Attribute | Level 1 | Level 2 | Level 3 | Level 4 |
---|---|---|---|---|
1. Core Health Services | Only mental health counseling. | Mental health and substance misuse counseling. | Mental health and substance misuse counseling, and medication management. | Mental health and substance misuse counseling, medication management, and physical/sexual health. |
2. Other Services | Education and employment services. | Housing, shelter and income support services. | Legal support services. | Choice of education, employment, housing, income support, and legal support services. |
3. Caregiver Involvement | No caregiver involvement. | Caregivers receive own counseling. | Caregivers involved in family counseling with youth, with youth consent. | Caregivers involved in decisions regarding youth counseling, with youth consent. |
4. Peer Support | Recreational activities led by trained peer support worker. | Can talk to a trained peer support worker, upon request. | Mental health groups run solely by a trained peer support worker. | Youth can be matched to an ongoing trained peer support worker to learn life skills and help them with services they need. |
5. Cultural Sensitivity | Cultural background is not considered when picking a service or service provider. | Can ask for a service provider with a certain cultural background, when available. | Services are culturally sensitive and trauma-informed. | Culturally based services are available for cultures common in the local area. |
6. E-Health Services | No e-health or electronic services. | Can schedule or reschedule appointments via email, text or online. | E-health services are offered 24/7 alongside in-person services during office hours. | All services are delivered only through a website, e-mail, text, or phone app. |
7. Age Range | Services for ages 12–24, in a youth-only setting. | Services for ages 12–29, in a youth-only setting. | Services for ages 12–24, in a setting that also has services for children 0–12. | Services for ages 12–29, in a setting that also has services for adults 29 + . |
8. Time of Appointments | Monday to Friday, 9 AM-5 PM. | Monday to Friday, 9 AM-9 PM. | Monday to Friday, 9 AM-9 PM, and Saturday, 9 AM-5 PM. | 24/7. |
9. Wait Times | See a counselor for the first time immediately, during office hours. | See a counselor for the first time after about 72 h. | See a counselor for the first time after about 1 month. | See a counselor for the first time after more than 1 month. |
10. Location | Building or office in the community that specializes in mental health services. | Youth cafe and recreation centre. | Hospital or doctor’s office. | School setting. |
11. Engagement | Youth and caregivers give feedback, e.g., anonymous surveys. | Youth and caregivers are on staff at the organization. | Youth and caregivers are on an advisory group that gives feedback on services and evaluation. | Youth and caregivers play a leadership role in making decisions for the organization. |
12. Information Sharing | No sharing of personal information with caregivers. | All personal information is available to caregivers, with youth consent. | Service provider decides what information to share with caregivers, with youth consent. | Youth and service provider work together to decide what personal information to share with caregivers and how that can be helpful. |