{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:34:04Z","timestamp":1792787644464,"version":"4.5.0"},"reference-count":41,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T00:00:00Z","timestamp":1778630400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T00:00:00Z","timestamp":1778630400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100021570","name":"Strategy for Patient-Oriented Research","doi-asserted-by":"publisher","award":["01308-000"],"award-info":[{"award-number":["01308-000"]}],"id":[{"id":"10.13039\/100021570","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Graham Boeckh Foundation","id":[{"id":"https:\/\/ror.org\/04ktmrv21","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J Soc Psychiatry"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>\n                      Youth experiencing homelessness face significant barriers to mental healthcare. To address this gap, the\n                      <jats:italic toggle=\"yes\">R\u00e9seau d\u2019Intervention de Proximit\u00e9 Aupr\u00e8s des Jeunes de la rue<\/jats:italic>\n                      (RIPAJ) was established in Montr\u00e9al in 2003 through collaboration between community and governmental health organizations. In 2016, RIPAJ joined the national Adolescent\/Young Adult Connections to Community-driven Early Strengths-based Stigma-free services-Open Minds (ACCESS-OM) initiative, aiming to enhance mental healthcare accessibility for youth experiencing homelessness.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>This study evaluates the impact of this integrated approach on referral trends and wait times before and during ACCESS-OM RIPAJ implementation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>Monthly referrals and wait times for first appointment were recorded for a historical cohort (2014\u20132015) and the ACCESS-OM RIPAJ period (2016\u20132020). We used Poisson and Cox regression models to analyze trends in referral rates and wait times, with 2014 as reference period. Seasonality was controlled by incorporating calendar month in the models. Additional Cox regressions examined individual-level sociodemographic and clinical factors associated with post-implementation wait times.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>We analyzed 158 referrals for 2014 to 2015 and 681 for 2016 to 2020. Monthly referrals increased significantly, peaking at 2.5 times the 2014 level. Wait times remained stable, with 73.5% evaluated within 72\u2009hr. The hazard ratio for wait times during the peak period was 0.87 (95% CI [0.63, 1.20]) indicating no significant change despite the surge in referrals. Older age and self-referral were associated with reduced wait times.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>This collaborative model successfully increased mental healthcare utilization among youth experiencing homelessness, providing valuable insights for addressing the unmet needs of this vulnerable population and potentially reducing homelessness perpetuation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00207640261446109","type":"journal-article","created":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T11:46:51Z","timestamp":1778672811000},"page":"1668-1679","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Fostering Accessibility to Mental Health Services for Youth Experiencing Homelessness in Montreal, Canada: A Historical Cohort Comparison Study"],"prefix":"10.1177","volume":"72","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3333-9652","authenticated-orcid":false,"given":"Amal","family":"Abdel-Baki","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Addictology, Faculty of Medicine, Universit\u00e9 de Montr\u00e9al, QC, Canada"},{"name":"University of Montr\u00e9al Hospital Research Centre (CRCHUM), QC, Canada"},{"name":"ACCESS Open Minds (Pan-Canadian Youth Mental Health Services Research Network), Douglas Mental Health University Institute, Montr\u00e9al, QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7014-645X","authenticated-orcid":false,"given":"Giuseppe","family":"D\u2019Andrea","sequence":"additional","affiliation":[{"name":"University of Montr\u00e9al Hospital Research Centre (CRCHUM), QC, Canada"},{"name":"ACCESS Open Minds (Pan-Canadian Youth Mental Health Services Research Network), Douglas Mental Health University Institute, Montr\u00e9al, QC, Canada"},{"name":"Department of Psychiatry, McGill University, Montr\u00e9al, QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles","family":"Tessier","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Sciences, McGill University, Montr\u00e9al, QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diane","family":"Aubin","sequence":"additional","affiliation":[{"name":"ACCESS Open Minds (Pan-Canadian Youth Mental Health Services Research Network), Douglas Mental Health University Institute, Montr\u00e9al, QC, Canada"},{"name":"Dans la rue, a Bilingual Charitable Youth Multi-Services Organization Serving Homeless Youth, Montr\u00e9al, QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-4492-823X","authenticated-orcid":false,"given":"Nora","family":"Morrison","sequence":"additional","affiliation":[{"name":"ACCESS Open Minds (Pan-Canadian Youth Mental Health Services Research Network), Douglas Mental Health University Institute, Montr\u00e9al, QC, Canada"},{"name":"Department of Epidemiology, Biostatistics, and Occupational Health, McGill Univeristy, Montr\u00e9al, QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie-Eve","family":"Dupont","sequence":"additional","affiliation":[{"name":"University of Montr\u00e9al Hospital Research Centre (CRCHUM), QC, Canada"},{"name":"ACCESS Open Minds (Pan-Canadian Youth Mental Health Services Research Network), Douglas Mental Health University Institute, Montr\u00e9al, QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camille","family":"Arbaud","sequence":"additional","affiliation":[{"name":"University of Montr\u00e9al Hospital Research Centre (CRCHUM), QC, Canada"},{"name":"ACCESS Open Minds (Pan-Canadian Youth Mental Health Services Research Network), Douglas Mental Health University Institute, Montr\u00e9al, QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pasquale","family":"Bauco","sequence":"additional","affiliation":[{"name":"University of Montr\u00e9al Hospital Research Centre (CRCHUM), QC, Canada"},{"name":"ACCESS Open Minds (Pan-Canadian Youth Mental Health Services Research Network), Douglas Mental Health University Institute, Montr\u00e9al, QC, 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-Canadian Youth Mental Health Services Research Network), Douglas Mental Health University Institute, Montr\u00e9al, QC, Canada"},{"name":"Department of Psychiatry, McGill University, Montr\u00e9al, QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashok","family":"Malla","sequence":"additional","affiliation":[{"name":"ACCESS Open Minds (Pan-Canadian Youth Mental Health Services Research Network), Douglas Mental Health University Institute, Montr\u00e9al, QC, Canada"},{"name":"Department of Psychiatry, McGill University, Montr\u00e9al, QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5367-9086","authenticated-orcid":false,"given":"Srividya N.","family":"Iyer","sequence":"additional","affiliation":[{"name":"ACCESS Open Minds (Pan-Canadian Youth Mental Health Services Research Network), Douglas Mental Health University Institute, Montr\u00e9al, QC, Canada"},{"name":"Department of Psychiatry, McGill University, Montr\u00e9al, QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,13]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/eip.12814"},{"key":"e_1_3_2_3_1","volume-title":"Experiences of accessing mental health services among homeless youth: Differences between linguistic majority and linguistic minority youth","author":"Arbaud C.","year":"2020","unstructured":"Arbaud C. (2020). Experiences of accessing mental health services among homeless youth: Differences between linguistic majority and linguistic minority youth. Universit\u00e9 de Montr\u00e9al."},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.7202\/1012641ar"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.7202\/1008590ar"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1057\/jphp.2015.8"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.childyouth.2023.107088"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.5334\/ijic.6737"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1017\/S204579602000075X"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1744-6171.2008.00139.x"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/0020764008094430"},{"key":"e_1_3_2_12_1","volume-title":"A review of Canadian homelessness data, 2023 (No. 066047283X)","author":"Dionne M. A.","year":"2023","unstructured":"Dionne M. A., Laporte C., Loeppky J., Miller A. (2023). A review of Canadian homelessness data, 2023 (No. 066047283X). Statistics Canada, Minister of Industry."},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.3390\/bs7030040"},{"key":"e_1_3_2_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10578-011-0270-1"},{"key":"e_1_3_2_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732304268795"},{"key":"e_1_3_2_16_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2648.2002.02067.x"},{"key":"e_1_3_2_17_1","volume-title":"The State of Homelessness in Canada: 2014 (No. 978-1-77221-001-9)","author":"Gaetz S.","year":"2014","unstructured":"Gaetz S., Gulliver T., Richter T. (2014). The State of Homelessness in Canada: 2014 (No. 978-1-77221-001-9). The Homeless Hub Press."},{"key":"e_1_3_2_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2008.10.012"},{"issue":"10","key":"e_1_3_2_19_1","article-title":"Integrated (one-stop shop)","volume":"207","author":"Hetrick S. E.","year":"2017","unstructured":"Hetrick S. E., Bailey A. P., Smith K. E., Malla A., Mathias S., Singh S. P., O'Reilly A., Verma S. K., Benoit L., Fleming T. M., Moro M. R., Rickwood D. J., Duffy J., Eriksen T., Illback R., Fisher C. A., McGorry P. D. (2017). Integrated (one-stop shop) youth health care: Best available evidence and future directions. Medical Journal of Australia, 207(10), S5\u2013S18.","journal-title":"Medical Journal of Australia"},{"key":"e_1_3_2_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/NNR.0b013e3181d1a8a9"},{"key":"e_1_3_2_21_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2024.4880"},{"key":"e_1_3_2_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-019-2232-2"},{"key":"e_1_3_2_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ssresearch.2011.12.011"},{"key":"e_1_3_2_24_1","doi-asserted-by":"publisher","DOI":"10.3109\/13814780109048777"},{"key":"e_1_3_2_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-015-1165-4"},{"key":"e_1_3_2_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/eip.12772"},{"key":"e_1_3_2_27_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2923.2003.01625.x"},{"key":"e_1_3_2_28_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.112.119214"},{"key":"e_1_3_2_29_1","doi-asserted-by":"publisher","DOI":"10.1080\/10926770801920818"},{"key":"e_1_3_2_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10597-019-00456-y"},{"key":"e_1_3_2_31_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291723002428"},{"key":"e_1_3_2_32_1","volume-title":"R: a language and environment for statistical computing","author":"R Core Team","year":"2023","unstructured":"R Core Team. (2023). R: a language and environment for statistical computing. R Foundation for Statistical Computing."},{"key":"e_1_3_2_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2008.06.002"},{"key":"e_1_3_2_34_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.292.5.569"},{"key":"e_1_3_2_35_1","doi-asserted-by":"publisher","DOI":"10.18637\/jss.v045.i04"},{"key":"e_1_3_2_36_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-0-387-79948-3_428"},{"key":"e_1_3_2_37_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41380-021-01161-7"},{"key":"e_1_3_2_38_1","volume-title":"Stata statistical software: Release 18","author":"StataCorp","year":"2023","unstructured":"StataCorp. (2023). Stata statistical software: Release 18. StataCorp LLC."},{"key":"e_1_3_2_39_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.b2393"},{"issue":"3","key":"e_1_3_2_40_1","first-page":"1","article-title":"Mice: Multivariate imputation by chained equations in R","volume":"45","author":"van Buuren S.","year":"2011","unstructured":"van Buuren S., Groothuis-Oudshoorn K. (2011). Mice: Multivariate imputation by chained equations in R. Journal of Statistical Software, 45(3), 1\u201367.","journal-title":"Journal of Statistical Software"},{"key":"e_1_3_2_41_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-9531.2009.01215.x"},{"key":"e_1_3_2_42_1","doi-asserted-by":"publisher","DOI":"10.1017\/S2045796020000281"}],"container-title":["International Journal of Social Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00207640261446109","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00207640261446109","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00207640261446109","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T05:41:09Z","timestamp":1789537269000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00207640261446109"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,13]]},"references-count":41,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1177\/00207640261446109"],"URL":"https:\/\/doi.org\/10.1177\/00207640261446109","relation":{},"ISSN":["0020-7640","1741-2854"],"issn-type":[{"value":"0020-7640","type":"print"},{"value":"1741-2854","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,13]]}}}