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Despite its importance, there is no cohesive, equity\u2010centered guidance for working with youth on their goals. This review critically examines existing practice principles for working with youth aged 10\u201325 on goals within mental health and addictions services, with a particular focus on how equity, diversity, and inclusion are, or are not, embedded in these recommended approaches.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A narrative review methodology was employed to synthesize insights from both academic literature and clinical guidebooks published between 2003 and 2023. Searches were conducted across PubMed, EMBASE, Cochrane Library, Web of Science, and supplemented with general web searches to capture diverse perspectives from research and practice. Fifty\u2010three publications were selected and analyzed using thematic and content analysis via MAXQDA software.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Four key themes were identified: (1) semi\u2010structured and strategic approaches to goal\u2010setting, including the use of routine outcome measures and progress monitoring; (2) youth\u2010 and family\u2010centered engagement strategies; (3) conceptual framing of goals within therapeutic processes; and (4) a nascent but growing emphasis on embedding EDI and cultural safety into goal\u2010oriented practices.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Findings underscore the importance of moving beyond standardized, clinician\u2010driven approaches to more inclusive, collaborative, and youth\u2010informed goal practices.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jcv2.70173","type":"journal-article","created":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T16:41:19Z","timestamp":1791391279000},"source":"Crossref","is-referenced-by-count":0,"title":["Working with goals in youth mental health and substance use service: A review of current practice guidelines and recommendations"],"prefix":"10.1002","author":[{"given":"Madison","family":"Nugent","sequence":"first","affiliation":[{"name":"IWK Health  Halifax Nova Scotia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Drew","family":"Burchell","sequence":"additional","affiliation":[{"name":"Dalhousie University  Halifax Nova Scotia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jill","family":"Chorney","sequence":"additional","affiliation":[{"name":"IWK Health  Halifax Nova Scotia Canada"},{"name":"Dalhousie University  Halifax Nova Scotia 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