{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T17:11:54Z","timestamp":1789578714411,"version":"build-2803163510"},"reference-count":24,"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>In many parts of the world, there is growing concern about youth homelessness. Homeless youth are particularly vulnerable to psychological distress, substance use and mental disorders, and premature mortality caused by suicide and drug overdose. However, their access to and use of mental health care is very limited.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The <jats:italic>R\u00e9seau d'intervention de proximit\u00e9 aupr\u00e8s des jeunes<\/jats:italic> (RIPAJ), a Montreal network of over 20 community stakeholders providing a wide array of cohesive services, was created to ease homeless youth's access to mental health and psychosocial services. Its philosophy is that there should be no \u201cwrong door\u201d or \u201cwrong timing\u201d for youth seeking help. In 2014, the network partnered with the pan\u2010Canadian transformational research initiative, ACCESS <jats:italic>Esprits ouverts<\/jats:italic>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Created through this partnership, ACCESS <jats:italic>Esprits ouverts<\/jats:italic> RIPAJ has been promoting early identification through outreach activities targeting homeless youth and agencies that serve them. An ACCESS Clinician was hired to promote and rapidly respond to help\u2010seeking and referrals. By strengthening connections within RIPAJ and using system navigation, the site is working to facilitate youth's access to timely appropriate care and eliminate age\u2010based transitions between services. A notable feature of our program, that is not usually evident in homelessness services, has been the engagement of the youth in service planning and design and the encouragement of contact with families and\/or friends.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Challenges remain including eliminating any remaining age\u2010related transitions of care between adolescent and adult services; and the sustainability of services transformation and network coordination. Nonetheless, this program serves as an example of an innovative, much\u2010needed, community\u2010oriented model for improving access to mental health care for homeless youth.<\/jats:p><\/jats:sec>","DOI":"10.1111\/eip.12814","type":"journal-article","created":{"date-parts":[[2019,6,27]],"date-time":"2019-06-27T07:53:17Z","timestamp":1561621997000},"page":"20-28","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Improving mental health services for homeless youth in downtown Montreal, Canada: Partnership between a local network and ACCESS Esprits ouverts (Open Minds), a National Services Transformation Research Initiative"],"prefix":"10.1111","volume":"13","author":[{"given":"Amal","family":"Abdel\u2010Baki","sequence":"first","affiliation":[{"name":"Department of Psychiatry, Faculty of Medicine University of Montreal  Montreal Quebec Canada"},{"name":"Centre de recherche du Centre hospitalier de l'Universit\u00e9 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