何卫生服务发展的核心。本文旨在报告青年心理健康（YMH）实践社区（CoP）的成果，该社区确定了一系列指导原则，为迄今为止提出的唯一另一套 YMH 服务提供原则提供了明确的比较点。
YMH CoP 于 2010 年作为维多利亚州政府改善 YMH 护理方法的一部分成立。进行了初步的文献搜索，以查找有关 YMH 服务提供的文章。确定了一些共同的主题，然后 YMH 实践社区（YMHCoP）成员通过借鉴他们在 YMH 部门的集体经验对这些主题进行了阐述。然后通过随后的小组讨论对产生的主题进行了细化，得出了一套明确的指导原则。这些原则通过 2015 年 7 月进行的第二次文献搜索进行了扩充。
从初步的文献搜索和 YMH CoP 讨论中得出了 15 个关键主题。通过 YMH CoP 的讨论，这些主题被提炼为 10 条 YMH 服务发展的指导原则。通过参考相关文献，使用关于 YMH 服务提供原则的唯一另一篇文章作为一个显著的比较点来讨论这些原则。
确定的 10 条原则可能有助于质量改进，并且可能具有国际相关性。我们建议在 YMH 峰会的主持下及时就服务提供的指导原则达成国际共识。
