Henderson Joanna, Hawke Lisa D, Iyer Srividya N, Hayes Em, Darnay Karleigh, Mathias Steve, Thabane Lehana
26632Centre for Addiction and Mental Health.
7978University of Toronto Department of Psychiatry.
Can J Psychiatry. 2022 Jul;67(7):524-533. doi: 10.1177/07067437211044717. Epub 2021 Dec 7.
Integrated youth services (IYS) are an emerging model of care offering a broad range of mental health and social services for youth in one location. This study aimed to determine the IYS service characteristics most important to youth, as well as to determine whether different classes of youth have different service preferences, and if so, what defines these classes.
Ontario youth aged 14-29 years with mental health challenges were recruited to participate in a discrete choice experiment (DCE) survey. The DCE contained 12 attributes, each represented by 4 levels representing core characteristics of IYS models. To supplement the DCE questions, demographic information was collected and a mental health screener was administered. Preferences were examined, latent class analyses were conducted, and latent classes were compared.
As a whole, participants endorsed the IYS model of service delivery. Among 274 youth, there were three latent classes: 1) the Focused Service (37.6%) latent class prioritized efficient delivery of mental health services. 2) The Holistic Services (30.3%) latent class prioritized a diverse array of mental health and social services delivered in a timely fashion. 3) The Responsive Services (32.1%) latent class prioritized services that matched the individual needs of the youth being served. Differences between classes were observed based on sociodemographic and clinical variables.
IYS is an acceptable model of care, in that it prioritizes components that reflect youth preferences. The differences in preference profiles of different groups of youth point to the need for flexible models of service delivery. Service design initiatives should take these preferences into account, designing services that meet the needs and preferences of a broad range of youth. Working locally to co-design services with the youth in the target population who wish to be engaged will help meet the needs of youth.
综合青年服务（IYS）是一种新兴的护理模式，在一个地点为青年提供广泛的心理健康和社会服务。本研究旨在确定对青年最重要的IYS服务特征，以及确定不同类别的青年是否有不同的服务偏好，如果是，是什么定义了这些类别。
招募安大略省14 - 29岁有心理健康挑战的青年参与离散选择实验（DCE）调查。DCE包含12个属性，每个属性由代表IYS模式核心特征的4个水平表示。为补充DCE问题，收集了人口统计学信息并进行了心理健康筛查。检查了偏好，进行了潜在类别分析，并比较了潜在类别。
总体而言，参与者认可IYS服务提供模式。在274名青年中，有三个潜在类别：1）聚焦服务（37.6%）潜在类别优先考虑高效提供心理健康服务。2）整体服务（30.3%）潜在类别优先考虑及时提供各种心理健康和社会服务。3）响应式服务（32.1%）潜在类别优先考虑符合所服务青年个人需求的服务。基于社会人口统计学和临床变量观察到类别之间的差异。
IYS是一种可接受的护理模式，因为它优先考虑反映青年偏好的组成部分。不同青年群体偏好概况的差异表明需要灵活的服务提供模式。服务设计举措应考虑这些偏好，设计满足广泛青年需求和偏好的服务。在当地与希望参与的目标人群中的青年共同设计服务将有助于满足青年的需求。
