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Wico Mulder – Youth Healthcare Physician Adolescents
Dutch Center for Youth Health (NCJ) / @ease
20th EUSUHM Congres – Changing Contexts - Rotterdam - October 12th 2019
2
WELCOME
• WHY @ease
• WHAT is @ease
• HOW does @ease work
TO PUT IT SIMPLY - OUR KIDS ARE NOT O.K.
- WE ARE WORKING TO CHANGE THIS -
“The issue concerning young people’s mental well-being
is as critical as the global climate crisis”
7
We built a generation (generation Z / MIllenials) that thinks that evrything is accesible and within reach
But at the same time a unequal society full of boundaries
WICKED PROBLEM
8
1:4 OF DUTCH YOUTH HAS A CHRONIC DISEASE
75% of all mental
disorders develop
before the age of 25
50% even
before 18
PHYSICALLY STRONG - MENTALLY VULNERABLE
Kessler et al, 2005
Only one out of every five children
receives the mental health support they need
THE ONSET OF PSYCHIATRY…
• Depression
• Anxiety
• Addiction
• Eating Disdorder
• Psychosis
• Bipolair
>75% of all psychiciatry disorders arise before the age of
Kessler et al, Arch gen psych 2005; Current Opinion Psychiatry 2007
1
1
113 Zelfmoordpreventie is gestart met een verdiepend onderzoek naar de achtergronden
van zelfdoding onder jongeren tot 20 jaar die overleden in 2017. In 2017 overleden 81 jongeren.
Onderzoekers komen graag in contact met ouders omdat zij meer kunnen vertellen over wat er is gebeurd met hun kinderen.
CHANGE
‘No decision about me without me’
→ Youngsters, only receive access to care when problems escalate. Early detection fails.
Prof. Pat McGorry
ITS A MOVEMENT
www.iaymh2019.org
HEADSPACE - AUSTRALIA
Involved since 2016 - Visited january 2019
Youth Mental Health Reform
Australia:
100+ centers since 2006.
Easy access,
suicideprevention &
early psychosis programs
Denemark:
18 centers since
2013. No young
person should fight
problems alone.
Ireland:
10+ Jigsaw centra since
2008. Youth friendly,
community-based,
suicideprevention
WORLDWIDE
To put it simply, our kids are not O.K.
- WE ARE WORKING TO CHANGE THIS -
• Started in 2016 – open since early 2017 (Amsterdam / Maastricht)
• Lived experience - Peer-to-peer help - Adults facilitate
• Trained Volunteers, Youth Healtcare & Mental Health Professionals
• Easy accessible, free of charge and anonymous - 12-25 years of age
• Match our offer with demands of young people: “We Love To Listen”
• Building bridges - Collaborate with existing (local) initiatives / domains
• Open more @ease centers in the Netherlands (010 ?)
#Normalising when possible,
intervene if necessary.
#Motivational and solution focused
approach.
OUR AIMS
How We Work
Stap 1
• Jongeren lopen binnen,
of op afspraak via
telefoon of online
Stap 2
• Jongere wordt welkom
geheten, krijgt wat te
drinken
• 2 vrijwilligers gesprek
met jongere
• luisterend oor
• Sociaal functioneren
wordt door medewerker
uitgevraagd, personalia
door jongere ingevuld,
stress, vraag en
tevredenheid worden
samen ingevuld, alles op
Ipad
Stap 3
• Jongeren voelt zich
gehoord?
• Jongeren kan terug
komen wanneer hij/zij
dit wil
• Wanneer nodig bruggen
bouwen tussen jongere
naar specialistische zorg
• follow-up vragenlijsten
sociaal functioneren &
stress whatsappen op 3,
6 en 12 mnd na laatste
contact
 228 @ease talks (150 kids) - 1/5 returned
 59% Female
 Average Age = 21 years
 45% born outside The Netherlands
 75% goes to school
 50% skips school because of problems (7 days / 3 months)
 Moderate to Severe problems
 About 40% has received mental health care
 33% suicidal thoughts / 14% made a specific plan
 25% has parents with a psychological problem
 Kids give @ease a 4,5 (out of 5) @ease
RESEARCH
Interviews - @ease helps!
“dat je ook geen verwijzing hoeft te hebben”
“no waiting lists as far as I know”
“she said it's free […] so I thought... why not here?”
“I read the webpage of @ease and it said: just walk in. So that's what I did.”
“They are everywhere, those green
flyers. So you're doing a good job in
promotion [laughs]”
“En, dat het gewoon... ja dat het niet officiëlerig is eigenlijk, met echt een psycholoog en dingen
maar dat je gewoon met mensen het er gewoon even over kan hebben en dat ze ook naar je
luisteren.”
“Um yeah I really liked it […] I would go again
and I also recommend it”
De mensen die hier werken zijn
vriendelijk
“[…] huiselijk en een beetje licht zeg maar, het is niet zo'n klinische plek van; oh waar ben ik nu
weer terecht gekomen. Nee, het is best wel gezellig en ik denk dat dat ook wel helpt.”
JOUWGGD.NL
ONLINE
ENgage YOung people earlY (ENYOY)
@ease-online (eHeadspace) in the Netherlands
Headspace in Schools
Suïcide Pre-Postvention Intervention
https://headspace.org.au/schools/headspace-in-schools/
https://beyou.edu.au/resources/suicide-prevention-and-response/suicide-prevention
https://beyou.edu.au/resources/suicide-prevention-and-response/suicide-response
Where can you find us ?
Maastricht op dinsdag, woensdag & donderdag
15:30 – 18:30
Bogaardenstraat 35a
maastricht@ease.nl
043- 2058106
Amsterdam op maandag & woensdag
14:00 – 19:00
Houtmankade 336 (bij Dock)
amsterdam@ease.nl
On behalf of the whole @ease team we thanks you for your attention:
- Sophie Leidesdorff - Stefanie Rosema - Flore de Vries -
Rianne Klaassen – Therese van Amelsvoort -- Arne Popma – Dorien Nieman
and our highly dedicated volunteers
OUR PARTNERS & SPONSORS

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@Ease - Implementing Headpace Australia in The Netherlands

  • 1. Wico Mulder – Youth Healthcare Physician Adolescents Dutch Center for Youth Health (NCJ) / @ease 20th EUSUHM Congres – Changing Contexts - Rotterdam - October 12th 2019
  • 2. 2
  • 3. WELCOME • WHY @ease • WHAT is @ease • HOW does @ease work
  • 4.
  • 5. TO PUT IT SIMPLY - OUR KIDS ARE NOT O.K. - WE ARE WORKING TO CHANGE THIS -
  • 6. “The issue concerning young people’s mental well-being is as critical as the global climate crisis”
  • 7. 7 We built a generation (generation Z / MIllenials) that thinks that evrything is accesible and within reach But at the same time a unequal society full of boundaries WICKED PROBLEM
  • 8. 8 1:4 OF DUTCH YOUTH HAS A CHRONIC DISEASE
  • 9. 75% of all mental disorders develop before the age of 25 50% even before 18 PHYSICALLY STRONG - MENTALLY VULNERABLE Kessler et al, 2005 Only one out of every five children receives the mental health support they need
  • 10. THE ONSET OF PSYCHIATRY… • Depression • Anxiety • Addiction • Eating Disdorder • Psychosis • Bipolair >75% of all psychiciatry disorders arise before the age of Kessler et al, Arch gen psych 2005; Current Opinion Psychiatry 2007
  • 11. 1 1 113 Zelfmoordpreventie is gestart met een verdiepend onderzoek naar de achtergronden van zelfdoding onder jongeren tot 20 jaar die overleden in 2017. In 2017 overleden 81 jongeren. Onderzoekers komen graag in contact met ouders omdat zij meer kunnen vertellen over wat er is gebeurd met hun kinderen.
  • 12.
  • 13. CHANGE ‘No decision about me without me’ → Youngsters, only receive access to care when problems escalate. Early detection fails. Prof. Pat McGorry
  • 15. HEADSPACE - AUSTRALIA Involved since 2016 - Visited january 2019
  • 16. Youth Mental Health Reform Australia: 100+ centers since 2006. Easy access, suicideprevention & early psychosis programs Denemark: 18 centers since 2013. No young person should fight problems alone. Ireland: 10+ Jigsaw centra since 2008. Youth friendly, community-based, suicideprevention
  • 18.
  • 19. To put it simply, our kids are not O.K. - WE ARE WORKING TO CHANGE THIS -
  • 20. • Started in 2016 – open since early 2017 (Amsterdam / Maastricht) • Lived experience - Peer-to-peer help - Adults facilitate • Trained Volunteers, Youth Healtcare & Mental Health Professionals • Easy accessible, free of charge and anonymous - 12-25 years of age • Match our offer with demands of young people: “We Love To Listen” • Building bridges - Collaborate with existing (local) initiatives / domains • Open more @ease centers in the Netherlands (010 ?) #Normalising when possible, intervene if necessary. #Motivational and solution focused approach. OUR AIMS
  • 21.
  • 22. How We Work Stap 1 • Jongeren lopen binnen, of op afspraak via telefoon of online Stap 2 • Jongere wordt welkom geheten, krijgt wat te drinken • 2 vrijwilligers gesprek met jongere • luisterend oor • Sociaal functioneren wordt door medewerker uitgevraagd, personalia door jongere ingevuld, stress, vraag en tevredenheid worden samen ingevuld, alles op Ipad Stap 3 • Jongeren voelt zich gehoord? • Jongeren kan terug komen wanneer hij/zij dit wil • Wanneer nodig bruggen bouwen tussen jongere naar specialistische zorg • follow-up vragenlijsten sociaal functioneren & stress whatsappen op 3, 6 en 12 mnd na laatste contact
  • 23.  228 @ease talks (150 kids) - 1/5 returned  59% Female  Average Age = 21 years  45% born outside The Netherlands  75% goes to school  50% skips school because of problems (7 days / 3 months)  Moderate to Severe problems  About 40% has received mental health care  33% suicidal thoughts / 14% made a specific plan  25% has parents with a psychological problem  Kids give @ease a 4,5 (out of 5) @ease RESEARCH
  • 24. Interviews - @ease helps! “dat je ook geen verwijzing hoeft te hebben” “no waiting lists as far as I know” “she said it's free […] so I thought... why not here?” “I read the webpage of @ease and it said: just walk in. So that's what I did.” “They are everywhere, those green flyers. So you're doing a good job in promotion [laughs]” “En, dat het gewoon... ja dat het niet officiëlerig is eigenlijk, met echt een psycholoog en dingen maar dat je gewoon met mensen het er gewoon even over kan hebben en dat ze ook naar je luisteren.” “Um yeah I really liked it […] I would go again and I also recommend it” De mensen die hier werken zijn vriendelijk “[…] huiselijk en een beetje licht zeg maar, het is niet zo'n klinische plek van; oh waar ben ik nu weer terecht gekomen. Nee, het is best wel gezellig en ik denk dat dat ook wel helpt.”
  • 26. ENgage YOung people earlY (ENYOY) @ease-online (eHeadspace) in the Netherlands
  • 27. Headspace in Schools Suïcide Pre-Postvention Intervention https://headspace.org.au/schools/headspace-in-schools/ https://beyou.edu.au/resources/suicide-prevention-and-response/suicide-prevention https://beyou.edu.au/resources/suicide-prevention-and-response/suicide-response
  • 28. Where can you find us ? Maastricht op dinsdag, woensdag & donderdag 15:30 – 18:30 Bogaardenstraat 35a maastricht@ease.nl 043- 2058106 Amsterdam op maandag & woensdag 14:00 – 19:00 Houtmankade 336 (bij Dock) amsterdam@ease.nl
  • 29. On behalf of the whole @ease team we thanks you for your attention: - Sophie Leidesdorff - Stefanie Rosema - Flore de Vries - Rianne Klaassen – Therese van Amelsvoort -- Arne Popma – Dorien Nieman and our highly dedicated volunteers
  • 30. OUR PARTNERS & SPONSORS