Report on CLAHRC youth mental health research
from 1 day public meeting “Shout Out For Youth Mental
Health”
1
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?
6
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
7
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
8
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?
10
7/6/2016
.
.
11
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
12