Integrated Youth Services Scan

Project Description

Integrated Youth Services (IYS) often provide a “one-stop-shop” for mental health, physical health, substance use and addictions, education, vocational supports, housing, and other social services. I

Numerous organizations are involved in providing IYS, but the models used and contexts in which they are employed vary considerably. In addition, there is limited national and international awareness related to IYS organizations, the work that they do, and their effectiveness. To address this knowledge gap, Frayme is conducting a three-phased scan of international IYS organizations to collect and share ‘on the ground’ practical information that is largely unavailable in the literature. This scan will create a vast compendium of knowledge on IYS by collecting and disseminating the following aggregated information:

Phase 1 - Organizational Context: Establishment processes, organization approaches, stakeholders involved, governance and leadership structures, sources of funding, barriers and enablers, and sustainability contributors and threatsPhase 2 - Clinical Processes and Procedures: Populations served, human resource allocations, service streams and interventions, coordination and integration processesPhase 3 - Partnerships, Evaluation, and Communication: Tracking and sharing of client information, evaluation frameworks and findings, and outreach and communication capacity

Participating Organizations

Integrated Youth Services (IYS) organizations were invited to participate if they provide a combination of mental health and substance use, physical health and/or sexual health, and at least 2 social services to youth between the ages of 10-29. The following is a list of participating organizations:

International:- Jigsaw (Ireland - Network)- Headspace (Australia - Network)- Youth One Stop Shops (New Zealand - Network)

Canadian-based:- Foundry (British Columbia - Network)- YouthCan IMPACT (Ontario - Network) - ACCESS Open Minds (National - Network) - Choices for Youth (St. John’s - Single Site) - NorWest Youth Hub (Winnipeg - Single Site) - Stella`s Place (Toronto - Single Site)- Youth Wellness Centre (Hamilton - Single Site)

Stakeholders Involved

Organizations identified common internal and external stakeholders that are involved in the establishment of their Integrated Youth Service. Service providing agencies are depicted as both an internal and external stakeholder since they are a combination of autonomous organizations working together to provide an array of services.

Integrated Youth Service organizations either work as single site organizations, or as a network (a backbone or central office connected to multiple service sites located in different communities). Interviewed networks identified differences in the roles and responsibilities of their backbone office versus service sites. Roles highlighted in green are either shared between both parties, or are undertaken by one or the other (dependent on the organization).

Organizations identified various sources and types of funding that support the operation of their Integrated Youth Service.

Networks: Role of Backbone vs Service Sites

Rationales for Establishment

Organizations identified common rationales for the establishment of their Integrated Youth Service. The most notable findings are highlighted.

Organizations identified common organizational principles that are used to guide the establishment and operation of their Integrated Youth Service. The most notable findings are highlighted.

Organizational Principles

Funding: Sources and Types

Governance Structures

Organizations identified their governance structures. The left side of the figure represents findings from networks, while the right represents findings from single site organizations. Most network backbones report to a Board of Directors or Governing Council. A minority of networks do not report to a Board of Directors because they function as ‘entities’ (e.g., research projects) rather than incorporated organizations. Usually, networks have two sets of advisory committees: those that advise the backbone, and those that advise local service sites.

Enablers and Barriers

Organizations identified enablers and barriers to establishing and running their Integrated Youth Service. The most notable findings are highlighted.

Organizations identified contributors and threats to the sustainability of their Integrated Youth Service. The most notable findings are highlighted.

Sustainability Contributors and Threats

For more information on this evergreen scan of Integrated Youth Services, please contact Meriem Benlamri (Meriem.Benlamri@theroyal.ca)

State of YouthMental Health

State of Youth Mental Health System

Identified CommunityNeeds

Funding Opportunities

Established Partnerships

Literature Visionary LeaderInvolvement

of Youth

Increased Media Attention on Youth

Mental Health

Development of a NationalMental Health

Policy Framework

Desire to Evaluatethe Effectiveness

of IYS

Practice-Based Evidence from other Contexts

Determinants of YouthMental Health

Youth Mental HealthSystem Transformation

Identified CommunityNeeds

Practice-Based Evidence from other Contexts

Established Partnerships

Youth Engagement Evaluation

Running a Pilot

Building Community Capacity Family Engagement

Positive Youth Development

Adaptable Core Components with a

Standardized Quality of Care

Integrated Youth

Service

Youth

Family

CommunityMembers

Academics

InternalWorkingGroup

ProvincialGovernment

RegionalHealth

Authority

FederalGovernment

PhilanthropicFunders

Grant Providing Agencies

Service Providing Agencies

Internal External

Integrated Youth

Service

Service Providing Agencies

Primary Care

Teams

CommunityHealth

Centres

Hospitals

TreatmentCentres

Social Service

Orgs

Youth Serving

Orgs

Psychiatrists

OtherCommunity

Orgs

Backbone Service Sites

• Coordination• Leadership• Strategic Direction• Cohesive Site Development• Site Implementation• Development of Clinical Models• Supporting Research & Evaluation• Partnership Development• Policy Development & Advocacy• Financial Administration• Information Technology• Communications & Branding• Knowledge Mobilization• Planning of Annual Site Meeting

• Service Provision• Site Management & Operations• Development of Service Agreements• Data Collection• Development of Youth Space

• Youth Engagement• Family Engagement

• Community Engagement• Human Resources

• Fundraising

Grants

Federal Government

Fundraising/ Charity

Provincial Government

Philanthropic Foundations

Industry

Income from Investments

Municipal Government

Social Enterprise

Anonymous Donors

Hosting Hospital

Project-basedFunding

MixedFunding

Permanent funding

Type of FundingSource of Funding

Networks Single Sites

Backbone Organization/Entity

Site A Site B Site C

Single Site Organization

Youth Indigenous Clinical

Research Family/CarersAdvisory

Committees

Board of Directors/Governing Council Board Board of Directors

Youth Leadership Social Enterprise

Research Family/Carers

Local Leadership

Local Youth Local Family/Carers

AdvisoryCommittees

Youth Engagement

Enablers

Partnerships

Funding

Government Support

Passionate Staff & Culture

Support from Senior Management

Grand Vision

Telling a Compelling Story

Positive Reputation

Training

Early Evaluation

Momentum in Youth Mental Health

++++++++++++

Breaking Barriers to Include Youth

BarriersGenuine Collaboration Takes Time

Lack of Funding

Limited Funding Timelines

Operational Changes

Complex Partnerships

Complex Environments

Policy & Legal Barriers re: Info Sharing

Funding Management Flows

Barriers to Sustainability

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Demonstrating Added Value

Sustainability Contributors

Assuring Funders with Data

Support from Government

Positive Reputation

Strong Partnerships

Shared Leadership Model

Increased Use of Services

Publicity & Local Support

Diverse Funding Model

+++++++++

Funding

Sustainability Threats

Hiring and Retaining Qualified Staff

Election Cycles

Outgrowing Space

Aging Population

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Phase 1 Findings