{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T12:10:59Z","timestamp":1784549459388,"version":"3.55.0"},"reference-count":30,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T00:00:00Z","timestamp":1781654400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T00:00:00Z","timestamp":1781654400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Australas Psychiatry"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      With rising youth mental health needs, there is an urgent call for new service models that are cost-effective, accessible, and non-duplicative. The Youth Engagement &amp; Treatment Team Initiative (YETTI) was implemented in the federal Eastern metropolitan  health region of Victoria, Australia, to deliver tertiary-level mental health interventions within trusted\n                      <jats:italic toggle=\"yes\">headspace<\/jats:italic>\n                      sites, and to provide specialist consultation to their staff.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Over six\u00a0years, YETTI supported 981 young people aged 12\u201325\u00a0years (and families\/carers) whose severe and complex mental ill-health was beyond the remit of enhanced primary care but did not meet eligibility for public mental health services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Pre-post outcome comparisons demonstrated clinically and statistically significant improvements in symptoms and functioning for 67% of the cohort, including reductions in Health of the Nation Outcome Scale Child Adolescent total and scale scores (F = 600.48, df = 1,582,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001). Further, most consumers (81.4%) reported improved mental health and functioning on the Kessler Psychological Distress Scale (K10). High satisfaction with YETTI was reported by 90% of consumers with an 84% response rate, indicating a positive impact on young people during a developmentally vulnerable period.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Overall, these findings suggest that YETTI is an acceptable and effective model in bridging the youth mental health service gap. Future research could examine longer-term clinical, functional and system-level outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10398562261458931","type":"journal-article","created":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T04:08:01Z","timestamp":1781755681000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluation of an innovative youth mental health service model \u2013 bridging the service gap"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8710-1714","authenticated-orcid":false,"given":"Helen","family":"Mildred","sequence":"first","affiliation":[{"name":"Deakin University"},{"name":"Eastern Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Trish","family":"Coulton","sequence":"additional","affiliation":[{"name":"Eastern Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lynne","family":"Allison","sequence":"additional","affiliation":[{"name":"Eastern Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Harris","sequence":"additional","affiliation":[{"name":"Eastern Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Jenkins","sequence":"additional","affiliation":[{"name":"Eastern Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7783-8328","authenticated-orcid":false,"given":"Stan","family":"Innes","sequence":"additional","affiliation":[{"name":"Eastern Health"},{"name":"Monash University, Box Hill, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0402-5841","authenticated-orcid":false,"given":"Peter","family":"Brann","sequence":"additional","affiliation":[{"name":"Eastern Health"},{"name":"Eastern Health"},{"name":"Monash University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,17]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.publhealth.29.020907.090847"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41380-021-01161-7"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(24)00163-9"},{"key":"e_1_3_6_5_2","doi-asserted-by":"publisher","DOI":"10.1017\/S2045796025000083"},{"key":"e_1_3_6_6_2","unstructured":"Australian Bureau of Statistics. National study of mental health & well being 2020-2022. https:\/\/www.abs.gov.au\/statistics\/health\/mental-health\/national-study-mental-health-and-wellbeing\/2020-21 (2024) (accessed 25 November 2025)."},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/0004867415617836"},{"key":"e_1_3_6_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/00207640241280910"},{"key":"e_1_3_6_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/0004867420976861"},{"key":"e_1_3_6_10_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0282040"},{"key":"e_1_3_6_11_2","doi-asserted-by":"publisher","DOI":"10.5694\/mja2.51700"},{"key":"e_1_3_6_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20388"},{"key":"e_1_3_6_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/00048674241297542"},{"key":"e_1_3_6_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/00048674231202427"},{"key":"e_1_3_6_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2024.03.013"},{"key":"e_1_3_6_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-021-02123-8"},{"issue":"20210921","key":"e_1_3_6_17_2","doi-asserted-by":"crossref","first-page":"e0257573","DOI":"10.1371\/journal.pone.0257573","article-title":"Estimating income-related and area-based inequalities in mental health among nationally representative adolescents in Australia: the concentration index approach","volume":"16","author":"Islam MI","year":"2021","unstructured":"Islam MI, Ormsby GM, Kabir E, et al. Estimating income-related and area-based inequalities in mental health among nationally representative adolescents in Australia: the concentration index approach. PLoS One 2021; 16(20210921): e0257573. https:\/\/doi.org\/10.1371\/journal.pone.0257573","journal-title":"PLoS One"},{"key":"e_1_3_6_18_2","doi-asserted-by":"publisher","DOI":"10.1177\/0004867418808895"},{"key":"e_1_3_6_19_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10488-014-0563-3"},{"key":"e_1_3_6_20_2","doi-asserted-by":"publisher","DOI":"10.1017\/S2045796024000386"},{"key":"e_1_3_6_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2014.07.013"},{"key":"e_1_3_6_22_2","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.180.3.266"},{"key":"e_1_3_6_23_2","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.60.2.184"},{"key":"e_1_3_6_24_2","doi-asserted-by":"publisher","DOI":"10.1097\/00004583-200111000-00015"},{"key":"e_1_3_6_25_2","volume-title":"The session rating scale 3.0","author":"Miller SD","year":"2000","unstructured":"Miller SD, Duncan BL, Johnson LD. The session rating scale 3.0. Chicago, IL: Authors, 2000."},{"key":"e_1_3_6_26_2","unstructured":"Australian mental health outcomes and classification network. AMHOCN web decision support tool (2025 accessed 26th April 2026)."},{"key":"e_1_3_6_27_2","volume-title":"Data and analysis methods \u2013 consumer outcomes in mental health care 2023\u201324 2025","author":"AIHW","unstructured":"AIHW. Data and analysis methods \u2013 consumer outcomes in mental health care 2023\u201324 2025. Australian Institute of Health and Welfare. https:\/\/www.aihw.gov.au\/mental-health\/topic-areas\/safety-quality\/consumer-outcomes#clinical_outcomes"},{"key":"e_1_3_6_28_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13063-016-1654-0"},{"key":"e_1_3_6_29_2","doi-asserted-by":"publisher","DOI":"10.1111\/eip.13387"},{"key":"e_1_3_6_30_2","doi-asserted-by":"publisher","DOI":"10.5694\/mja13.11235"},{"key":"e_1_3_6_31_2","unstructured":"AIHW. Mental illness. The Australian Institute of Health and Welfare 2021. https:\/\/www.aihw.gov.au\/reports\/children-youth\/mental-illness."}],"container-title":["Australasian Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10398562261458931","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10398562261458931","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10398562261458931","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T11:56:56Z","timestamp":1784548616000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10398562261458931"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,17]]},"references-count":30,"alternative-id":["10.1177\/10398562261458931"],"URL":"https:\/\/doi.org\/10.1177\/10398562261458931","relation":{},"ISSN":["1039-8562","1440-1665"],"issn-type":[{"value":"1039-8562","type":"print"},{"value":"1440-1665","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,17]]},"article-number":"10398562261458931"}}