title: [Youth mental health at the cross roads of service organization].
abstract: The importance of children and youth mental health is increasingly recognized. This rapidly developing field cannot be conceptualized as an extension of adult services to a younger age group and its developmental and organizational specificities are the object of debate. Reviewing recent literature in this domain and some preliminary information about the Quebec Mental Health Plan implementation, this paper addresses some of the questions which structure this debate in Quebec.Quebec mental health plan has put at the forefront collaboration among disciplines and partnership among institutions. In spite of having produced significant improvement in the field, discontinuities in services, which interfere with an ecosystemic model of care, persist. Recent studies suggest that the organisational climate which surrounds youth mental health services has a direct impact on the quality of services and on youth health outcomes. A flexible management structure, which engages clinicians and health workers, favors empowerment, minimizes work stress and facilitates partnership, is needed to foster successful interdisciplinary and intersectorial collaboration. This collaboration is the cornerstone of youth mental health services.
authors.affiliation: Université McGill; CSSS de la Montagne (CLSC de Parc-Extension).
authors.forename: Cécile
authors.initials: C
authors.lastname: Rousseau
authors.affiliation: Université McGill.
authors.forename: Lucie
authors.initials: L
authors.lastname: Nadeau
authors.affiliation: CSSS de la Montagne.
authors.forename: Annie
authors.initials: A
authors.lastname: Pontbriand
authors.affiliation: CSSS de la Montagne.
authors.forename: Janique
authors.initials: J
authors.lastname: Johnson-Lafleur
authors.affiliation: Université McGill.
authors.forename: Toby
authors.initials: T
authors.lastname: Measham
authors.affiliation: CSSS de la Montagne.
authors.forename: Joanna
authors.initials: J
authors.lastname: Broadhurst
mesh_terms: D000293:Adolescent; D016497:Adolescent Health Services / Q000458:organization & administration*; D002648:Child; D002662:Child Health Services / Q000458:organization & administration*; D003299:Cooperative Behavior; D006801:Humans; D008605:Mental Health Services / Q000458:organization & administration*; D011792:Quebec