Evidence map›Paper›PMID 38769737›Full record

ArticleEarly intervention in psychiatry2025

Barriers and facilitators in the implementation of youth and young adult models of mental health care.

Joanna Reed, Lucy Hunn, Tiffany Smith, Robyn Bosworth, Brioney Gee, Clio Berry, Timothy Clarke

Abstract read
In one paragraph

Article in Early intervention in psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Joanna ReedDepartment of Clinical Psychology and Psychological Therapies, University of East Anglia, Norwich, UK.ORCID 0000-0003-2105-027X
Lucy HunnDepartment of Clinical Psychology and Psychological Therapies, University of East Anglia, Norwich, UK.
Tiffany SmithNorfolk and Suffolk NHS Foundation Trust, Norwich, UK.
Robyn BosworthNorfolk and Suffolk NHS Foundation Trust, Norwich, UK.
Brioney GeeDepartment of Clinical Psychology and Psychological Therapies, University of East Anglia, Norwich, UK.ORCID 0000-0003-0781-7753
Clio BerryDepartment of Primary Care and Public Health, Brighton and Sussex Medical School, Brighton, UK.ORCID 0000-0003-1164-9836
Timothy ClarkeDepartment of Clinical Psychology and Psychological Therapies, University of East Anglia, Norwich, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimIt is increasingly recognised that traditional models of mental health (MH) care, with a service transition at age 18 years, may not reflect best practice. The literature supports a move towards youth and young adult focused models of MH care, for young people up to the age of 25, which specifically cater to the unique psychosocial and developmental needs of this population. This service evaluation aimed to explore the facilitators and barriers to the implementation of youth models of MH care across England (UK).

methodsSix services participated in separate focus groups pertaining to their experience of implementing youth models of MH care. The interview guide for the focus groups was informed by the Consolidated Framework for Implementation Research (CFIR) and explored barriers and facilitators to implementation and sustainment. The focus groups were recorded, transcribed verbatim and analysed thematically.

resultsSeven key themes relevant to the implementation of youth models of MH care were identified: a clear rationale for doing things differently, for young people by young people, "building those relationships is key", service identity development, resource and infrastructure, leadership at multiple levels, and valuing and developing staff.

conclusionsThe findings suggest effective communication and leadership, co-production and cross system collaboration contribute to successful implementation of youth models of MH care. The findings will be of interest to those involved in informing and supporting successful implementation and delivery of youth models of mental health care at local and national levels.

Indexed as

Mental DisordersMental Health ServicesAdolescentAdultEnglandFemaleFocus GroupsHumansMaleYoung Adultadolescent mental healthimplementationqualitativeyoung adult mental healthyouth models of mental health care

Identifiers

PMID38769737
PMCPMC11730351

What OpenQuestion holds

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Registered trials

None linked

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.