Bechdolf Andreas, Correll Christoph U, Hellenschmidt Tobias, Holzner Laura, von Hardenberg Laura, Jäckel Dorothea, Kambeitz Joseph, Koutsouleris Nikolaus, Kusserow Norma, Leopold Karolina, Meisenzahl Eva, Pfennig Andrea, Reif Andreas, Reininghaus Ullrich, Schellong Mario, Shmuilovich Olga, Uhlhaas Peter J, Domanska Olga Maria
Kliniken für Psychiatrie, Psychotherapie und Psychosomatik mit FRITZ am Urban & soulspace, Vivantes Klinikum Am Urban und Vivantes Klinikum im Friedrichshain, Dieffenbachstraße 1, 10967, Berlin, Deutschland.
Klinik für Psychiatrie und Psychotherapie, CCM, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Deutschland.
Nervenarzt. 2025 Sep 4. doi: 10.1007/s00115-025-01895-7.
Young people in mental health crises have severely limited access to clinical care and show the lowest adherence to conventional clinical services. Low-threshold and integrated services (integrated youth mental health services, IYMHS) are recommended to overcome these barriers and provide early detection, early intervention and psychosocial care appropriate for young people.
The aim is to provide an overview of low-threshold IYMHS globally and in Germany and to report on international experiences with these services and evidence of their effectiveness.
The narrative review is based on research conducted in PubMed, including the use of published reviews.
International developments show that IYMHS have become established as innovative models of care for young people in mental health crises. Australia is seen as a pioneer with its nationwide network of headspace centers. In Germany, soulspace is the first model project and another, ancora, is in the pipeline. Evaluations to date show that many young people who would not otherwise have sought help use these integrated services and predominantly experience symptomatic and functional improvements.
International experiences to date and pilot projects in Germany have demonstrated the potential of IYMHS to provide low-threshold support at an early disease stage to young people with first symptoms of mental health. For Germany, expanding an integrated, cross-sectoral care structure is recommended through pooling resources from statutory health insurances and public funding.
处于心理健康危机中的年轻人获得临床护理的机会极为有限，对传统临床服务的依从性也最低。建议提供低门槛的综合服务（综合青少年心理健康服务，IYMHS）以克服这些障碍，并为年轻人提供早期检测、早期干预和心理社会护理。
旨在概述全球及德国的低门槛IYMHS，并报告这些服务的国际经验及其有效性证据。
叙述性综述基于在PubMed上开展的研究，包括已发表综述的使用情况。
国际发展情况表明，IYMHS已成为针对处于心理健康危机中的年轻人的创新护理模式。澳大利亚因其全国性的headspace中心网络而被视为先驱。在德国，soulspace是首个示范项目，另一个项目ancora也在筹备中。迄今为止的评估表明，许多原本不会寻求帮助的年轻人使用了这些综合服务，且大多在症状和功能方面有所改善。
迄今为止的国际经验以及德国的试点项目已证明IYMHS有潜力在疾病早期阶段为有心理健康初发症状的年轻人提供低门槛支持。对于德国，建议通过整合法定医疗保险和公共资金的资源来扩大综合、跨部门的护理结构。
