Report on CLAHRC youth mental health research

from 1 day public meeting “Shout Out For Youth Mental

Health”

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John Øvretveit, Director of Research, Professor of Health Innovation and

Evaluation, Karolinska Institutet, Stockholm, Sweden

7/6/2016

Introduction

Congratulations: all organisers – entirely by

CLAHRC staff Visible chairs/leads to the day

Charlotte Conner Research lead CLAHRC YMH

Max Birchwood, Professor of Youth Mental Health -

University of Warwick

Unfair to assess research – ask questions later

Purpose: platform stakeholders meet & learn

Proportion of resources?

Who takes role after CLARC? 2 7/6/2016

Youth MH: Problem and Paradigm change

By 14yrs 50% of all Mental illness manifest;

by 24 = 75%

Suicide leading cause death under 25

Undetected/untreated = compounding impact over

lifespan

Early intervention & awareness: change in

paradigm

“Forward Thinking Birmingham” - won funding for

0-25 model 3

The event Welcome Max Birchwood, Professor of Youth Mental Health -

University of Warwick. Charlotte Conner BBC compare.

Y people Experiences and performances

Transforming Services

Norman Lamb ; Diane Reeves Brum “Chief Accountable Officer” BSC

commissing group) ; Denise McLennon “Forward thinking birmingham”;

Lunch Poster session - many clarhcs & commissioners meeting

The clarc projects

Risk and Resilience

Working with schools and colleges

Early Detection and Intervention

Final messages and motivation 4

Main areas of work

0-25 pathway and easy access

School space web site (e.g. charlotte - eating disorder web survey)

Duration of untreated psychosis - research

Prevention risk and resilience Can we target and repeat cancer prevention interventions?

5 7/6/2016

Questions - 1 1) Limited focii

+ builds on strengths (e.g. EIP)

- Many importance subjects where research could make a difference

2) Minority groups - Is the CLARHC doing enough to discover

- Prevalence YMH & Data – hot spots mapping

- Undiagnosed; untreated ; don’t access?

- Consequences – interactions with substance abuse, unemployment, crime &

costs of not addressing

- Culturally appropriate services and responses – UK integrated approach vs

local group led approaches – service providers?

- USA experience and programmes

3)MH co-existing with physical illness in young?

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Questions – 2 4) Costing

Esp Resilience = can we really copy the cancer model

Multicomponent multi-sector interventions

If effective implementation possible – cost effective compared

to alternative uses of the resources?

Risky innovation gamble

5) Acting on the evidence – implementation

Could we do more to enable take up by service providers,

close carers and people with MH challenges?

6) Raising awareness and access – prioritisation?

Tools for PHC & other to distinguish between serious needing

treatment and over-reaction that makes it worse

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Questions – 2

7) World leading in appropriate

collaboration/communication

With primary beneficiaries & multi-stakeholder

Sufficient use and learning by other

CLAHRC themes?

Scope for MH theme to share with others …this event and 3/5 other actions taking in collaboration and

implementation

& Think through how others might use similar actions to

increse collaboration and implementation

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Johns guess on research to help these on key 5 key challenges (0-5)

Access - adolescents, minorities, parents 0-25 & access center “Pause” = 5 .

Identification, referral & assessment: schools, PHC, (esp early

psychosis) EI = 4; Service prioritise and assessment = 2; minorities = 0

Person-centered assessment, planning and care coordinator No research = 0

Coordination PHC, specialists and others & continuity = continuity = 4 ; coordination = 0

Data for targeting, feedback and evaluation = 0

Cross-cutting: enabling take up of research with research

informed implementation and real time evaluation = 2 9

7/6/2016

Comments by MH colleagues and

questions? Please correct John

Any surprises?

Need to know more about?

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7/6/2016

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7/6/2016

5 challenges Access - adolescents, minorities, parents

Identification, referral & assessment:

schools, PHC, (esp early psychosis)

Person-centered assessment, planning and

care coordination

Coordination PHC, specialists and others &

continuity

Data for targeting, feedback and evaluation

Cross-cutting: using research to improve

above - research informed implementation

and real time evaluation

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