{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T10:31:59Z","timestamp":1783506719061,"version":"3.55.0"},"reference-count":7,"publisher":"Wiley","issue":"S1","license":[{"start":{"date-parts":[[2019,6,27]],"date-time":"2019-06-27T00:00:00Z","timestamp":1561593600000},"content-version":"vor","delay-in-days":26,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Early Intervention Psych"],"published-print":{"date-parts":[[2019,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>This paper outlines the transformation of youth mental health services in Edmonton, Alberta, a large city in Western Canada. We describe the processes and challenges involved in restructuring how services and care are delivered to youth (11\u201025\u2009years old) with mental health needs based on the objectives of the pan\u2010Canadian ACCESS Open Minds network.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We provide a narrative review of how youth mental health services have developed since our engagement with the ACCESS Open Minds initiative, based on its five central objectives of early identification, rapid access, appropriate care, continuity of care, and youth and family engagement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Building on an initial community mapping exercise, a service network has been developed; teams that were previously age\u2010oriented have been integrated together to seamlessly cover the age 11 to 25 range; early identification has thus far focused on high\u2010school populations; and an actual drop\u2010in space facilitates rapid access and linkages to appropriate care within the 30\u2010day benchmark.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Initial aspects of the transformation have relied on restructuring and partnerships that have generated early successes. However, further transformation over the longer term will depend on data demonstrating how this has impacted clinical outcomes and service utilization. Ultimately, sustainability in a large urban centre will likely involve scaling up to a network of similar services to cover the entire population of the city.<\/jats:p><\/jats:sec>","DOI":"10.1111\/eip.12813","type":"journal-article","created":{"date-parts":[[2019,6,27]],"date-time":"2019-06-27T07:53:17Z","timestamp":1561621997000},"page":"14-19","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Transforming youth mental health services in a large urban centre: ACCESS Open Minds Edmonton"],"prefix":"10.1111","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0369-4768","authenticated-orcid":false,"given":"Adam","family":"Abba\u2010Aji","sequence":"first","affiliation":[{"name":"Alberta Health Services Edmonton Zone  Edmonton Alberta Canada"},{"name":"Department of Psychiatry University of Alberta  Edmonton Alberta Canada"},{"name":"ACCESS Open Minds Edmonton  Edmonton Alberta Canada"},{"name":"ACCESS Open Minds (Pan\u2010Canadian Youth Mental Health Services Research Network) Douglas Mental Health University Institute  Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine","family":"Hay","sequence":"additional","affiliation":[{"name":"Alberta Health Services Edmonton Zone  Edmonton Alberta Canada"},{"name":"ACCESS Open Minds Edmonton  Edmonton Alberta Canada"},{"name":"ACCESS Open Minds (Pan\u2010Canadian Youth Mental Health Services Research Network) Douglas Mental Health University Institute  Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jill","family":"Kelland","sequence":"additional","affiliation":[{"name":"Alberta Health Services Edmonton Zone  Edmonton Alberta Canada"},{"name":"ACCESS Open Minds Edmonton  Edmonton Alberta Canada"},{"name":"ACCESS Open Minds (Pan\u2010Canadian Youth Mental Health Services Research Network) Douglas Mental Health University Institute  Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"Mummery","sequence":"additional","affiliation":[{"name":"Alberta Health Services Edmonton Zone  Edmonton Alberta Canada"},{"name":"ACCESS Open Minds Edmonton  Edmonton Alberta Canada"},{"name":"ACCESS Open Minds (Pan\u2010Canadian Youth Mental Health Services Research Network) Douglas Mental Health University Institute  Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liana","family":"Urichuk","sequence":"additional","affiliation":[{"name":"Alberta Health Services Edmonton Zone  Edmonton Alberta Canada"},{"name":"ACCESS Open Minds Edmonton  Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cindy","family":"Gerdes","sequence":"additional","affiliation":[{"name":"Alberta Health Services Edmonton Zone  Edmonton Alberta Canada"},{"name":"ACCESS Open Minds Edmonton  Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Snaterse","sequence":"additional","affiliation":[{"name":"Alberta Health Services Edmonton Zone  Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierre","family":"Chue","sequence":"additional","affiliation":[{"name":"Alberta Health Services Edmonton Zone  Edmonton Alberta Canada"},{"name":"Department of Psychiatry University of Alberta  Edmonton Alberta Canada"},{"name":"ACCESS Open Minds Edmonton  Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7501-5018","authenticated-orcid":false,"given":"Shalini","family":"Lal","sequence":"additional","affiliation":[{"name":"ACCESS Open Minds (Pan\u2010Canadian Youth Mental Health Services Research Network) Douglas Mental Health University Institute  Montreal Quebec Canada"},{"name":"School of Rehabilitation, Faculty of Medicine l'Universit\u00e9 de Montr\u00e9al  Montreal Quebec Canada"},{"name":"Centre de recherche du Centre hospitalier de l'Universit\u00e9 de Montr\u00e9al (CRCHUM)  Montreal Quebec Canada"},{"name":"Prevention and Early Intervention Program for Psychosis (PEPP) Douglas Mental Health University Institute  Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ridha","family":"Joober","sequence":"additional","affiliation":[{"name":"ACCESS Open Minds (Pan\u2010Canadian Youth Mental Health Services Research Network) Douglas Mental Health University Institute  Montreal Quebec Canada"},{"name":"Department of Psychiatry McGill University  Montreal Quebec Canada"},{"name":"Prevention and Early Intervention Program for Psychosis (PEPP) Douglas Mental Health University Institute  Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia","family":"Boksa","sequence":"additional","affiliation":[{"name":"ACCESS Open Minds (Pan\u2010Canadian Youth Mental Health Services Research Network) Douglas Mental Health University Institute  Montreal Quebec Canada"},{"name":"Department of Psychiatry McGill University  Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashok","family":"Malla","sequence":"additional","affiliation":[{"name":"ACCESS Open Minds (Pan\u2010Canadian Youth Mental Health Services Research Network) Douglas Mental Health University Institute  Montreal Quebec Canada"},{"name":"Department of Psychiatry McGill University  Montreal Quebec Canada"},{"name":"Prevention and Early Intervention Program for Psychosis (PEPP) Douglas Mental Health University Institute  Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5367-9086","authenticated-orcid":false,"given":"Srividya","family":"N. Iyer","sequence":"additional","affiliation":[{"name":"ACCESS Open Minds (Pan\u2010Canadian Youth Mental Health Services Research Network) Douglas Mental Health University Institute  Montreal Quebec Canada"},{"name":"Department of Psychiatry McGill University  Montreal Quebec Canada"},{"name":"Prevention and Early Intervention Program for Psychosis (PEPP) Douglas Mental Health University Institute  Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7549-6990","authenticated-orcid":false,"given":"Jai L.","family":"Shah","sequence":"additional","affiliation":[{"name":"ACCESS Open Minds (Pan\u2010Canadian Youth Mental Health Services Research Network) Douglas Mental Health University Institute  Montreal Quebec Canada"},{"name":"Department of Psychiatry McGill University  Montreal Quebec Canada"},{"name":"Prevention and Early Intervention Program for Psychosis (PEPP) Douglas Mental Health University Institute  Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,6,27]]},"reference":[{"key":"e_1_2_14_2_1","volume-title":"A healthier future. 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(2016).Labour force characteristics unadjusted by census metropolitan area (3 month moving average) (Calgary (Alta.) Edmonton (Alta.) Kelowna (B.C.)). 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