TY - JOUR
AU - S. Barbic
AU - E. Mallia
AU - K. Wuerth
AU - N. Ow
AU - K. Marchand
AU - S. Ben-David
AU - A. Ewert
AU - H. Turnbull
AU - C. Gao
AU - X. Ding
AU - A. Dhillon
AU - K. Hastings
AU - J. Langton
AU - K. Tee
AU - S. Mathias
A1 - 
AB - AIM: Integrated youth services (IYS) have been identified as a national priority in response to the youth mental health and substance use (MHSU) crisis in Canada. In British Columbia (BC), an IYS initiative called Foundry expanded to 11 physical centres and launched a virtual service. The aim of the study was to describe the demographics of Foundry clients and patterns of service utilization during this expansion, along with the impact of the COVID-19 pandemic. METHODS: Data were analysed for all youth (ages 12-24) accessing both in-person (April 27th, 2018-March 31st, 2021) and virtual (May 1st, 2020-March 31st, 2021) services. Cohorts containing all clients from before (April 27th, 2018-March 16th, 2020) and during (March 17th, 2020-March 31st, 2021) the COVID-19 pandemic were also examined. RESULTS: A total of 23 749 unique youth accessed Foundry during the study period, with 110 145 services provided. Mean client age was 19.54 years (SD = 3.45) and 62% identified as female. Over 60% of youth scored 'high' or 'very high' for distress and 29% had a self-rated mental health of 'poor', with similar percentages seen for all services and virtual services. These ratings stayed consistent before and during the COVID-19 pandemic. CONCLUSIONS: Foundry has continued to reach the target age group, with a 65% increase in number of clients during the study period compared with the pilot stage. This study highlights lessons learned and next steps to promote youth-centred data capture practices over time within an integrated youth services context.
AD - Foundry, Vancouver, British Columbia, Canada.; Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.; Department of Occupational Science and Occupational Therapy, University of British Columbia, Vancouver, British Columbia, Canada.; Providence Research, Vancouver, British Columbia, Canada.; Centre for Advancing Health Outcomes, Vancouver, British Columbia, Canada.; School of Social Work, Faculty of Health and Social Development, University of British Columbia Okanagan, Kelowna, British Columbia, Canada.; Department of Experimental Medicine, University of British Columbia, Vancouver, British Columbia, Canada.; MD/PhD Program, University of British Columbia, Vancouver, British Columbia, Canada.; School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada.; Department of Psychiatry, University of British Columbia, Vancouver, British Columbia, Canada.
AN - 38736277
BT - Early Interv Psychiatry
C5 - Healthcare Disparities; HIT & Telehealth
CP - 10
DA - Oct
DO - 10.1111/eip.13538
DP - NLM
ET - 20240512
IS - 10
JF - Early Interv Psychiatry
LA - eng
N2 - AIM: Integrated youth services (IYS) have been identified as a national priority in response to the youth mental health and substance use (MHSU) crisis in Canada. In British Columbia (BC), an IYS initiative called Foundry expanded to 11 physical centres and launched a virtual service. The aim of the study was to describe the demographics of Foundry clients and patterns of service utilization during this expansion, along with the impact of the COVID-19 pandemic. METHODS: Data were analysed for all youth (ages 12-24) accessing both in-person (April 27th, 2018-March 31st, 2021) and virtual (May 1st, 2020-March 31st, 2021) services. Cohorts containing all clients from before (April 27th, 2018-March 16th, 2020) and during (March 17th, 2020-March 31st, 2021) the COVID-19 pandemic were also examined. RESULTS: A total of 23 749 unique youth accessed Foundry during the study period, with 110 145 services provided. Mean client age was 19.54 years (SD = 3.45) and 62% identified as female. Over 60% of youth scored 'high' or 'very high' for distress and 29% had a self-rated mental health of 'poor', with similar percentages seen for all services and virtual services. These ratings stayed consistent before and during the COVID-19 pandemic. CONCLUSIONS: Foundry has continued to reach the target age group, with a 65% increase in number of clients during the study period compared with the pilot stage. This study highlights lessons learned and next steps to promote youth-centred data capture practices over time within an integrated youth services context.
PY - 2024
SN - 1751-7885
SP - 877
EP - 887+
ST - Implementing Foundry: A cohort study describing the regional and virtual expansion of a youth integrated service in British Columbia, Canada
T1 - Implementing Foundry: A cohort study describing the regional and virtual expansion of a youth integrated service in British Columbia, Canada
T2 - Early Interv Psychiatry
TI - Implementing Foundry: A cohort study describing the regional and virtual expansion of a youth integrated service in British Columbia, Canada
U1 - Healthcare Disparities; HIT & Telehealth
U3 - 10.1111/eip.13538
VL - 18
VO - 1751-7885
Y1 - 2024
ER -