Observational studyThe Medical journal of Australia2022
Social and occupational outcomes for young people who attend early intervention mental health services: a longitudinal study.
Observational study in The Medical journal of Australia, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
31 citing papers in PubMed.
- Psychosocial Interventions, Recovery, and Mediating Mechanisms in Schizophrenia-Spectrum Disorders: A Systematic Review and Meta-Analysis of Longitudinal Studies.Brain sciences · 2026Review
- Advancing Inclusive Design Practice for Queer Youth Using Digital Technologies for Mental Health.The Medical journal of Australia · 2026Article
- Digital Tools to Support Post-Secondary Student Mental Health and Wellbeing.Early intervention in psychiatry · 2025Article
- Weighing Costs and Benefits of Delay and the Acceptance of Two Decision Support Tools in Mental Health Care: Scoping Study Using Quantitative and Qualitative Data.JMIR human factors · 2025Article
- Matching needs to services: Development of a service needs index for determining care pathways in youth mental health.The Australian and New Zealand journal of psychiatry · 2025Article
- Understanding Engagement With Digital Mental Health Technology in Mental Health Services: Multicenter Observational Study.Journal of medical Internet research · 2025Observational
- Estimating the longitudinal association between pain characteristics and clinical outcomes in young people with mental ill-health.Psychological medicine · 2025Article
- Using the service needs index to quantify complexity and identify treatment needs across youth mental health service populations: an observational study.International journal of mental health systems · 2025Article
- Estimating Population-Based Need for Lifestyle Interventions Among Young Adults With Mental Disorders in Australia.International journal of mental health nursing · 2025Article
- Novel youth mental health services in Australia: What differences are being reported about the clinical needs of those who attend and the outcomes achieved?The Australian and New Zealand journal of psychiatry · 2025Article
- Interrelationships between social exclusion, mental health and wellbeing in adolescents: insights from a nationalEpidemiology and psychiatric sciences · 2025Article
- A prognostic model for predicting functional impairment in youth mental health services.European psychiatry : the journal of the Association of European Psychiatrists · 2024Article
- Incorporating Complexity and System Dynamics into Economic Modelling for Mental Health Policy and Planning.PharmacoEconomics · 2024Article
- Ethical challenges in contemporary psychiatry: an overview and an appraisal of possible strategies and research needs.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2024Article
- Reducing mental health emergency visits: population-level strategies from participatory modelling.BMC psychiatry · 2024Article
- What Should Personalised Mental Health Support Involve? Views of Young People with Lived Experience and Professionals from Eight Countries.Administration and policy in mental health · 2024Article
- Youth Perspectives on 'Highly Personalised and Measurement-Based Care': Qualitative Co-Design of Education Materials.Health expectations : an international journal of public participation in health care and health policy · 2024Article
- Dynamic learning of individual-level suicidal ideation trajectories to enhance mental health care.Npj mental health research · 2024Article
- Revitalizing the role of social determinants in mental health.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2024Article
- Early intervention model for treating mood and anxiety disorders: A realist mixed-methods hypothesis test of emerging adult recovery through the mechanism of agency.PLOS mental health · 2024Article
Corrections and comments
- Commented on by
- Commented on by
- Commented on by
- Commented on by
- Commented on by
- Commented on by
- Commented on by
Authors and funding
12 authors.
Funding
Abstract
objectiveTo identify trajectories of social and occupational functioning in young people during the two years after presenting for early intervention mental health care; to identify demographic and clinical factors that influence these trajectories.
designLongitudinal, observational study of young people presenting for mental health care.
settingTwo primary care-based early intervention mental health services at the Brain and Mind Centre (University of Sydney), 1 June 2008 - 31 July 2018.
participants1510 people aged 12-25 years who had presented with anxiety, mood, or psychotic disorders, for whom two years' follow-up data were available for analysis.
main outcome measuresLatent class trajectories of social and occupational functioning based on growth mixture modelling of Social and Occupational Assessment Scale (SOFAS) scores.
resultsWe identified four trajectories of functioning during the first two years of care: deteriorating and volatile (733 participants, 49%); persistent impairment (237, 16%); stable good functioning (291, 19%); and improving, but late recurrence (249, 16%). The less favourable trajectories (deteriorating and volatile; persistent impairment) were associated with physical comorbidity, not being in education, employment, or training, having substance-related disorders, having been hospitalised, and having a childhood onset mental disorder, psychosis-like experiences, or a history of self-harm or suicidality.
conclusionsTwo in three young people with emerging mental disorders did not experience meaningful improvement in social and occupational functioning during two years of early intervention care. Most functional trajectories were also quite volatile, indicating the need for dynamic service models that emphasise multidisciplinary interventions and measurement-based care.
Indexed as
Identifiers
34664282What OpenQuestion holds
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.