Multidimensional outcomes in youth mental health care: what matters and why?

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

doi:10.5694/mja2.50383

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Multidimensional outcomes in youth mental health care: what matters and why?

Journal article

Peer reviewed

Multidimensional outcomes in youth mental health care: what matters and why?

Frank Iorfino, Joanne S Carpenter, Shane P Cross, Tracey A Davenport, Daniel F Hermens, Adam J Guastella, Cathrin Rohleder, Jacob J Crouse, F Markus Leweke, Dagmar Koethe, …

Medical Journal of Australia, Vol.211(Supplement 9), pp.S4-S11

2019

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

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Abstract

Mood and psychotic syndromes present one of the most serious public health challenges that we face in the 21st century. Factors including prevalence, age of onset, and chronicity contribute to substantial burden and secondary risks such as alcohol or other substance misuse. Mood and psychotic syndromes most often emerge during adolescence and young adulthood, a period characterised by major physical and social change; thus, effects can have long term consequences. We propose five key domains which make up a multidimensional outcomes framework that aims to address the specific needs of young people presenting to health services with emerging mental illness. These include social and occupational function; self-harm, suicidal thoughts and behaviours; alcohol or other substance misuse; physical health; and illness type, stage and trajectory. Impairment and concurrent morbidity are well established in young people by the time they present for mental health care. Despite this, services and health professionals tend to focus on only one aspect of the presentation - illness type, stage and trajectory - and are often at odds with the preferences of young people and their families. There is a need to address the disconnect between mental health, physical health and social services and interventions, to ensure that youth mental health care focuses on the outcomes that matter to young people.

Details

Title: Multidimensional outcomes in youth mental health care: what matters and why?
Authors: Frank Iorfino (Corresponding Author) - University of Sydney
Joanne S Carpenter (Author) - University of Sydney
Shane P Cross (Corresponding Author) - University of Sydney
Tracey A Davenport (Author) - University of Sydney
Daniel F Hermens (Author) - University of the Sunshine Coast - Thompson Institute
Adam J Guastella (Author) - University of Sydney
Cathrin Rohleder (Corresponding Author) - University of Sydney
Jacob J Crouse (Corresponding Author) - University of Sydney
F Markus Leweke (Author) - University of Sydney
Dagmar Koethe (Author) - University of Sydney
Sharon L Naismith (Author) - University of Sydney
Elizabeth M Scott (Author) - University of Sydney
Ian B Hickie (Corresponding Author) - University of Sydney
Publication details: Medical Journal of Australia, Vol.211(Supplement 9), pp.S4-S11
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: 99450976402621
Output Type: Journal article

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

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