Implementing Foundry: A cohort study describing the regional and virtual expansion of a youth integrated service in British Columbia, Canada

• Published in: Early intervention in psychiatry 2024-10, Vol.18 (10), p.877-887
• Main Authors: Barbic, Skye, Mallia, Emilie, Wuerth, Kelli, Ow, Nikki, Marchand, Kirsten, Ben-David, Shelly, Ewert, Alayna, Turnbull, Haley, Gao, Chloe, Ding, Xiaoxu, Dhillon, Avneet, Hastings, Katherine, Langton, Julia, Tee, Karen, Mathias, Steve
• Format: Article
• Language: English
• Subjects: Clients; COVID-19; Data capture; Demographics; Impact analysis; Mental health; Pandemics
• ISSN: 1751-7885; 1751-7893; 1751-7893
• DOI: 10.1111/eip.13538

Integrated youth services (IYS) have been identified as a national priority in response to the youth mental health and substance use (MHSU) crisis in Canada. In British Columbia (BC), an IYS initiative called Foundry expanded to 11 physical centres and launched a virtual service. The aim of the study was to describe the demographics of Foundry clients and patterns of service utilization during this expansion, along with the impact of the COVID-19 pandemic. Data were analysed for all youth (ages 12-24) accessing both in-person (April 27th, 2018-March 31st, 2021) and virtual (May 1st, 2020-March 31st, 2021) services. Cohorts containing all clients from before (April 27th, 2018-March 16th, 2020) and during (March 17th, 2020-March 31st, 2021) the COVID-19 pandemic were also examined. A total of 23 749 unique youth accessed Foundry during the study period, with 110 145 services provided. Mean client age was 19.54 years (SD = 3.45) and 62% identified as female. Over 60% of youth scored 'high' or 'very high' for distress and 29% had a self-rated mental health of 'poor', with similar percentages seen for all services and virtual services. These ratings stayed consistent before and during the COVID-19 pandemic. Foundry has continued to reach the target age group, with a 65% increase in number of clients during the study period compared with the pilot stage. This study highlights lessons learned and next steps to promote youth-centred data capture practices over time within an integrated youth services context.