1 Department of Psychiatry, McGill University, Montreal, QC, Canada.
2 Douglas Mental Health University Institute, Verdun, QC, Canada.
Can J Psychiatry. 2018 Apr;63(4):216-222. doi: 10.1177/0706743718758968. Epub 2018 Mar 11.
In this article we have provided a perspective on the importance and value of youth mental health services for society and argued that advancing youth mental health services should be the number one priority of health services in Canada. Using the age period of 12-25 years for defining youth, we have provided justification for our position based on scientific evidence derived from clinical, epidemiological and neurodevelopmental studies. We have highlighted the early onset of most mental disorders and substance abuse as well as their persistence into later adulthood, the long delays experienced by most help seekers and the consequence of such delays for young people and for society in general. We have also provided a brief review of the current gross inadequacies in access and quality of care available in Canada. We have argued for the need for a different conceptual framework of youth mental disorders as well as for a transformation of the way services are provided in order not only to reduce the unmet needs but also to allow a more meaningful exploration of the nature of such problems presenting in youth and the best way to treat them. We have offered some ideas based on previous work completed in this field as well as current initiatives in Canada and elsewhere. Any transformation of youth mental health services in Canada must take into consideration the significant geographic, cultural and political diversity across the provinces, territories and indigenous peoples across this country.
在本文中,我们提供了一个视角,强调了青年心理健康服务对社会的重要性和价值,并认为在加拿大,推进青年心理健康服务应该是卫生服务的首要任务。我们将 12-25 岁的年龄段定义为青年,并基于临床、流行病学和神经发育研究的科学证据为我们的立场提供了依据。我们强调了大多数精神障碍和物质滥用的发病早、持续到成年后期,以及大多数寻求帮助的人所经历的长时间延迟,以及这种延迟对年轻人和整个社会的后果。我们还简要回顾了加拿大目前在获得机会和护理质量方面的严重不足。我们认为,需要一种不同的青年精神障碍概念框架,以及一种服务提供方式的转变,不仅要减少未满足的需求,还要更好地探索青年中出现的此类问题的性质以及治疗这些问题的最佳方法。我们根据该领域之前完成的工作以及加拿大和其他地方的当前举措提出了一些想法。加拿大青年心理健康服务的任何转变都必须考虑到这个国家各省份、地区和原住民之间在地理、文化和政治方面的显著多样性。