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Intensive Youth Outreach in Mental Health: An Integrated Framework for Understanding and Intervention

SUMMARY ORYGEN Youth Health provides a unique mental health service targeting early detection and treatment for young people 12–25 years of age in the Western region of Melbourne, Australia. The Intensive Mobile Youth Outreach Service (IMYOS) is a subprogram targeting difficult-to-engage, high-risk young people with complex needs who are experiencing mental health difficulties. This report describes an integration of theoretical approaches: developmental theory, attachment theory, trauma theory, family systems theory, collaboration/coercion, and relationship management. These approaches inform the conceptualizations and interventions with IMYOS clients. A key part of IMYOS care relies on the therapeutic relationships. Intervention occurs at three levels - with the individual, their family and the system of professionals involved in their care. Theories and interventions are discussed in relation to young people, their family, systems and IMYOS teamwork.