Celebrating the benefits of Rotherham’s Integrated Youth Support Service (IYSS)
Integrated Youth Services Scan - Frayme...Integrated Youth Services Scan Project Description...
Transcript of Integrated Youth Services Scan - Frayme...Integrated Youth Services Scan Project Description...
Integrated Youth Services Scan
Project Description
Integrated Youth Services (IYS) often provide a “one-stop-shop” for mental health, physical health, substance use and addictions, education, vocational supports, housing, and other social services. I
Numerous organizations are involved in providing IYS, but the models used and contexts in which they are employed vary considerably. In addition, there is limited national and international awareness related to IYS organizations, the work that they do, and their effectiveness. To address this knowledge gap, Frayme is conducting a three-phased scan of international IYS organizations to collect and share ‘on the ground’ practical information that is largely unavailable in the literature. This scan will create a vast compendium of knowledge on IYS by collecting and disseminating the following aggregated information:
Phase 1 - Organizational Context: Establishment processes, organization approaches, stakeholders involved, governance and leadership structures, sources of funding, barriers and enablers, and sustainability contributors and threatsPhase 2 - Clinical Processes and Procedures: Populations served, human resource allocations, service streams and interventions, coordination and integration processesPhase 3 - Partnerships, Evaluation, and Communication: Tracking and sharing of client information, evaluation frameworks and findings, and outreach and communication capacity
Participating Organizations
Integrated Youth Services (IYS) organizations were invited to participate if they provide a combination of mental health and substance use, physical health and/or sexual health, and at least 2 social services to youth between the ages of 10-29. The following is a list of participating organizations:
International:- Jigsaw (Ireland - Network)- Headspace (Australia - Network)- Youth One Stop Shops (New Zealand - Network)
Canadian-based:- Foundry (British Columbia - Network)- YouthCan IMPACT (Ontario - Network) - ACCESS Open Minds (National - Network) - Choices for Youth (St. John’s - Single Site) - NorWest Youth Hub (Winnipeg - Single Site) - Stella`s Place (Toronto - Single Site)- Youth Wellness Centre (Hamilton - Single Site)
Stakeholders Involved
Organizations identified common internal and external stakeholders that are involved in the establishment of their Integrated Youth Service. Service providing agencies are depicted as both an internal and external stakeholder since they are a combination of autonomous organizations working together to provide an array of services.
Integrated Youth Service organizations either work as single site organizations, or as a network (a backbone or central office connected to multiple service sites located in different communities). Interviewed networks identified differences in the roles and responsibilities of their backbone office versus service sites. Roles highlighted in green are either shared between both parties, or are undertaken by one or the other (dependent on the organization).
Organizations identified various sources and types of funding that support the operation of their Integrated Youth Service.
Networks: Role of Backbone vs Service Sites
Rationales for Establishment
Organizations identified common rationales for the establishment of their Integrated Youth Service. The most notable findings are highlighted.
Organizations identified common organizational principles that are used to guide the establishment and operation of their Integrated Youth Service. The most notable findings are highlighted.
Organizational Principles
Funding: Sources and Types
Governance Structures
Organizations identified their governance structures. The left side of the figure represents findings from networks, while the right represents findings from single site organizations. Most network backbones report to a Board of Directors or Governing Council. A minority of networks do not report to a Board of Directors because they function as ‘entities’ (e.g., research projects) rather than incorporated organizations. Usually, networks have two sets of advisory committees: those that advise the backbone, and those that advise local service sites.
Enablers and Barriers
Organizations identified enablers and barriers to establishing and running their Integrated Youth Service. The most notable findings are highlighted.
Organizations identified contributors and threats to the sustainability of their Integrated Youth Service. The most notable findings are highlighted.
Sustainability Contributors and Threats
For more information on this evergreen scan of Integrated Youth Services, please contact Meriem Benlamri ([email protected])
State of YouthMental Health
State of Youth Mental Health System
Identified CommunityNeeds
Funding Opportunities
Established Partnerships
Literature Visionary LeaderInvolvement
of Youth
Increased Media Attention on Youth
Mental Health
Development of a NationalMental Health
Policy Framework
Desire to Evaluatethe Effectiveness
of IYS
Practice-Based Evidence from other Contexts
Determinants of YouthMental Health
Youth Mental HealthSystem Transformation
Identified CommunityNeeds
Practice-Based Evidence from other Contexts
Established Partnerships
Youth Engagement Evaluation
Running a Pilot
Building Community Capacity Family Engagement
Positive Youth Development
Adaptable Core Components with a
Standardized Quality of Care
Integrated Youth
Service
Youth
Family
CommunityMembers
Academics
InternalWorkingGroup
ProvincialGovernment
RegionalHealth
Authority
FederalGovernment
PhilanthropicFunders
Grant Providing Agencies
Service Providing Agencies
Internal External
Integrated Youth
Service
Service Providing Agencies
Primary Care
Teams
CommunityHealth
Centres
Hospitals
TreatmentCentres
Social Service
Orgs
Youth Serving
Orgs
Psychiatrists
OtherCommunity
Orgs
Backbone Service Sites
• Coordination• Leadership• Strategic Direction• Cohesive Site Development• Site Implementation• Development of Clinical Models• Supporting Research & Evaluation• Partnership Development• Policy Development & Advocacy• Financial Administration• Information Technology• Communications & Branding• Knowledge Mobilization• Planning of Annual Site Meeting
• Service Provision• Site Management & Operations• Development of Service Agreements• Data Collection• Development of Youth Space
• Youth Engagement• Family Engagement
• Community Engagement• Human Resources
• Fundraising
Grants
Federal Government
Fundraising/ Charity
Provincial Government
Philanthropic Foundations
Industry
Income from Investments
Municipal Government
Social Enterprise
Anonymous Donors
Hosting Hospital
Project-basedFunding
MixedFunding
Permanent funding
Type of FundingSource of Funding
Networks Single Sites
Backbone Organization/Entity
Site A Site B Site C
Single Site Organization
Youth Indigenous Clinical
Research Family/CarersAdvisory
Committees
Board of Directors/Governing Council Board Board of Directors
Youth Leadership Social Enterprise
Research Family/Carers
Local Leadership
Local Youth Local Family/Carers
AdvisoryCommittees
Youth Engagement
Enablers
Partnerships
Funding
Government Support
Passionate Staff & Culture
Support from Senior Management
Grand Vision
Telling a Compelling Story
Positive Reputation
Training
Early Evaluation
Momentum in Youth Mental Health
++++++++++++
Breaking Barriers to Include Youth
BarriersGenuine Collaboration Takes Time
Lack of Funding
Limited Funding Timelines
Operational Changes
Complex Partnerships
Complex Environments
Policy & Legal Barriers re: Info Sharing
Funding Management Flows
Barriers to Sustainability
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Demonstrating Added Value
Sustainability Contributors
Assuring Funders with Data
Support from Government
Positive Reputation
Strong Partnerships
Shared Leadership Model
Increased Use of Services
Publicity & Local Support
Diverse Funding Model
+++++++++
Funding
Sustainability Threats
Hiring and Retaining Qualified Staff
Election Cycles
Outgrowing Space
Aging Population
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Phase 1 Findings