ArticleInternational journal of mental health systems2017
Screening for substance use and mental health problems in a cross-sectoral sample of Canadian youth.
Article in International journal of mental health systems, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.
- Substance use and co-occurring mental health conditions among adolescents and young adults in North America: a systematic review.BMC psychiatry · 2026Pooled it
- Digital Conversational Agents for the Mental Health of Treatment-Seeking Youth: Scoping Review.JMIR mental health · 2025Article
- Pandemic impact, mitigation strategies and peer support: a qualitative analysis of youth, parent, clinician and administrator perspectives.Journal of eating disorders · 2025Article
- What do justice-involved youth want from integrated youth services? A conjoint analysis.Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent · 2024Article
- "Pictures helped me understand it in a way words couldn't": Youth reflections participating in a youth-led photovoice study.PloS one · 2024Article
- Youth Wellness Hubs Ontario: Development and initial implementation of integrated youth services in Ontario, Canada.Early intervention in psychiatry · 2023Article
- Substance Use Problem Trajectories in Canadian Adolescents: A Longitudinal Study.Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent · 2022Article
- A Longitudinal Cohort Study of Youth Mental Health and Substance use Before and During the COVID-19 Pandemic in Ontario, Canada: An Exploratory Analysis.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2022Article
- Impact Potpourri: A Multimethod Survey Study on Youth Substance Use During COVID-19.The Canadian journal of addiction · 2022Article
- Longitudinal Emergence of Concurrent Mental Health and Substance Use Concerns in an Ontario School-Based Sample: The Research and Action for Teens Study.Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent · 2021Article
- Brief Underage Alcohol Use Screener Scores Predict Health Risk Behaviors.The Journal of school nursing : the official publication of the National Association of School Nurses · 2021Article
- A study protocol for a quasi-experimental community trial evaluating the integration of indigenous healing practices and a harm reduction approach with principles of seeking safety in an indigenous residential treatment program in Northern Ontario.Harm reduction journal · 2021Article
- Early Adolescent Substance Use and Mental Health Problems and Service Utilisation in a School-based Sample.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2019Article
- Cross-sectoral integration in youth-focused health and social services in Canada: a social network analysis.BMC health services research · 2018Article
- Towards a national child and adolescent health strategy in Switzerland: strengthening surveillance to improve prevention and care.International journal of public health · 2018Article
- Housing Instability and Concurrent Substance use and Mental Health Concerns: An Examination of Canadian Youth.Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent · 2017Article
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- Barriers and Facilitators to the Implementation of an Integrated Youth Services Network in Ontario.International journal of integrated careArticle
- Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis project examines the substance use and mental health concerns of a cross-sectoral, national, service-seeking sample of adolescents and emerging adults using an extended version of the Global Appraisal of Individual Needs-Short Screener (GSS). It also aims to provide incremental evidence of the psychometric properties of the GSS.
methodsA sample of 2313 youth aged 12-24 years who presented for service participated in the project. Youth were recruited from 89 participating services across Canada representing eight major clinical and non-clinical sectors. Participants completed the GSS and provided sociodemographic data.
resultsThe majority of youth presenting for services endorsed concerns on the GSS and would be likely to meet diagnostic criteria for a disorder in a full diagnostic assessment according to the norms for the scale, while many endorsed multiple concerns. This was true in both clinical and non-clinical settings. Externalizing concerns and suicidality were significantly more common in younger participants, while substance use was significantly more common in older youth. Females were more likely to endorse internalizing and suicidality concerns, while males endorsed more substance use and crime/violence concerns. Internalizing and suicidality concerns were also more common in Canada's northerly regions. The reliability of the GSS was confirmed, however the factor structure revealed problems.
conclusionsYouth presenting across clinical and non-clinical service sectors endorse high levels of need, supporting the importance of universal, cross-sectoral screening. The GSS is a practical tool that service providers across sectors can employ to identify the addiction and mental health service needs of youth, although further psychometric work is warranted. Implications for screening and treatment in community contexts are discussed.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.