Vallianatos Helen, Friese Kevin, Perez Jessica M, Slessor Jane, Thind Rajneek, Dunn Joshua, Chisholm-Nelson Jessica, Joober Ridha, Boksa Patricia, Lal Shalini, Malla Ashok, Iyer Srividya N, Shah Jai L
Office of the Dean of Students, University of Alberta, Edmonton, Alberta, Canada.
Department of Anthropology, University of Alberta, Edmonton, Alberta, Canada.
Early Interv Psychiatry. 2019 Jun;13 Suppl 1(Suppl Suppl 1):56-64. doi: 10.1111/eip.12819.
Demands for mental health services in post-secondary institutions are increasing. This paper describes key features of a response to these needs: ACCESS Open Minds University of Alberta (ACCESS OM UA) is focused on improving mental health services for first-year students, as youth transition to university and adulthood.
The core transformation activities at ACCESS OM UA are described, including early case identification, rapid access, appropriate and timely connections to follow-up care and engagement of students and families/carers. In addition, we depict local experiences of transforming existing services around these objectives.
The ACCESS OM UA Network has brought together staff with diverse backgrounds in order to address the unique needs of students. Together with the addition of ACCESS Clinicians these elements represent a systematic effort to support not just mental health, but the student as a whole. Key learnings include the importance of community mapping to developing networks and partnerships, and engaging stakeholders from design through to implementation for transformation to be sustainable.
Service transformation grounded in principles of community-based research allows for incorporation of local knowledge, expertise and opportunities. This approach requires ample time to consult, develop rapport between staff and stakeholders across diverse units and develop processes in keeping with local opportunities and constraints. Ongoing efforts will continue to monitor changing student needs and to evaluate and adapt the transformations outlined in this paper to reflect those needs.
高等院校对心理健康服务的需求日益增加。本文描述了针对这些需求的应对措施的关键特征:阿尔伯塔大学“心灵开放接入计划”(ACCESS Open Minds University of Alberta,ACCESS OM UA)专注于改善大一学生的心理健康服务,因为青少年正过渡到大学阶段及成年期。
描述了ACCESS OM UA的核心转型活动,包括早期病例识别、快速接入、与后续护理的适当及时联系以及学生和家庭/照顾者的参与。此外,我们描述了围绕这些目标转变现有服务的当地经验。
ACCESS OM UA网络汇聚了背景各异的工作人员,以满足学生的独特需求。加上ACCESS临床医生,这些要素代表了一项系统性努力,不仅支持心理健康,还支持学生整体。关键经验包括社区规划对于发展网络和伙伴关系的重要性,以及让利益相关者从设计到实施都参与进来以使转型可持续。
基于社区研究原则的服务转型允许纳入当地知识、专业技能和机会。这种方法需要充足的时间进行咨询,在不同单位的工作人员和利益相关者之间建立融洽关系,并根据当地机会和限制制定流程。持续的努力将继续监测学生需求的变化,并评估和调整本文所述的转型以反映这些需求。