CHAPTER 2: RESEARCH
2.1 Research 2.2 History of care 2.3 Evolving models of care 2.4 Specific youth needs 2.5 Navigating complexities
Key findings
The model of care is changing, but buildings are not changing with it
Many existing mental health services do not address the specific needs of adolescents and young adults
Services that are available to young people are complex and difficult to access.
2.1 Research How is mental health care being delivered? How can we remove the barriers to accessing care? The history of mental health care in New South Wales provides significant insight into changing approaches and perceptions of mental illness in the modern era. In the late 19th century, there was a shift towards a moral and humane approach for those suffering from mental illness. This new approach to care was focused on dignity, compassion, and comfort. However, declining investment over the years led to neglect, mistreatment, and abuse, well documented in a series of reports and royal commissions.
reduction in acute lengths of stay, with a higher focus on outpatient care and improved selfmanagement of care in the community. In recent years, a trauma-informed perspective is being integrated into care models, requiring more individualised treatment approaches. However, there is a need for the physical environment to be adapted to meet diverse populations and reduce the risk of re-traumatisation. Existing buildings which are institutional, de-humanising and impersonal are not appropriate for effective trauma-informed care. The physical environment has a part to play in the way care is delivered, and a positive therapeutic environment can have a significant impact on recovery.
Renewed investment in mental health care and social awareness led to rapidly evolving approaches to treatment. A person-centred, recovery-focused model has led to a significant
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