COH-MentalHealthBook

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SPECIFIC GROUPS ameliorated, and most youth are struggling to address mental health challenges and develop new coping mechanisms relevant to non-street contexts. The intervention aimed to provide mental health support to a population of youth who often have difficulty engaging with traditional mental health services, despite experiencing significant changes in daily living, increased social isolation, and ongoing mental health needs, as well as having histories of maltreatment and complex trauma. This endeavour is particularly timely given the recent wave of Housing First for youth initiatives that have arisen globally, which highlight the need for developmentally appropriate and practical social and mental health supports to coincide with basic housing for youth (Gaetz, 2014; Hodges, Ferreira, Israel, & Mazza, 2006). INTERVENTION DEVELOPMENT PROCESS Key aspects of the challenges faced by youth transitioning to housing include loneliness, maintaining hope, psychological distress, and challenges establishing a sense of meaning, purpose, and place through the transition process. Participants in the Kidd et al. (2016) study reported experiencing mental health challenges, and the re-emergence of symptoms of complex trauma, in particular. In response to these identified needs, as well as in an attempt to maximize often finite clinical and community resources, we aimed to design a weekly group intervention. Given the evidenced high need for but chronic lack of mental health services for these youth, as well as the extremely limited knowledge base on the efficacy of mental health interventions with this population, this group intervention represents a novel investigation into the development and delivery of mental health services for youth who are transitioning from homelessness to housing. The development process for the intervention included a review of current literature in the area of clinical intervention with precariously housed youth, as well as the broader emerging adult intervention literature, in order to identify promising evidence-based materials. Using a broad team consultation method, which included experts in the fields of youth homelessness, mindfulness, and dialectical behaviour therapy, as well as our broader intervention staff (i.e., peer mentors, case managers, researchers), and our community organization partners, key intervention domains and materials were vetted and prioritized. This process identified 10 key intervention domains with multiple modules in each. The group development process continued throughout the provision of the group, as participants’ requests and needs were integrated into group content. Several significant development considerations and their integration into group structure and content are mapped out in Figure 2.6-1. 151
MENTAL HEALTH & ADDICTION INTERVENTIONS FOR YOUTH EXPERIENCING HOMELESSNESS: PRACTICAL STRATEGIES FOR FRONT-LINE PROVIDERS FIGURE 2.6-1: HOUSING OUTREACH PROGRAM COLLABORATION WELLNESS & MINDFULNESS GROUP DEVELOPMENT CONSIDERATIONS IN GROUP DEVELOPMENT COMPONENTS OF GROUP INTERVENTION Context of Youth Transitioning from Homelessness to Housing Youth averse to formal mental health interventions/ clinical spaces due to past experiences and fears of discrimination against them Setting is community arts hub that offers diverse arts programming and evening meals following group; transit cost provided Youth reluctant to visit shelter settings after having made transition to housing Open format to encourage flexible participation around youths’ changing needs and schedules Ongoing struggles meeting basic needs (i.e., food, ongoing housing challenges) Youth experiencing continued crises and chaos after moving into housing uth experiencing initial mistrust and requiring relationship development to engage in services For initial group sessions, short YouTube videos were created introducing facilitators and session topics Weekly email/text/phone communication from co-facilitator introducing group content Peer mentors attended initial groups to enhance comfort and build connection 152
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Mental Health & Addiction Intervent
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© 2018 Canadian Observatory on Hom
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PREFACE Challenged mental health, b
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ut without specialist assistance, i
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HOW WE DEFINE “YOUTH” IN THE BO
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FOREWORD At this year’s Canadian
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CONTENTS PART 1: APPROACHES & INTER
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PART 1 APPROACHES & INTERVENTIONS
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MENTAL HEALTH & ADDICTION INTERVENT
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APPROACHES & INTERVENTIONS 1.3 MIND
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APPROACHES & INTERVENTIONS interper
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APPROACHES & INTERVENTIONS Mindfuln
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APPROACHES & INTERVENTIONS of focus
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APPROACHES & INTERVENTIONS KEY STRA
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APPROACHES & INTERVENTIONS TRAINING
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APPROACHES & INTERVENTIONS Speca, M
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PART 2 SPECIFIC GROUPS
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CONTEXTS & CONSIDERATIONS 3.4 THE I
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CONTEXTS & CONSIDERATIONS The IPS m
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CONTEXTS & CONSIDERATIONS ADAPTATIO
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CONTEXTS & CONSIDERATIONS Collectiv
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CONTEXTS & CONSIDERATIONS Benefits
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CONTEXTS & CONSIDERATIONS For the m
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CONTEXTS & CONSIDERATIONS When work
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CONTEXTS & CONSIDERATIONS Mueser, K
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CONTEXTS & CONSIDERATIONS 3.6 PEER
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CONTEXTS & CONSIDERATIONS Adhikari
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CONTEXTS & CONSIDERATIONS Involveme
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CONTEXTS & CONSIDERATIONS Use good
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CONTEXTS & CONSIDERATIONS CAUTIONS
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CONTEXTS & CONSIDERATIONS A final c
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CONTEXTS & CONSIDERATIONS perceptio
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CONTEXTS & CONSIDERATIONS 3.9 RESIL
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CONTEXTS & CONSIDERATIONS MENTAL HE
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CONTEXTS & CONSIDERATIONS that sexu
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CONTEXTS & CONSIDERATIONS RISK & PR
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CONTEXTS & CONSIDERATIONS INTERVENT
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CONTEXTS & CONSIDERATIONS signs of
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CONTEXTS & CONSIDERATIONS REFERENCE
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CONTEXTS & CONSIDERATIONS Taib, N.
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ASSESSMENT & EVALUATION 4.1 ASSESSM
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ASSESSMENT & EVALUATION Based on th
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ASSESSMENT & EVALUATION USING A COO
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ASSESSMENT & EVALUATION PRIORITIZIN
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ASSESSMENT & EVALUATION In the cont
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ASSESSMENT & EVALUATION Juneau Econ
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I had the opportunity to enroll in
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Stephen Gaetz, CM, is a professor i
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