Developing the 'youth model' in mental health services.
OBJECTIVE
The aim of this paper was to review the basis of the 'youth model' and new 'headspace' service delivery structures, proposed as a solution to the problem of high rates of psychiatric disorder in the youth period of life. Several issues were examined through asking key questions and answering these from the perspective of two academically oriented child and adolescent psychiatrists.


CONCLUSIONS
As half of all mental disorders appear during childhood and early adolescence, more research into the origin and emergence of these problems should focus on this early period of life. Prevention research should also focus largely on children and adolescents, with interventions targeted through sequential assessment at pivotal stages. The current problem of access to mental health care for youth in the adult mental health service system could be improved with additional funding and culture change - it is not necessary to create a new service system. Indeed, there are dangers in establishing new services for 12-25-year-olds, as the 12-17-year-old population has different needs from 18-25-year-olds. In particular, the younger group are at risk of 'adultification' by being grouped together with young adults, and this risk needs to be actively managed. Health service planning must pay attention to developmental differences. Several suggestions are proposed for addressing the mental health needs of young adults.
Birleson
Peter
P
Faculty of Health, Medicine, Nursing and Behavioural Sciences, Deakin University, Parkville, VIC, Australia. peter.birleson@rch.org.au
Vance
Alasdair
A
D000223:Adaptation, Psychological; D000293:Adolescent; D000296:Adolescent Psychiatry / Q000458:organization & administration*; D000328:Adult; D001315:Australia; D002648:Child; D002665:Child Psychiatry / Q000458:organization & administration*; D003430:Cross-Sectional Studies; D003695:Delivery of Health Care / Q000458:organization & administration*; D006287:Health Planning Guidelines; D006297:Health Services Accessibility / Q000458:organization & administration; D006801:Humans; D001523:Mental Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000517:prevention & control / Q000628:therapy; D008960:Models, Psychological; D011322:Primary Prevention / Q000458:organization & administration; D015397:Program Evaluation; D012307:Risk Factors; D012931:Social Environment