TY - JOUR
AU - S. Mughal
AU - M. P. Alègre
AU - A. Sanchez-Allakhverdieva
AU - L. Amoura
AU - Y. S. Liu
AU - S. Iyer
AU - W. Capon
AU - F. Iorfino
AU - J. Shah
A1 - 
AB - OBJECTIVE: This review aimed to explore how integrated and transdiagnostic youth service models assess varied mental health needs and operationalize them to provide appropriate care. Furthermore, given the wide treatment gap for youths with severe needs, it highlights how models identify these youths and direct them to appropriate care. METHODS: This scoping review includes peer-reviewed and gray literature available in English. PsycInfo, MEDLINE, Embase, and CINAHL databases were searched for academic literature (January 2005-June 2023). Gray literature was acquired through outreach to service representatives. Eligible studies described an integrated and transdiagnostic youth mental health service model and included content related to the research objectives. RESULTS: This review included 121 pieces of literature describing 49 service models. Findings indicated substantial variability in the services provided and methods used to assess needs, as well as offerings and processes that were frequently insufficient for supporting youths with severe needs. Most models used two intake assessment tools, and approximately one-quarter had no service option for youths with severe needs. Multiple models did not explicitly describe how identified needs were operationalized into care decisions, with some incorporating exclusions for severe case presentations. CONCLUSIONS: Little evidence has been found for how integrated and transdiagnostic youth mental health service models should be operationalized, and their implementation varies considerably-potentially leaving young people without care or with needs that go unnoticed. Prioritizing research to enhance the operations of these initiatives is critical to ensure that they consistently meet the full breadth of needs experienced by youth populations.
AD - Department of Psychiatry, McGill University, Montreal.; Douglas Mental Health University Institute, Montreal.; Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal.; Faculty of Medicine and Health Sciences, McGill University, Montreal.; Brain and Mind Centre, University of Sydney, Sydney, New South Wales, Australia.
AN - 41103137
BT - Psychiatr Serv
C5 - Healthcare Disparities
CP - 11
DA - Nov 1
DO - 10.1176/appi.ps.20250050
DP - NLM
ET - 20251017
IS - 11
JF - Psychiatr Serv
LA - eng
N2 - OBJECTIVE: This review aimed to explore how integrated and transdiagnostic youth service models assess varied mental health needs and operationalize them to provide appropriate care. Furthermore, given the wide treatment gap for youths with severe needs, it highlights how models identify these youths and direct them to appropriate care. METHODS: This scoping review includes peer-reviewed and gray literature available in English. PsycInfo, MEDLINE, Embase, and CINAHL databases were searched for academic literature (January 2005-June 2023). Gray literature was acquired through outreach to service representatives. Eligible studies described an integrated and transdiagnostic youth mental health service model and included content related to the research objectives. RESULTS: This review included 121 pieces of literature describing 49 service models. Findings indicated substantial variability in the services provided and methods used to assess needs, as well as offerings and processes that were frequently insufficient for supporting youths with severe needs. Most models used two intake assessment tools, and approximately one-quarter had no service option for youths with severe needs. Multiple models did not explicitly describe how identified needs were operationalized into care decisions, with some incorporating exclusions for severe case presentations. CONCLUSIONS: Little evidence has been found for how integrated and transdiagnostic youth mental health service models should be operationalized, and their implementation varies considerably-potentially leaving young people without care or with needs that go unnoticed. Prioritizing research to enhance the operations of these initiatives is critical to ensure that they consistently meet the full breadth of needs experienced by youth populations.
PY - 2025
SN - 1075-2730
SP - 997
EP - 1017+
ST - The Needs of Most or Most in Need: How Integrated and Transdiagnostic Youth Services Assess and Address Mental Health Needs
T1 - The Needs of Most or Most in Need: How Integrated and Transdiagnostic Youth Services Assess and Address Mental Health Needs
T2 - Psychiatr Serv
TI - The Needs of Most or Most in Need: How Integrated and Transdiagnostic Youth Services Assess and Address Mental Health Needs
U1 - Healthcare Disparities
U3 - 10.1176/appi.ps.20250050
VL - 76
VO - 1075-2730
Y1 - 2025
ER -