“Minding the Gap” between adolescent and adult mental health service transition
PHE ePoster Library. Ajaz M. Sep 12, 2018; 221442
Mubasshir Ajaz
Mubasshir Ajaz
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Abstract
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Abstract IntroductionMinding the Gap (MTG) was a pilot service addressing lack of integration in mental health service provision for vulnerable young people (YP) aged 16-24 years through a partnership working model between multi-disciplinary providers and service users. MTG included three elements: a YP designed social hub with onsite support on multiple needs; counselling and psychotherapy support centre; and transition champions working within mental health Trust. MethodA two-stage evaluation on the effectiveness of MTG was carried out, with baseline survey of local YP (n=550) and 5 focus groups on mental health needs. The end stage tracking mental health outcomes for YP through monitoring data, stakeholder surveys (n=108), 2 focus groups with service users, 12 interviews with carers and service providers, and a social cost benefit analysis (SCBA). ResultsBaseline survey found 25% of YP reported poor mental health and key risk factors included community cohesion, social isolation and substance misuse. After end stage, YP reported improved wellbeing (80%) and recovery rates (51% to 60%), fewer seeking crisis care (72 avoided admissions in 2016-17), 70% showing increased resilience and social engagement and 60% reporting both a more integrated service experience with easier access and more control. The SCBA showed a positive ratio of 3.4 to 1.ImpactMTG shows that an integrated care model which involves YP as stakeholders rather than just as patients can help improve both service delivery and outcomes for YP, especially the most vulnerable, while also delivering savings through admission avoidance and efficient transition into services. External funding details N/A
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