YOUNG PEOPLE’S

HEALTH IN MIND

DR TONY BATESFOUNDER &

CEO

2006

“ … should intervene early when problems develop ...

providers should work in partnership with service users and their families and facilitate recovery

through the provision of accessible, comprehensive

and community-based mental health” services.”

(1.5 p. 14)

Person-based rate of deliberate self-harm by age and gender in 2006

© National Suicide Research Foundation 2008

Source: National Office for Suicide Prevention

8

“The biggest problem

for young people

is mental health

and yet there is

nothing out there,

there is just this

huge gap in the system,”

Emma, age 21

12

“...The thousands of teenagers who are somehow managing to live their lives while secretly disintegrating, wishing for oblivion.

They keep on keeping on, wondering if it is only at the edge of the cliff that the crowds appear with nets.”

Sarah Hayden, Aged 19

13

A Systemic Approach to

ChangeTh

e C

omm

unity Informal Supports

Neighbours & Neighbourhood

Youth Serving Systems

Family & Friends

Relatives

Young people engaged at every level of the organisation and empowered to speak on their own behalf.

A Systemic Approach to

Change

National database profiling youth mental health in Ireland. (My World)

Real-time data management system for every young person served

The

Com

mun

ity Informal Supports

Neighbours & Neighbourhood

Youth Serving Systems

Family & Friends

Relatives

Young people engaged at every level of the organisation and empowered to speak on their own behalf.

A nationally representative sample of 14,500 young people (12-25) years living in Ireland

Young people whoseek help enjoy better mental health

PRESENCE OF ONE GOOD ADULT was a key indicator of how well a young person is connected, self-confident, future looking and can cope with problems

ABSENCE OF ONE GOOD ADULT was linked to higher levels of distress, anti- social behaviour and increased risk for suicidal behaviour

©Headstrong, 2012

St Peter’s identified male mental health as a cause for concern in September 2015. One of the community representatives who sits on the Jigsaw School Team runs the local ‘Men's Shed’. With his guidance, Pat, the woodwork instructor set up a 'pool room' that acts as the school's own version of a ‘Men's Shed’.

A Systemic Approach to

Change

National database profiling youth mental health in Ireland. (My World)

Real-time data management system for every young person served

Youth friendly, accessible and effective systems of care for young people in the community

The

Com

mun

ity Informal Supports

Neighbours & Neighbourhood

Youth Serving Systems

Family & Friends

Relatives

Young people engaged at every level of the organisation and empowered to speak on their own behalf.

Young people told us they want

somewhere to turn to, someone to talk to…

someone who would LISTEN

& allow them to ‘go at their own pace’.

What kind of support do young people want?

MEATH

GALWAY

DONEGAL

System Strengthening

Direct Support to Young People

Community Awareness &

Education

35

Does it work?

TOP 10 PRESENTING ISSUES

1. Anxiety is the top presenting issue for all service categories.2. Low mood is the second highest issue for all service categories.3. Anger is the third highest issue for all service categories.

47.1% Brief Interventions18.1% Brief Contacts34.8% Individual Case Consultations

Non-clinical

Clinical

O’Keeffe, L., O’Reilly, A., O’Brien, G., Buckley, R., & Illback, R. (2015). Description and Outcome Evaluation of Jigsaw: An Emergent Irish Mental Health Early Intervention Programme for Young People. Irish Journal of Psychological Medicine, 32(1), 1-7.

LEVELS OF DISTRESS BEFORE & AFTER JIGSAW INTERVENTION

Healthy Low Mild Moderate Moderate-Severe Severe0

10

20

30

40

50BeforeAfter

Healthy Low Mild Moderate ModerateSevere

Severe

Findings from Jigsaw Collaboration Surveys

As a YOUNG PERSON I will be able to…

• look after my mental health

• get support in settings where I feel safe and comfortable

• get the support I need, when I need it

As SOMEONE WORKING WITH young people i will…

• feel more confident in responding to those in distress

• have easy access to

early intervention services, whom I know and trust

• work creatively with other agencies

As a COMMUNITY we will…

• begin to talk about “our young people”

• Understand how we all can support a young person’s mental health

• Feel confident to listen to a young person in distress

• know how to access professional help

“ … should intervene early when problems develop ...

providers should work in partnership with service users and their families and facilitate recovery

through the provision of accessible, comprehensive

and community-based mental health” services.”

(1.5 p. 14)

• Jigsaw has supported a significant of young

people, across age ranges and gender (esp. 16-18)

• Jigsaw validates hypothesis that young people will

access support at high rates when designed in

youth friendly manner

• Young people present with significant and

complex developmental & mental health issues

• Outcomes are in excess of expectations

• Jigsaw is emerging as a significant and integrative

component of the system of mental health

services and supports