Trajectory of service use among young Albertans with complex needs

Introduction Youth with complex-needs are vulnerable as a consequence of exposure to social adversity and/or chronic health conditions, and are at a high risk of school failure and justice involvement. Information about the patterns of service use across government sectors that influence the life ou...

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Main Authors: Hesam Izakian, Xinjie Cui, Suzanne Tough
Format: Article
Language:English
Published: Swansea University 2018-08-01
Series:International Journal of Population Data Science
Online Access:https://ijpds.org/article/view/652
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author Hesam Izakian
Xinjie Cui
Suzanne Tough
author_facet Hesam Izakian
Xinjie Cui
Suzanne Tough
author_sort Hesam Izakian
collection DOAJ
description Introduction Youth with complex-needs are vulnerable as a consequence of exposure to social adversity and/or chronic health conditions, and are at a high risk of school failure and justice involvement. Information about the patterns of service use across government sectors that influence the life outcomes of complex-needs youth is unknown. Objectives and Approach Youth with complex needs often engage with multiple services across multiple government sectors for extended periods of time. Understanding the patterns and trajectory of their service use may inform programs, decision makers and government in the optimal allocation of resources to increase their life outcomes. It may reveal where and when interventions would be most effective to improve the life course for vulnerable youth. In this study, through a unique approach to link over 20 administrative longitudinal datasets and a novel trajectory clustering technique, the patterns of service use among complex-needs young Albertans is revealed and visualized. Results A trajectory clustering technique was applied to reveal patterns of service use among complex-needs individuals. Compared to the general population, higher proportions of youth with complex needs lived in low socio-economic neighborhoods, suffered from mental health issues, were high cost health service users, and had lower rates of high school completion. Furthermore, youth having complex needs for a longer period of time and who required multiple complex services in a given year had the poorest outcomes, in terms of high school completion, mental health issues, and other health problems. The majority of complex-needs youth came in contact with services via the education system, followed by child services/welfare. Conclusion/Implications The trajectories of service use among complex-needs youth reveals that these individuals are primarily identified through education. Consequently, educational supports would best address the development of effective programs including mental health supports and other needs.
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spelling doaj.art-da8f4d00f2ab4886bfe392cacf848df62023-12-02T22:09:23ZengSwansea UniversityInternational Journal of Population Data Science2399-49082018-08-013410.23889/ijpds.v3i4.652Trajectory of service use among young Albertans with complex needsHesam Izakian0Xinjie Cui1Suzanne Tough2PolicyWise for Children & FamiliesPolicyWise for Children & FamiliesCumming School of Medicine, University of CalgaryIntroduction Youth with complex-needs are vulnerable as a consequence of exposure to social adversity and/or chronic health conditions, and are at a high risk of school failure and justice involvement. Information about the patterns of service use across government sectors that influence the life outcomes of complex-needs youth is unknown. Objectives and Approach Youth with complex needs often engage with multiple services across multiple government sectors for extended periods of time. Understanding the patterns and trajectory of their service use may inform programs, decision makers and government in the optimal allocation of resources to increase their life outcomes. It may reveal where and when interventions would be most effective to improve the life course for vulnerable youth. In this study, through a unique approach to link over 20 administrative longitudinal datasets and a novel trajectory clustering technique, the patterns of service use among complex-needs young Albertans is revealed and visualized. Results A trajectory clustering technique was applied to reveal patterns of service use among complex-needs individuals. Compared to the general population, higher proportions of youth with complex needs lived in low socio-economic neighborhoods, suffered from mental health issues, were high cost health service users, and had lower rates of high school completion. Furthermore, youth having complex needs for a longer period of time and who required multiple complex services in a given year had the poorest outcomes, in terms of high school completion, mental health issues, and other health problems. The majority of complex-needs youth came in contact with services via the education system, followed by child services/welfare. Conclusion/Implications The trajectories of service use among complex-needs youth reveals that these individuals are primarily identified through education. Consequently, educational supports would best address the development of effective programs including mental health supports and other needs.https://ijpds.org/article/view/652
spellingShingle Hesam Izakian
Xinjie Cui
Suzanne Tough
Trajectory of service use among young Albertans with complex needs
International Journal of Population Data Science
title Trajectory of service use among young Albertans with complex needs
title_full Trajectory of service use among young Albertans with complex needs
title_fullStr Trajectory of service use among young Albertans with complex needs
title_full_unstemmed Trajectory of service use among young Albertans with complex needs
title_short Trajectory of service use among young Albertans with complex needs
title_sort trajectory of service use among young albertans with complex needs
url https://ijpds.org/article/view/652
work_keys_str_mv AT hesamizakian trajectoryofserviceuseamongyoungalbertanswithcomplexneeds
AT xinjiecui trajectoryofserviceuseamongyoungalbertanswithcomplexneeds
AT suzannetough trajectoryofserviceuseamongyoungalbertanswithcomplexneeds