Presentation from John Ovretveit at CLAHRC WM Scientific Advisory Group meeting, 8th and 9th June 2016

1. ReportonCLAHRC youth
mental healthresearch
from1daypublicmeeting
“ShoutOutForYouthMental
Health”
1
John Øvretveit,
Director of Research, Professor of Health Innovation and
Evaluation, Karolinska Institutet, Stockholm, Sweden
7/6/2016

2. Introduction
 Congratulations: all organisers – entirely by
CLAHRC staff
 Visible chairs/leads to the day
 Charlotte Conner Research lead CLAHRC YMH
 Max Birchwood, Professor of Youth Mental Health -
University of Warwick
 Unfair to assess research – ask questions later
 Purpose: platform stakeholders meet & learn
 Proportion of resources?
 Who takes role after CLARC? 27/6/2016

3. YouthMH:ProblemandParadigmchange
By 14yrs 50% of all Mental illness manifest;
by 24 = 75%
Suicide leading cause death under 25
Undetected/untreated = compounding impact over
lifespan
Early intervention & awareness: change in
paradigm
“Forward Thinking Birmingham” - won funding for
0-25 model 3

4. Theevent
 Welcome Max Birchwood, Professor of Youth Mental Health -
University of Warwick. Charlotte Conner BBC compare.
 Y people Experiences and performances
 Transforming Services
 Norman Lamb ; Diane Reeves Brum “Chief Accountable Officer” BSC
commissing group) ; Denise McLennon “Forward thinking birmingham”;
 Lunch Poster session - many clarhcs & commissioners meeting
The clarc projects
 Risk and Resilience
 Working with schools and colleges
 Early Detection and Intervention
 Final messages and motivation 4

5. Main areas of work
 0-25 pathway and easy access
 School space web site
 (e.g. charlotte - eating disorder web survey)
 Duration of untreated psychosis - research
 Prevention risk and resilience
 Can we target and repeat cancer prevention interventions?
57/6/2016

6. Questions-1
1) Limited focii
+ builds on strengths (e.g. EIP)
- Many importance subjects where research could make a difference
2) Minority groups
- Is the CLARHC doing enough to discover
- Prevalence YMH & Data – hot spots mapping
- Undiagnosed; untreated ; don’t access?
- Consequences – interactions with substance abuse, unemployment, crime &
costs of not addressing
- Culturally appropriate services and responses – UK integrated approach vs
local group led approaches – service providers?
- USA experience and programmes
3)MH co-existing with physical illness in young?
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7. Questions – 2
4) Costing
 Esp Resilience = can we really copy the cancer model
 Multicomponent multi-sector interventions
 If effective implementation possible – cost effective compared
to alternative uses of the resources?
 Risky innovation gamble
5) Acting on the evidence – implementation
 Could we do more to enable take up by service providers,
close carers and people with MH challenges?
6) Raising awareness and access – prioritisation?
 Tools for PHC & other to distinguish between serious needing
treatment and over-reaction that makes it worse
7

8. Questions – 2
7) World leading in appropriate
collaboration/communication
With primary beneficiaries & multi-stakeholder
Sufficient use and learning by other
CLAHRC themes?
Scope for MH theme to share with others
…this event and 3/5 other actions taking in collaboration and
implementation
& Think through how others might use similar actions to
increse collaboration and implementation 8

9. Johnsguessonresearchtohelptheseonkey5keychallenges
(0-5)
 Access - adolescents, minorities, parents
 0-25 & access center “Pause” = 5 .
 Identification, referral & assessment: schools, PHC, (esp early
psychosis)
 EI = 4; Service prioritise and assessment = 2; minorities = 0
 Person-centered assessment, planning and care coordinator
 No research = 0
 Coordination PHC, specialists and others & continuity
 = continuity = 4 ; coordination = 0
 Data for targeting, feedback and evaluation = 0
 Cross-cutting: enabling take up of research with research
informed implementation and real time evaluation = 2
97/6/2016

10. Comments by MH colleagues and
questions?
 Please correct John
 Any surprises?
 Need to know more about?
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07/6/2016

11. .
 .
1
17/6/2016

12. 5challenges
 Access - adolescents, minorities, parents
 Identification, referral & assessment:
schools, PHC, (esp early psychosis)
 Person-centered assessment, planning and
care coordination
 Coordination PHC, specialists and others &
continuity
 Data for targeting, feedback and evaluation
 Cross-cutting: using research to improve
above - research informed implementation
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