![]() ![]() Club Synergy fue diseñado como una solución innovadora y pragmática que responde a las necesidades de los jóvenes e incorpora todos los niveles de atención necesarios (prevención, identificación e intervención tempranas, y tratamiento) en un solo servicio informado en trauma que utiliza una aproximación transdiagnóstica. ![]() Los servicios de apoyo y prevención psicosocial y de salud mental para los jóvenes en la República de Georgia han sido extremadamente limitados, lo que ha dejado una gran brecha en el tratamiento y la atención. La década comprendida entre los 14 y los 25 años es un período particularmente vulnerable para el desarrollo de problemas de salud mental, especialmente de trastornos mentales comunes. This pragmatic study of a newly established mental health service for young people in Georgia suggests that a trauma-informed approach, using transdiagnostic modules, has the potential to effectively prevent and treat common mental health presentations. Preliminary analysis indicates that Club Synergy's trauma-informed model of care, based on a transdiagnostic approach, has the potential to provide an effective service to young people in Georgia at risk of developing and with mental health problems. After engaging in transdiagnostic modules, median baseline scores for depression and anxiety reduced by 40% and 45%, respectively, and self-rated health improved by 14%. Seventy-three per cent reported 4 or more adverse childhood experiences. Emotional disturbance (73.6%), anxiety (60.3%), problems in interpersonal relationships (57.5%) and low mood (49.4%) were the commonest presenting symptoms. The majority (68.9%) self-referred, with referral from The Ministry of Justice due to conflict with law (23%) accounting for most of the other young people seen. Hundred and seventy-four young people were included. ![]() Pre-post outcomes for anxiety (GAD-7), depression (PHQ-9) and health-related quality of life (EQ-5D-5L) were analysed using the Wilcoxon signed-rank test. Demographic information was analysed using descriptive statistics. Quantitative evaluation of a consecutive series of young people seen by Club Synergy between November 2019 and July 2020. To examine the characteristics of young people presenting to Club Synergy and the effectiveness of contact with the service. This paper presents preliminary findings from the pilot phase of establishing and running the service. Club Synergy was designed as an innovative, pragmatic solution that is responsive to the needs of young people and incorporates all necessary levels of care required (prevention, early identification & intervention, and treatment) into a single, trauma-informed service that uses a transdiagnostic approach. Mental health and psychosocial prevention and support services for young people in the Republic of Georgia have been extremely limited, leaving a wide treatment and care gap. The decade between the ages of 14 and 25 is a particularly vulnerable period for the development of mental health problems, especially of common mental disorders. ![]()
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