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Table 1 ACCESS Open Minds Site Descriptions (A list of study sites with addresses can be obtained from the trial registry)

From: A minimum evaluation protocol and stepped-wedge cluster randomized trial of ACCESS Open Minds, a large Canadian youth mental health services transformation project

Site (prominent languages of the milieu) Province Youth Population1 Target N of youth expected to consent to research2 Notable features of youth population, if any Service system features
PEER Saint John (English) New Brunswick 11,085 277 Many low socio-economic status, many NEET3 Mental health day-treatment centre
Dorval-Lachine- Lasalle (French, English) Québec 18,530 864 28% speak languages other than English/French Primary care centre offering health and social services to specified geographic catchment
RIPAJ-Montréal Homeless Youth Network* (French, English) Québec 1000* 93 Homeless, many NEET Network of community organisations; and primary and tertiary public health and social service settings
Parc-Extension (English, French) Québec 5065 236 Large numbers (over 60%) are visible minority and immigrant Primary care centre offering health and social services to specified geographic catchment
Edmonton (English) Alberta 17,010 700 Many homeless, Many NEET Governed by single authority that provides health care to entire province
University of Alberta* (English) Alberta 8000 329 First year university students Student services at the university
Caraquet, Acadian Peninsula (French) New Brunswick 555 39   Mobile team and community centre
Chatham-Kent (English) Ontario 17,355 865 Also serves two neighboring First-Nation communities Community-based youth services hub; Key partners are public health and addictions program and a community mental health organization.
Eskasoni First Nation (Mi’kmaq, English) Nova Scotia 1025   Mental health centre (division of health centre) accountable to the Band Council
Elsipogtog First Nation (Mi’kmaq, English) New Brunswick 839   Health centre and youth space accountable to the Band Council
Cree Nation of Mistissini (Cree, English) Québec 1015   Network of services funded by Cree Health Board and local Band Council
Puvirnituq (Inuktitut, English) Québec 535 Remote, Northern Lay health workers in collaboration with Saqijuq, a community youth diversion initiative
Sturgeon Lake First Nation (Plains Cree, English) Saskatchewan 350   Youth Space with mobile ACCESS clinician services
Ulukhaktok (Inuvialuit, English) Northwest Territories 105 Remote, Northern Lay health workers in collaboration with Inuvialuit Regional Corporation4
  1. 1Based on estimate for number of youth aged 10 to 24 from the Census Profile, 2016 Census, Statistics Canada 2 This column represents the expected number of youth who will consent to research at each site. This number represents 60% of the total number of youth who are projected to receive services at each site. This projected number was arrived at using each site’s known youth population and estimates of youth mental health help-seeking prevalence and unmet needs from the Canadian Community Health Survey – Mental Health (CCHS-MH; 2012). Although Indigenous communities had not been included in the CCHS-MH, the same formula was used to arrive at minimum target numbers for the Indigenous community sites, knowing that these would be under-estimates given the expected higher prevalence of mental health help-seeking in Indigenous contexts. These minimum estimates for Eskasoni First Nation, Elsipogtog First Nation, Cree Nation of Mistissini, Puvirnituq, Sturgeon Lake First Nation and Ulukhaktok were 68, 56, 44, 23, 17 and 5, respectively. The CCHS-MH based formula was also not used for RIPAJ and University of Alberta (marked with *) which are not catchment-area based sites. 3 NEET = Not in employment, education or training 4 Inuvialuit Regional Corporation (IRC) is an Indigenous Organization currently under-going self-government negotiations. IRC does not directly deliver mental health services in the Inuvialuit Settlement Region but delivers many social, wellness and cultural programs that supplement services provided by the Government of Northwest Territories