TY - JOUR
AU - A. J. Gallant
AU - K. O'Connor
AU - J. P. Lyne
AU - L. Ryan
AU - M. Doody
AU - G. Sheaf
AU - A. Higgins
AU - D. Cotter
AU - R. Murphy
AU - L. Doyle
AU - D. McEvoy
AU - B. Keogh
AU - S. Anand-Vembar
AU - M. Cannon
AU - G. Donohoe
AU - O. Longe
AU - C. McDonald
AU - S. Burke
AU - C. Healy
AU - L. Staines
AU - D. Mongan
AU - D. O'Keeffe
AU - C. Wilson
AU - Y. Kartalova-O'Doherty
AU - C. D. Darker
A1 - 
AB - BACKGROUND: Most mental health difficulties (MHD) emerge during adolescence and early adulthood, placing young people at an increased risk for co-occurring physical and sexual health challenges. Shared models of care (SMOC) to connect specialist mental health care with physical and/or sexual health have been developed to address these health needs among young people with MHD. We aimed to identify and characterise SMOC that integrate physical and/or sexual healthcare for young people with MHD, and to synthesise SMOC implementation determinants using the Consolidated Framework for Implementation Research (CFIR) for policy makers, commissioners and practitioners seeking to strengthen youth-integrated service delivery. METHODS: Five electronic databases and key grey literature sites were searched in October 2024. Studies were eligible for inclusion if they predominantly included young people (aged 10–25) with an MHD. SMOC had to address MHD as a primary concern or have parity with the physical and/or sexual health concern(s) being addressed. Key study details were extracted and were appraised using the mixed methods appraisal tool. Screening was conducted in duplicate, with extraction and appraisals conducted by one team member and verified by a second. Findings were thematically synthesised and mapped to CFIR domains to inform implementation planning in youth health systems. RESULTS: Search results identified 25 relevant SMOC to include in the review. Almost all models (n = 23/25) addressed shared care between mental and physical health, while nine addressed mental and sexual health and seven addressed mental, physical and sexual health needs. Reporting quality varied but most SMOC included referral pathways, assessment, treatment and external support components. Barriers frequently mapped to the inner and outer setting CFIR domains, with high staff turnover (n = 9) and societal stigma towards mental health (n = 7) common concerns. Enablers frequently mapped to the process and innovation constructs, including offering youth-specific care models (n = 7) and clear communication between services (n = 5). CONCLUSIONS: Despite evidence supporting the need for an integrated care approach, implementation remains limited by setting-specific barriers. Findings highlight the need for service planning and developing tailored, youth-specific models to ensure a holistic approach to care is available to young people experiencing MHD. REGISTRATION: Open Science Framework (osf.io/rj783). SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-026-14178-x.
AD - Discipline of Public Health and Primary Care, The University of Ireland Trinity College Dublin, Russell Building, Tallaght Cross, Dublin, D24 DH74, Ireland.; Dr. Steevens' Hospital, Steeven's Lane, Dublin 8, Dublin, D08 W2A8, Ireland.; Department of Psychiatry, Royal College of Surgeons in Ireland, 26 York Street Campus, Dublin, D02 P796, Ireland.; School of Psychology, University of Galway, University Road, Galway, H91 TK33, Ireland.; Mental Health Ireland, -11- 13 Clarence St, Dún Laoghaire, Dublin, A96 E289, Ireland.; School of Nursing and Midwifery, The University of Ireland Trinity College Dublin, The Gas Building, 24 D'Olier Street, Dublin, D02 T283, Ireland.; School of Nursing, Psychotherapy and Community Health, Dublin City University, Glasnevin Campus, Dublin, D09 V209, Ireland.; School of Medicine, University of Galway, University Road, Galway, H91 TK33, Ireland.; School of Medicine, University College Dublin, Health Sciences Centre, Belfield, Dublin 4, Dublin, IE, Ireland.; Centre for Public Health, Queen's University Belfast, Belfast, BT12 6BA, Northern Ireland, UK.; Discipline of Public Health and Primary Care, The University of Ireland Trinity College Dublin, Russell Building, Tallaght Cross, Dublin, D24 DH74, Ireland. catherine.darker@tcd.ie.
AN - 41721369
BT - BMC Health Serv Res
C5 - Healthcare Disparities; Education & Workforce
CP - 1
DA - Feb 20
DO - 10.1186/s12913-026-14178-x
DP - NLM
ET - 20260220
IS - 1
JF - BMC Health Serv Res
LA - eng
N2 - BACKGROUND: Most mental health difficulties (MHD) emerge during adolescence and early adulthood, placing young people at an increased risk for co-occurring physical and sexual health challenges. Shared models of care (SMOC) to connect specialist mental health care with physical and/or sexual health have been developed to address these health needs among young people with MHD. We aimed to identify and characterise SMOC that integrate physical and/or sexual healthcare for young people with MHD, and to synthesise SMOC implementation determinants using the Consolidated Framework for Implementation Research (CFIR) for policy makers, commissioners and practitioners seeking to strengthen youth-integrated service delivery. METHODS: Five electronic databases and key grey literature sites were searched in October 2024. Studies were eligible for inclusion if they predominantly included young people (aged 10–25) with an MHD. SMOC had to address MHD as a primary concern or have parity with the physical and/or sexual health concern(s) being addressed. Key study details were extracted and were appraised using the mixed methods appraisal tool. Screening was conducted in duplicate, with extraction and appraisals conducted by one team member and verified by a second. Findings were thematically synthesised and mapped to CFIR domains to inform implementation planning in youth health systems. RESULTS: Search results identified 25 relevant SMOC to include in the review. Almost all models (n = 23/25) addressed shared care between mental and physical health, while nine addressed mental and sexual health and seven addressed mental, physical and sexual health needs. Reporting quality varied but most SMOC included referral pathways, assessment, treatment and external support components. Barriers frequently mapped to the inner and outer setting CFIR domains, with high staff turnover (n = 9) and societal stigma towards mental health (n = 7) common concerns. Enablers frequently mapped to the process and innovation constructs, including offering youth-specific care models (n = 7) and clear communication between services (n = 5). CONCLUSIONS: Despite evidence supporting the need for an integrated care approach, implementation remains limited by setting-specific barriers. Findings highlight the need for service planning and developing tailored, youth-specific models to ensure a holistic approach to care is available to young people experiencing MHD. REGISTRATION: Open Science Framework (osf.io/rj783). SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-026-14178-x.
PY - 2026
SN - 1472-6963
ST - Implementing shared care models for young people with mental health difficulties: a consolidated framework for implementation research- informed scoping review of service integration across physical, sexual and mental health domains
T1 - Implementing shared care models for young people with mental health difficulties: a consolidated framework for implementation research- informed scoping review of service integration across physical, sexual and mental health domains
T2 - BMC Health Serv Res
TI - Implementing shared care models for young people with mental health difficulties: a consolidated framework for implementation research- informed scoping review of service integration across physical, sexual and mental health domains
U1 - Healthcare Disparities; Education & Workforce
U3 - 10.1186/s12913-026-14178-x
VL - 26
VO - 1472-6963
Y1 - 2026
ER -