The Adolescent Intensive Management Team: an intensive outreach mental  health service for high-risk adolescents.
OBJECTIVE
The aim of this paper was to describe the Adolescent Intensive Management (AIM) team at the Austin Child and Adolescent Mental Health Service (CAMHS), a unique model of intensive outreach service with high-risk and difficult-to-engage adolescents, and describe the profile of clients referred to it.


METHODS
This study used a retrospective review of clients' data, collected through file audit, over a 12-month period.


RESULTS
The result of the study showed that a 100% retention rate of adolescents with complex social, emotional and mental health needs is possible in a flexible and multi-system approach to service provision.


CONCLUSIONS
Clients referred to the CAMHS' AIM team displayed a pattern of multiple risk factors and comorbidities. Low caseload of 8-10 clients per clinician allowed flexibility and a level of intensity to make any necessary changes in service provision to better suit the client's needs. The majority of clients showed improvement in functioning following intervention by the team.
Assan
Ben
B
Child and Adolescent Mental Health Service, Austin Health, Heidelberg, VIC, Australia. ben.assan@austin.org.au
Burchell
Peter
P
Chia
Andrew
A
Coffey
Catherine
C
Floreani
Sophie
S
Weir
Jennifer
J
Hammond
Sabine Wingenfeld
SW
Woods
Barbara
B
D000293:Adolescent; D000367:Age Factors; D019090:Case Management / Q000458:organization & administration; D002649:Child Abuse / Q000523:psychology / Q000706:statistics & numerical data; D015928:Cognitive Behavioral Therapy; D003131:Combined Modality Therapy; D003156:Community Mental Health Services / Q000458:organization & administration*; D003159:Community-Institutional Relations; D015897:Comorbidity; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology / Q000628:therapy*; D010348:Patient Care Team / Q000458:organization & administration*; D011575:Psychoanalytic Therapy; D011619:Psychotropic Drugs / Q000627:therapeutic use; D012017:Referral and Consultation / Q000458:organization & administration; D012189:Retrospective Studies; D012307:Risk Factors; D012737:Sex Factors; D013406:Suicide, Attempted / Q000517:prevention & control / Q000523:psychology; D014739:Victoria
D011619:Psychotropic Drugs