TY - JOUR
AU - S. Mughal
AU - A. Sanchez-Allakhverdieva
AU - A. Abdel-Baki
AU - N. Andersson
AU - P. Boksa
AU - D. Hutt-Macleod
AU - R. Joober
AU - S. Lal
AU - J. Chisholm-Nelson
AU - N. Morrison
AU - A. Frampton
AU - M. A. Levasseur
AU - L. Augustine
AU - K. Friese
AU - I. Godin
AU - K. Hay
AU - N. Rabbitskin
AU - P. Reaume-Zimmer
AU - H. Vallianatos
AU - S. N. Iyer
AU - A. Malla
AU - J. L. Shah
A1 - 
AB - BACKGROUND: Integrated youth mental health (YMH) primary care initiatives have the potential to improve Canada's treatment gap. However, there is no current standard for implementing these services, and offerings vary greatly across models and sites. This has equity implications for the care received by youth with severe presentations. METHODS: We describe the provider-rated problems with which 2995 youth presented to ACCESS Open Minds, a multi-site, Canadian YMH integrated care initiative and the services they received, based on the severity of their needs at intake. RESULTS: The largest proportion of youth had both moderate-severe presentations and moderate-to-significant difficulties in functioning (41.67%). The first instance of receiving services following intake for most participants (71.42%) entailed a single service. The highest proportion of youth for whom the type of service received was not documented was those who presented with neither moderate-severe presentations nor poor functioning (15.01%). There was substantial variability in services provided across sites. CONCLUSION: Variability in service delivery confirms the need for greater standardization of core service offerings across sites. Future research should assess the appropriateness of services for different presentations to ensure equitable support is provided for all youth.
AD - Department of Psychiatry, McGill University, Montreal, Quebec, Canada.; Douglas Mental Health University Institute, Montreal, Quebec, Canada.; ACCESS Open Minds, Canada.; Centre de recherche du Centre hospitalier de l'Université de Montréal, Montréal, Québec, Canada.; Dans La Rue and Réseau d'intervention de proximitéauprès des jeunes de la rue-Montréal/Homeless Youth Network, Montréal, Québec, Canada.; Department of Psychiatry, Université de Montréal, Montréal, Québec, Canada.; Centre hospitalier de l'Université de Montréal, Montréal, Québec, Canada.; Department of Family Medicine, Community Information and Epidemiological Technologies Institute and Participatory Research at McGill (PRAM), McGill University, Montréal, Québec, Canada.; McGill University Institute for Human Development and Well-being, Montréal, Québec, Canada.; ACCESS Open Minds Eskasoni First Nation, Eskasoni First Nation, Nova Scotia, Canada.; Now with Nova Scotia Integrated Youth Services Initiative, Nova Scotia, Canada.; Prevention and Early Intervention Program for Psychosis, Douglas Mental Health University Institute, Montreal, Quebec, Canada.; School of Rehabilitation, Faculty of Medicine, Université de Montreal, Montreal, Quebec, Canada.; Now with Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia.; Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montréal, Québec, Canada.; ACCESS Open Minds Youth Council, Douglas Mental Health University Institute, Montreal, Quebec, Canada.; ACCESS Open Minds Family and Carers Council, Douglas Mental Health University Institute, Montreal, Quebec, Canada.; Elsipogtog Health and Wellness Centre and ACCESS Open Minds New Brunswick*, Elsipogtog First Nation, New Brunswick, Canada.; ACCESS Open Minds University of Alberta, Edmonton, Alberta, Canada.; Office of the Dean of Students, University of Alberta, Edmonton, Alberta, Canada.; ACCESS Open Minds-Esprits ouverts New Brunswick, Acadian Peninsula, Moncton, New Brunswick, Canada.; Centre de Bénévolat de la Péninsule Acadienne, New Brunswick, Canada.; Now with Kickstand Integrated Youth Services Initiative, Alberta, Canada.; ACCESS Open Minds Edmonton, Edmonton, Alberta, Canada.; Now with Big River Health Centre, Saskatchewan, Canada.; Sturgeon Lake Health Centre, Sturgeon Lake First Nation, Saskatchewan, Canada.; ACCESS Open Minds Sturgeon Lake First Nation, Saskatchewan, Canada.; Now with Bluewater Health, Sarnia, Ontario, Canada.; ACCESS Open Minds Chatham-Kent, Chatham-Kent, Ontario, Canada.; Department of Anthropology, University of Alberta, Edmonton, Alberta, Canada.
AN - 41868958
BT - Int J Integr Care
C5 - Healthcare Disparities
CP - 1
DA - Jan-Mar
DO - 10.5334/ijic.10147
DP - NLM
ET - 20260318
IS - 1
JF - Int J Integr Care
LA - eng
N2 - BACKGROUND: Integrated youth mental health (YMH) primary care initiatives have the potential to improve Canada's treatment gap. However, there is no current standard for implementing these services, and offerings vary greatly across models and sites. This has equity implications for the care received by youth with severe presentations. METHODS: We describe the provider-rated problems with which 2995 youth presented to ACCESS Open Minds, a multi-site, Canadian YMH integrated care initiative and the services they received, based on the severity of their needs at intake. RESULTS: The largest proportion of youth had both moderate-severe presentations and moderate-to-significant difficulties in functioning (41.67%). The first instance of receiving services following intake for most participants (71.42%) entailed a single service. The highest proportion of youth for whom the type of service received was not documented was those who presented with neither moderate-severe presentations nor poor functioning (15.01%). There was substantial variability in services provided across sites. CONCLUSION: Variability in service delivery confirms the need for greater standardization of core service offerings across sites. Future research should assess the appropriateness of services for different presentations to ensure equitable support is provided for all youth.
PY - 2026
SN - 1568-4156 (Print)
SP - 11
ST - Exploring the Presenting Problems and Services Received by Youth with Diverse Mental Health Presentations in Integrated Youth Mental Health Services Across Canada
T1 - Exploring the Presenting Problems and Services Received by Youth with Diverse Mental Health Presentations in Integrated Youth Mental Health Services Across Canada
T2 - Int J Integr Care
TI - Exploring the Presenting Problems and Services Received by Youth with Diverse Mental Health Presentations in Integrated Youth Mental Health Services Across Canada
U1 - Healthcare Disparities
U3 - 10.5334/ijic.10147
VL - 26
VO - 1568-4156 (Print)
Y1 - 2026
ER -