Screening for risky behaviour and mental health in young people: The YouthCHAT programme

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dc.contributor.author Goodyear-Smith, Felicity en
dc.contributor.author Martel, R en
dc.contributor.author Darragh, Margot en
dc.contributor.author Warren, James en
dc.contributor.author Thabrew, Hiran en
dc.contributor.author Clark, TC en
dc.date.accessioned 2018-10-18T01:39:49Z en
dc.date.issued 2017-12 en
dc.identifier.issn 0301-0422 en
dc.identifier.uri http://hdl.handle.net/2292/42809 en
dc.description.abstract Background The prevalence of mental health concerns and risky health behaviours among young people is of global concern. A large proportion of young people in New Zealand (NZ) are affected by depression, suicidal ideation and other mental health concerns, but the majority do not access help. For NZ indigenous Māori, the burden of morbidity and mortality associated with mental health is considerably higher. Targeted screening for risky behaviours and mental health concerns among youth in primary care settings can lead to early detection and intervention for emerging or current mental health and psychosocial issues. Opportunistic screening for youth in primary care settings is not routinely undertaken due to competing time demands, lack of context-specific screening tools and insufficient knowledge about suitable interventions. Strategies are required to improve screening that are acceptable and appropriate for the primary care environment. This article outlines the development, utilisation and ongoing evaluation and implementation strategies for YouthCHAT. YouthCHAT YouthCHAT is a rapid, electronic, self-report screening tool that assesses risky health-related behaviours and mental health concerns, with a ‘help question’ that enables youth to prioritise areas they want help with. The young person can complete YouthCHAT in the waiting room prior to consultation, and after completion, the clinician can immediately access a summary report which includes algorithms for stepped-care interventions using a strength-based approach. A project to scale up the implementation is about to commence, using a co-design participatory research approach to assess acceptability and feasibility with successive roll-out to clinics. In addition, a counter-balanced randomised trial of YouthCHAT versus clinician-administered assessment is underway at a NZ high school. Conclusion Opportunistic screening for mental health concerns and other risky health behaviours during adolescence can yield significant health gains and prevent unnecessary morbidity and mortality. The systematic approaches to screening and provision of algorithms for stepped-care intervention will assist in delivering time efficient, early, more comprehensive interventions for youth with mental health concerns and other health compromising behaviours. The early detection of concerns and facilitation to evidence-based interventions has the potential to lead to improved health outcomes, particularly for under-served indigenous populations. en
dc.publisher EHESP Press en
dc.relation.ispartofseries Public Health Reviews en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.title Screening for risky behaviour and mental health in young people: The YouthCHAT programme en
dc.type Journal Article en
dc.identifier.doi 10.1186/s40985-017-0068-1 en
dc.rights.holder Copyright: The author en
dc.rights.accessrights http://purl.org/eprint/accessRights/RestrictedAccess en
pubs.subtype Article en
pubs.elements-id 672320 en
pubs.org-id Medical and Health Sciences en
pubs.org-id Population Health en
pubs.org-id Gen.Practice& Primary Hlthcare en
pubs.org-id School of Medicine en
pubs.org-id Psychological Medicine Dept en
pubs.org-id Science en
pubs.org-id School of Computer Science en
dc.identifier.eissn 2107-6952 en
pubs.record-created-at-source-date 2017-09-21 en
pubs.online-publication-date 2017-10-13 en


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