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Youth services: meeting the mental health needs of adolescents

Published online by Cambridge University Press:  19 December 2014

N. S. Vyas ,
M. Birchwood  and
S. P. Singh
N. S. Vyas
Affiliation:
Child Psychiatry Branch, National Institutes of Mental Health, National Institutes of Health, Bethesda, MD, USA Department of Psychology, Kingston University London, Kingston Upon Thames, Surrey, UK
M. Birchwood
Affiliation:
Division of Health and Wellbeing, Warwick Medical School, University of Warwick, Coventry, UK
S. P. Singh*
Affiliation:
Division of Health and Wellbeing, Warwick Medical School, University of Warwick, Coventry, UK
*
*Address for Correspondence: Professor S. Singh, Division of Health and Wellbeing, Warwick Medical School, University of Warwick, Coventry, CV4 7AL, UK. (Email: s.p.singh@warwick.ac.uk)
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Abstract

Objectives

Youth mental health services are poised for a paradigm shift. Recent epidemiological evidence confirms the seriousness of adolescence as a risk period for mental ill-health - 50% of all adult mental disorders begin before the age of 16% and 75% before the age of 25. Here, we identify issues with transition of care between CAMHS-AMHS service, and effectiveness of early intervention services.

Methods

We provide a selective review providing evidence of adolescence as a risk period, discuss CAMHS-AMHS service transition problems, and discuss avenues for change to implement the early intervention model across youth mental health.

Results

Traditional service structures,with paediatric -adult split at 16–18 years increasingly appear not fit for purpose. A radical redesign of youth mental health services is not only necessary, it is also feasible and achievable, as illustrated by a pilot Birmingham youth service – Youthspace.

Conclusions

Pilot youth mental projects currently underway can help radically redesign the existing child and adolescent services. This will in turn lead to an improvement in the young people's experience of engagement with the services so that they too have a positive future.

Keywords

Adolescentmental health servicesschizophreniaservice developmenttransitiontransition to adult care
Type
Review Articles
Information
Irish Journal of Psychological Medicine , Volume 32 , Issue 1: Special Issue: Youth Mental Health , March 2015 , pp. 13 - 19
Copyright
© College of Psychiatrists of Ireland 2014 

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