A comprehensive assessment framework for youth mental health: guiding highly personalised and measurement-based care using multidimensional and objective measures

Ian B Hickie; Elizabeth M Scott; Shane P Cross; Frank Iorfino; Tracey A Davenport; Adam J Guastella; Sharon L Naismith; Joanne S Carpenter; Cathrin Rohleder; Jacob J Crouse; Daniel F Hermens; Dagmar Koethe; F Markus Leweke; Ashleigh M Tickell; Vilas  Sawrikar; Jan Scott

doi:10.5694/mja2.50383

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A comprehensive assessment framework for youth mental health: guiding highly personalised and measurement-based care using multidimensional and objective measures

Journal article

Peer reviewed

A comprehensive assessment framework for youth mental health: guiding highly personalised and measurement-based care using multidimensional and objective measures

Ian B Hickie, Elizabeth M Scott, Shane P Cross, Frank Iorfino, Tracey A Davenport, Adam J Guastella, Sharon L Naismith, Joanne S Carpenter, Cathrin Rohleder, Jacob J Crouse, …

Medical Journal of Australia, Vol.211(Supplement 9), pp.S23-S31

2019

DOI: https://doi.org/10.5694/mja2.50383

Appears in Thompson Institute Research Collection

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Abstract

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Thompson Institute Special Collection

UniSC Diversity Area - Life Stages

There is an urgent need for improved care for young people with mental health problems, in particular those with subthreshold mental disorders that are not sufficiently severe to meet traditional diagnostic criteria. New comprehensive assessment frameworks are needed to capture the biopsychosocial profile of a young person to drive highly personalised and measurement-based mental health care. We present a range of multidimensional measures involving five key domains: social and occupational function; self-harm, suicidal thoughts and behaviours; alcohol or other substance misuse; physical health; and illness type, stage and trajectory. Objective measures include: neuropsychological function; sleep- wake behaviours and circadian rhythms; metabolic and immune markers; and brain structure and function. The recommended multidimensional measures facilitate the development of a comprehensive clinical picture. The objective measures help to further develop informative and novel insights into underlying pathophysiological mechanisms and illness trajectories to guide personalised care plans. A panel of specific multidimensional and objective measures are recommended as standard clinical practice, while others are recommended secondarily to provide deeper insights with the aim of revealing alternative clinical paths for targeted interventions and treatments matched to the clinical stage and proposed pathophysiological mechanisms of the young person.

Details

Title: A comprehensive assessment framework for youth mental health: guiding highly personalised and measurement-based care using multidimensional and objective measures
Authors: Ian B Hickie (Corresponding Author) - The University of Sydney
Elizabeth M Scott (Author) - The University of Sydney
Shane P Cross (Corresponding Author) - The University of Sydney
Frank Iorfino (Corresponding Author) - The University of Sydney
Tracey A Davenport (Author) - The University of Sydney
Adam J Guastella (Author) - The University of Sydney
Sharon L Naismith (Author) - The University of Sydney
Joanne S Carpenter (Corresponding Author) - The University of Sydney
Cathrin Rohleder (Author) - The University of Sydney
Jacob J Crouse (Corresponding Author) - The University of Sydney
Daniel F Hermens (Author) - University of the Sunshine Coast - Thompson Institute
Dagmar Koethe (Author) - The University of Sydney
F Markus Leweke (Author) - The University of Sydney
Ashleigh M Tickell (Author) - The University of Sydney
Vilas Sawrikar (Author) - The University of Sydney
Jan Scott (Author) - University of Newcastle Australia
Publication details: Medical Journal of Australia, Vol.211(Supplement 9), pp.S23-S31
Publisher: Wiley-Blackwell Publishing Asia
Date published: 2019
DOI: 10.5694/mja2.50383
ISSN: 0025-729X
Organisation Unit: University of the Sunshine Coast, Queensland; Thompson Institute
Language: English
Record Identifier: 99450835402621
Output Type: Journal article

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Collaboration types: Domestic collaboration; International collaboration
Web Of Science research areas: Psychiatry

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