Youth Wellness Hubs Ontario: A Youth Mental Health and Substance Use Learning Health System
Notice bibliographique
Résumé
Problem and Context. The need for youth-friendly early intervention services to meet the mental health, substance use, primary care, and other social needs of adolescents and young adults is well-documented. Clinicians and researchers in child and youth mental health have been calling for better integration of child, youth, and family-facing systems (e.g., health, mental health, child welfare, youth justice, education), as well as increased attention to holistic services that reflect the developmental, cultural, social, and health realities of children, youth and families. Integrated youth services are designed to address the gaps in youth mental health by providing youth-friendly, comprehensive services for youth ages 12 to 25, in a one-stop shop model of service delivery. Who is it for? Service providers, researchers, clinicians, youth and families. Who did you involve and engage with? A fundamental contribution of YWHO is the inclusion of meaningful youth and family engagement processes in service design, delivery, and evaluation. YWHO has youth and family advisory councils both at the provincial and local levels who contribute to planning and operations, including service planning, governance, training, evaluation, communications, and funding-related decision-making. A decade of research has supported the development of integrated youth services for youth mental health. What did you do? This presentation will describe Youth Wellness Hubs Ontario, a province-wide initiative in Ontario, Canada to build and implement a one-stop-shop model of integrated youth services. The presentation will also describe the model’s values, core components, and services. What results did you get? What impact did you have? The demonstration phase of Youth Wellness Hubs Ontario was initiated in 2017-2018 with the implementation of 10 sites. In 2022, 22 IYS networks have been established. Youth Wellness Hubs Ontario is co-created with youth for youth aged 12 to 25 years old across diverse community contexts. Youth Wellness Hubs Ontario centres engagement and equity, and offers developmentally-appropriate services in an integrated, community-based walk-in format. As an initiative committed to continuous learning and quality improvement, Youth Wellness Hubs Ontario offers evidence-based and evidence-generating services, and measurement-based care. Youth Wellness Hubs Ontario is supported by backbone resources with expertise in implementation science, health equity, Indigenous practices, youth and family engagement, evaluation, and knowledge translation. What is the learning for the international audience? Youth Wellness Hubs Ontario demonstrates the feasibility of integrated mental health and substance use early intervention services, offered in the context of a broad range of health and social services. What are the next steps? Future directions include continuous learning and evaluation of the YWHO model in communities.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,001 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,002 |
| Études des sciences et des technologies | 0,012 | 0,002 |
| Communication savante | 0,002 | 0,001 |
| Science ouverte | 0,001 | 0,003 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,010 | 0,001 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».