Margaret and Wallace McCain Centre for Child, Youth and Family Mental Health, Centre for Addiction and Mental Health, Toronto, ON, Canada.
Department of Psychiatry, University of Toronto, Toronto, ON, Canada.
J Behav Health Serv Res. 2020 Apr;47(2):216-229. doi: 10.1007/s11414-019-09658-4.
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.
为了改善青年心理健康体系,国际上正在推动建立以社区为基础的服务中心,为青年提供综合、协作的护理。然而,多系统协作的实施非常复杂,可能会受到各种障碍的影响。本文基于实施研究综合框架(CFIR)对 YouthCan IMPACT 综合青年服务项目进行了形成性评估,以确定成功实施的促进因素和障碍。结果表明,之前积极的工作关系以及合作伙伴组织的协作资源投入对于实施综合青年服务模式至关重要。此外,让所有关键利益相关者群体(包括工作人员、青年和照顾者)的代表成员参与项目的制定和执行,对于确保有效的实施也很重要。关注实施的促进因素和障碍可能有助于团队为社区中的青年实施高度协作、综合的服务提供模式。