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

Iyer, Srividya N.; Shah, Jai; Boksa, Patricia; Lal, Shalini; Joober, Ridha; Andersson, Neil; Fuhrer, Rebecca; Abdel-Baki, Amal; Beaton, Ann M.; Reaume-Zimmer, Paula; Hutt-MacLeod, Daphne; Levasseur, Mary Anne; Chandrasena, Ranjith; Rousseau, Cécile; Torrie, Jill; Etter, Meghan; Vallianatos, Helen; Abba-Aji, Adam; Bighead, Shirley; MacKinnon, Aileen; Malla, Ashok K.

doi:10.1186/s12888-019-2232-2

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
URBAN SITES
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
SEMI-URBAN / RURAL
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.
INDIGENOUS / REMOTE
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

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

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ISSN: 1471-244X

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