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      Development and Implementation of the National Mental Health Referral Network for Elite Athletes: A Case Study of the Australian Institute of Sport

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          Abstract

          Awareness-raising and antistigma campaigns have sought to increase the acceptance of mental ill health across the general community and subpopulations of elite athletes. Nonetheless, gaps remain for models of clinical service provision. As cultural change prompts elite athletes toward more open and positive perceptions of help seeking, the number of athletes seeking evidence-based mental health intervention has been predicted to increase. In this context, the Australian Institute of Sport (AIS) established the national Mental Health Referral Network. The network comprises registered mental health professionals (psychologists) and is led by the AIS Athlete Wellbeing and Engagement branch. This case study describes the development and implementation of this network, including the service-provider procurement process and strategic consultation provided by Orygen. Details are provided for international bodies seeking to undertake similar initiatives. Reflections on program implementation highlight opportunities for expansion and data capture, informing future education-based initiatives.

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          Most cited references52

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          Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication.

          Little is known about lifetime prevalence or age of onset of DSM-IV disorders. To estimate lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the recently completed National Comorbidity Survey Replication. Nationally representative face-to-face household survey conducted between February 2001 and April 2003 using the fully structured World Health Organization World Mental Health Survey version of the Composite International Diagnostic Interview. Nine thousand two hundred eighty-two English-speaking respondents aged 18 years and older. Lifetime DSM-IV anxiety, mood, impulse-control, and substance use disorders. Lifetime prevalence estimates are as follows: anxiety disorders, 28.8%; mood disorders, 20.8%; impulse-control disorders, 24.8%; substance use disorders, 14.6%; any disorder, 46.4%. Median age of onset is much earlier for anxiety (11 years) and impulse-control (11 years) disorders than for substance use (20 years) and mood (30 years) disorders. Half of all lifetime cases start by age 14 years and three fourths by age 24 years. Later onsets are mostly of comorbid conditions, with estimated lifetime risk of any disorder at age 75 years (50.8%) only slightly higher than observed lifetime prevalence (46.4%). Lifetime prevalence estimates are higher in recent cohorts than in earlier cohorts and have fairly stable intercohort differences across the life course that vary in substantively plausible ways among sociodemographic subgroups. About half of Americans will meet the criteria for a DSM-IV disorder sometime in their life, with first onset usually in childhood or adolescence. Interventions aimed at prevention or early treatment need to focus on youth.
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            The Lancet Commission on global mental health and sustainable development

            The Lancet, 392(10157), 1553-1598
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              Mental health of young people: a global public-health challenge.

              Mental disorders account for a large proportion of the disease burden in young people in all societies. Most mental disorders begin during youth (12-24 years of age), although they are often first detected later in life. Poor mental health is strongly related to other health and development concerns in young people, notably lower educational achievements, substance abuse, violence, and poor reproductive and sexual health. The effectiveness of some interventions for some mental disorders in this age-group have been established, although more research is urgently needed to improve the range of affordable and feasible interventions, since most mental-health needs in young people are unmet, even in high-income countries. Key challenges to addressing mental-health needs include the shortage of mental-health professionals, the fairly low capacity and motivation of non-specialist health workers to provide quality mental-health services to young people, and the stigma associated with mental disorder. We propose a population-based, youth focused model, explicitly integrating mental health with other youth health and welfare expertise. Addressing young people's mental-health needs is crucial if they are to fulfil their potential and contribute fully to the development of their communities.
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                Author and article information

                Journal
                Case Studies in Sport and Exercise Psychology
                Human Kinetics
                2470-4849
                2470-4857
                January 01 2020
                January 01 2020
                : 4
                : S1
                : S1-27-S1-35
                Affiliations
                [1 ]1Orygen
                [2 ]2University of Melbourne
                [3 ]3Australian Institute of Sport
                Article
                10.1123/cssep.2019-0016
                f21e9cf5-5a65-44fd-9fc3-d28af8b93178
                © 2020
                History

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