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Aim: This paper outlines the transformation of youth mental health services in Edmonton, Alberta, a large city in Western Canada. We describe the processes and challenges involved in restructuring how services and care are delivered to youth (11‐25 years old) with mental health needs based on the objectives of the pan‐Canadian ACCESS Open Minds network. Methods: We provide a narrative review of how youth mental health services have developed since our engagement with the ACCESS Open Minds initiative, based on its five central objectives of early identification, rapid access, appropriate care, continuity of care, and youth and family engagement. Results: Building on an initial community mapping exercise, a service network has been developed; teams that were previously age‐oriented have been integrated together to seamlessly cover the age 11 to 25 range; early identification has thus far focused on high‐school populations; and an actual drop‐in space facilitates rapid access and linkages to appropriate care within the 30‐day benchmark. Conclusions: Initial aspects of the transformation have relied on restructuring and partnerships that have generated early successes. However, further transformation over the longer term will depend on data demonstrating how this has impacted clinical outcomes and service utilization. Ultimately, sustainability in a large urban centre will likely involve scaling up to a network of similar services to cover the entire population of the city. [ABSTRACT FROM AUTHOR]

This article presents information on the 35th Annual Meeting of the Society for Psychophysiological Research (SPR), as of January 1, 1995. The meeting will be held during October 11-15, 1995 in Toronto, Ontario. The official call for papers and further information about the location of the meeting will appear in the March 1995 issue of periodical "Psychophysiology." Registration and travel information may also be obtained from SPR Management Office, 1010 Vermont Avenue, NW Suite 1100, Washington DC.