Open access

Evaluating a Rural Mobile Crisis Service for Children and Youth

Publication: Canadian Journal of Community Mental Health
16 March 2020

Abstract

Mobile crisis services for children and youth have been available in Ontario since 2000 yet little descriptive information about such services exists. In this evaluation, crisis workers gathered demographic information and details about the nature of the crisis from youth ages 12 to 17 and parents/guardians of children from birth to 17 years of age during a crisis intervention. Approximately two weeks post-intervention, participants responded to a quantitative questionnaire administered via telephone that measured levels of upset, awareness, coping, and confidence. This paper adds to the literature by describing the types of calls received, characteristics of service users, and outcomes for youth and families. The findings suggest this type of service may be valuable in serving youth, and that more rigorous examination is required by mobile crisis services for youth to demonstrate the true contribution.

Résumé

Depuis 2000, des services de crise mobiles destinés aux enfants et aux jeunes sont disponibles en Ontario. Il existe toutefois peu de renseignements descriptifs sur ces services. Dans le cadre de la présente évaluation, des intervenants en situation de crise ont recueilli, lors d’interventions, des données démographiques et divers renseignements sur la nature des crises subies auprès de jeunes gens de 12 à 17 ans et de parents/tuteurs d’enfants de moins de 17 ans. Approximativement deux semaines après l’intervention, les participants étaient invités à répondre à un questionnaire téléphonique quantitatif conçu pour évaluer les niveaux de perturbation, de sensibilisation, d’adaptation et de confiance. Le présent article vise à enrichir la littérature existante en décrivant la nature des appels reçus, les caractéristiques particulières des utilisateurs des services et les dénouements espérés pour les jeunes et leurs familles. Les résultats suggèrent que les services de ce type peuvent être d’une grande valeur pour les jeunes. Une analyse plus approfondie de la part des services de crise mobiles destinés aux jeunes s’avère toutefois nécessaire pour démontrer la véritable contribution apportée par ce genre de services.

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References

Bennett K., Rhodes A. E., Duda S., Cheung A. H., Manassis K., Links P., and Bridge J. A. 2015 A youth suicide prevention plan for Canada: A systematic review of reviews The Canadian Journal of Psychiatry 60 6 245 -257
Berg, B. L. (2007). Qualitative research methods for the social sciences (6th ed.). Boston, MA: Pearson Education Inc.
Bleach G. and Claiborn W. L. 1974 Initial evaluation of hot-line telephone crisis centers Community Mental Health Journal 10 4 387 -394
Bonynge E. R., Lee R. G., and Thurber S. 2005 A profile of mental health crisis response in a rural setting Community Mental Health Journal 41 6 675 -685
Braganza, M., Sheehan, T., & Young, D. (2011). Beginning evaluation: A formal evaluation of the Child and Youth Crisis Service. Social Science Research Network. Retrieved from https://papers.ssrn.com/sol3/papers.cfm?abstract_id=3522719
Canadian Institutes of Health Research, Natural Sciences and Engineering Research Council of Canada, & Social Sciences and Humanities Research Council of Canada. (2014). Tri-council policy statement: Ethical conduct for research involving humans, December 2014. Retrieved from http://www.pre.ethics.gc.ca/pdf/eng/tcps2-2014/TCPS_2_FINAL_Web.pdf
Canadian Mental Health Association. (2017). Suicide and youth. Retrieved from http://toronto.cmha.ca/mental_health/youth-and-suicide/#.WWTw1RgZPow
Christy A., Kutash K., and Stiles P. 2006 Short term involuntary psychiatric examination of children in Florida Administration and Policy in Mental Health and Mental Health Services Research 33 5 578 -584
Ferris L. E., Shulman K. L., and Williams J. I. 2001 Methodological challenges in evaluating mobile crisis psychiatric programs The Canadian Journal of Program Evaluation 16 2 27 -40
Fernandez C. 2008 Ethical issues in health research in children Paediatrics & Child Health 13 8 707 -712
Garland A. F. and Besinger B. A. 1996 Adolescents’ perceptions of outpatient mental health services Journal of Child and Family Studies 5 3 355 -375
Geller J. L., Fisher W. H., and McDermeit M. 1995 A national survey of mobile crisis services and their evaluation Psychiatric Services (Washington, DC) 46 9 893 -897
Gould M. S., Kalafat J., Munfakh J. L. H., and Kleinman M. 2007 An evaluation of crisis hotline outcomes part 2: Suicidal callers Suicide and Life-Threatening Behavior 37 3 338 -352
Gulliver A., Griffiths K. M., and Christensen H. 2010 Perceived barriers and facilitators to mental health help-seeking in young people: A systematic review BMC Psychiatry 10 1 113
Guo S., Biegel D. E., Johnsen J. A., and Dyches H. 2001 Assessing the impact of community-based mobile crisis services on preventing hospitalization Psychiatric Services 52 2 223 -228
Kalafat J., Gould M. S., Munkfakh J. L. H., and Kleinman M. 2007 An evaluation of crisis hotline outcomes part 1: Nonsuicidal crisis callers Suicide and Life-Threatening Behavior 37 3 322 -337
Larsen D. L., Attkisson C. C., Hargreaves W. A., and Nguyen T. D. 1979 Assessment of client/patient satisfaction: Development of a general scale Evaluation and Program Planning 2 197 -207
Larson, P. L. (1996). A process evaluation of a mobile crisis team program for youth and families (Unpublished doctoral dissertation). University of Minnesota, Minneapolis, Minnesota.
LivingWorks. (2016). ASIST two-day training. Retrieved from https://www.livingworks.net/programs/asist/
Martin, W. (2005). An efficacy study of a youth mobile crisis intervention program. (Unpublished doctoral dissertation). Union Institute and University, Cincinnati, Ohio.
Meehan S. and Broom Y. 2007 Analysis of a national toll free suicide crisis line in South Africa Suicide and Life-Threatening Behavior 37 1 66 -78
Myers, A., & Hansen, C. (2002). Experimental psychology. Pacific Grove, CA: Wadsworth.
Rosenbaum A. and Calhoun J. F. 1977 The use of the telephone hotline in crisis intervention: A review Journal of Community Psychology 5 325 -339
Scott R. L. 2000 Evaluation of a mobile crisis program: Effectiveness, efficiency, and consumer satisfaction Psychiatric Services 51 9 1153 -1156
Shannahan, R., & Fields, S. (May, 2016). Services in support of community living for youth with serious behavioral health challenges: Mobile crisis response and stabilization services. Retrieved from http://files.ctctcdn.com/57c33206301/99207599-51ca-4cab-a1e6-e596055310be.pdf
Statistics Canada. (2007a). Haldimand County, Ontario (code 3528018), 2006 Community Profiles, Catalogue no. 92-591-XWE, [Table]. Retrieved July 1, 2011 from http://www12.statcan.ca/census-recensement/2006/dp-pd/prof/92-591/index.cfm?Lang=E
Statistics Canada. (2007b). Norfolk County, Ontario (code 3528052), 2006 Community Profiles, Catalogue no. 92-591-XWE [Table]. Retrieved July 1, 2011 from http://www12.statcan.ca/census-recensement/2006/dp-pd/prof/92-591/index.cfm?Lang=
Stewart S. L. and Hirdes J. P. 2015 Identifying mental health symptoms in children and youth in residential and in-patient care settings Healthcare Management Forum 2015 28 4 150 -156
Vanderploeg J. J., Lu J. J., Marshall T. M., and Stevens K. 2016 Mobile crisis services for children and families: Advancing a community-based model in Connecticut Children and Youth Services Review 71 103 -109
Vogel-Stone, C. C. (1999). Outcomes of mobile crisis intervention services: Impressions from service recipients and service providers. (Unpublished doctoral dissertation). California School of Professional Psychology, San Francisco, California.
Youthdale Treatment Centres. (2000). Mobile crisis services for children and adolescents: Training resource. Retrieved from http://youthdale.ca/pdf/training_resource.pdf

Information & Authors

Information

Published In

cover image Canadian Journal of Community Mental Health
Canadian Journal of Community Mental Health
Volume 38Number 3November 2019
Pages: 79 - 96

History

Version of record online: 16 March 2020

Key Words

  1. crisis
  2. children’s mental health services
  3. mobile crisis service
  4. program evaluation
  5. rural mental health

Mots-clés

  1. crise
  2. services de santé mentale pour les enfants
  3. service de crise mobile
  4. évaluation des programmes
  5. santé mentale en milieu rural

Authors

Affiliations

Morgan E. Braganza
Wilfrid Laurier University, Redeemer University College
Deborah Young
Haldimand-Norfolk REACH
T. D. Sheehan [email protected]
Haldimand-Norfolk REACH

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