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Psychiatry"],"abstract":"<jats:p>Youth Flexible Assertive Community Treatment (Youth Flexible ACT) is a service model for children and young people with severe mental health problems and complex needs aimed at providing integrated, continuous and holistic care. Studies on young people\u2019s experiences of Youth Flexible ACT or similar models are scarce. The present qualitative study aimed to explore and describe how young people with severe mental health problems and complex needs experience follow-up and treatment provided by Youth Flexible ACT teams. Semi-structured interviews were conducted with 14 young people (age range, 15\u201319 years) who were being followed up by a Youth Flexible ACT team. Qualitative content analysis was used, and the following two overarching themes characterizing the young people\u2019s experiences of follow-up and treatment provided by Youth Flexible ACT teams were identified: (1) trusting and collaborative relationships, and (2) organization matters. The participants experienced a more personal relationship with the staff, who behaved more like friends and paid attention to resources, interests, solutions and their context. The participants emphasized and valued components that coincided with the Youth Flexible ACT model, indicating a match between what the young people needed and wanted and what the model was supposed to provide. The team providing these relationships and youth-friendly and developmentally sensitive care appeared to be facilitated by how the service model was organized, with the teams being flexible and accessible while providing integrated, multifaceted help and systemic follow-up.<\/jats:p>","DOI":"10.3389\/fpsyt.2024.1478345","type":"journal-article","created":{"date-parts":[[2024,12,6]],"date-time":"2024-12-06T10:38:17Z","timestamp":1733481497000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":9,"title":["A qualitative study of the experiences of young people with severe mental health problems and complex needs regarding youth flexible assertive community treatment"],"prefix":"10.3389","volume":"15","author":[{"given":"Marthe","family":"Johansen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanne Kilen","family":"Stuen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva","family":"Brekke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camilla Bergsve","family":"Jensen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Landheim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2024,12,6]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)60512-6","article-title":"Global burden of disease in young people aged 10-24 years: a systematic analysis","volume":"377","author":"Gore","year":"2011","journal-title":"Lancet"},{"key":"B2","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1002\/wps.20938","article-title":"Designing and scaling up integrated youth mental health care","volume":"21","author":"McGorry","year":"2022","journal-title":"World Psychiatry"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaac.2010.12.014","article-title":"Cumulative prevalence of psychiatric disorders by young adulthood: a prospective cohort analysis from the Great Smoky Mountains Study","volume":"50","author":"Copeland","year":"2011","journal-title":"J Am Acad Child Adolesc Psychiatry"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.3221","article-title":"Longitudinal assessment of mental health disorders and comorbidities across 4 decades among participants in the dunedin birth cohort study","volume":"3","author":"Caspi","year":"2020","journal-title":"JAMA Netw Open"},{"key":"B5","unstructured":"Adolescent mental health\n          \n          \n          \n          2021"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.1007\/s00787-022-02131-2","article-title":"A systematic review and meta-analysis on the prevalence of mental disorders among children and adolescents in Europe","volume":"33","author":"Sacco","year":"2024","journal-title":"Eur Child Adolesc Psychiatry"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.1037\/abn0000410","article-title":"Age, period, and cohort trends in mood disorder indicators and suicide-related outcomes in a nationally representative dataset, 2005-2017","volume":"128","author":"Twenge","year":"2019","journal-title":"J Abnorm Psychol"},{"key":"B8","doi-asserted-by":"publisher","DOI":"10.1017\/S2045796020000281","article-title":"A growing need for youth mental health services in Canada: examining trends in youth mental health from 2011 to 2018","volume":"29","author":"Wiens","year":"2020","journal-title":"Epidemiol Psychiatr Sci"},{"key":"B9","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1007\/s00787-023-02182-z","article-title":"Drop-out and ineffective treatment in youth with severe and enduring mental health problems: a systematic review","volume":"33","author":"de Soet","year":"2023","journal-title":"Eur Child Adolesc Psychiatry"},{"key":"B10","doi-asserted-by":"publisher","DOI":"10.1177\/1359104519827631","article-title":"Review of services to inform clinical frameworks for adolescents and young adults with severe, persistent and complex mental illness","volume":"24","author":"Woody","year":"2019","journal-title":"Clin Child Psychol Psychiatry"},{"key":"B11","article-title":"Tr\u00f8bbel i grenseflatene. 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