Enhancing Youth Engagement Through Measurement-Based Care

About us

The purpose of this project is to enhance the implementation of Measurement-Based Care (MBC) within Youth Wellness Hubs Ontario (YWHO) Networks, with a focus on youth accessing counselling services. Recognizing challenges in the standardized practice of MBC, this project aims to co-develop and evaluate a youth-friendly tool that fosters engagement and shared decision-making of youth in MBC. By actively involving youth advisors and employing a comprehensive methodology, the project seeks to improve treatment engagement, increase MBC uptake, and ultimately enhance the quality of counselling services for youth within the YWHO Networks.

Brianna Dunstan, Matthew Prebeg, Izzar Linares

Background

This project addresses the challenges surrounding the implementation of Measurement-Based Care (MBC) within the Youth Wellness Hubs Ontario (YWHO) Networks, particularly focusing on integrated counselling services for youth aged 12-25. MBC, the routine use of validated measures to tailor treatment and promote shared decision-making, faces low rates of implementation in practice. The project’s inception stemmed from a comprehensive environmental scan, including a preliminary survey of youth with lived/living experience accessing counselling services. Despite familiarity with MBC, respondents expressed a lack of understanding of its impact, highlighting a crucial gap in engagement.The YWHO’s Integrated Youth Services (IYS) model, aimed at delivering timely and relevant services, forms the contextual framework for the project. MBC is a vital tool used within IYS, especially in counselling. The project’s overarching goal is to design and evaluate a tool that bridges the identified gaps in youth engagement with MBC. This youth-friendly tool seeks to foster dialogue, active involvement, and shared decision-making in counselling. The expected beneficiaries encompass YWHO partners, including clients, families, staff, and policy makers, with the potential to positively impact health outcomes and service delivery.The environmental scan, involving a preliminary survey distributed through community networks and organizations, provided valuable insights. Contrary to assumptions that low implementation of MBC was due to youth’s lack of understanding or interest, youth respondents understood the purpose of and were interested in MBC, but reported feeling disconnected from the processes and its impact on their counselling journey. This underscored the need for a targeted intervention to enhance youth engagement in MBC practices. The project’s methodology involves the active participation of youth, youth advisors, and project partners, aligning with the collaborative spirit ingrained in the culture of YWHO.Together with youth advisors with lived/living experience of accessing counselling services, a tool will be co-developed to foster engagement and shared decision-making in MBC. To understand if the tool may be effective in increasing engagement in care, this tool will be evaluated with a survey and focus groups with youth aged 12-25 who report having accessed counselling services at YWHO presently or in the past. Counsellors who provide counselling services at YWHO will also be asked to evaluate the tool through a survey. The findings of the survey and focus groups will be used to refine the tool for implementation in counselling services at YWHO and wider dissemination.In summary, this project represents a significant step towards enhancing the quality of counselling services for youth within the YWHO Networks. By co-designing and evaluating a youth-friendly tool, the project strives to empower youth in their counselling experiences, fostering a culture of shared decision-making and improved treatment engagement. The findings are expected to contribute not only to individual treatment plans but also to the broader body of evidence on youth perspectives within integrated youth services in Ontario.

Capstone introduction video

Watch the video to learn more about the capstone project.

Team members

Brianna Dunstan

Brianna Dunstan

With a keen interest in fostering inclusivity in healthcare, Brianna has accumulated over 2 years of research experience in inclusive patient engagement. Their commitment to health equity and representation in health research and innovation is evident in their academic pursuits and research endeavours.

See Brianna's full profile
Matthew Prebeg

Matthew Prebeg

I'm sitting at an intersection of art and research, looking for ways to bridge my creative interests with my scientific ones. Passionate youth mental health advocate

See Matthew's full profile
TRP Placeholder image: Logo

Izzar Linares

See Izzar's full profile

Project Advisory Committee

Sandra Palmaro

Sandra Palmaro

Strategist and advisor

Sandra has spent more than 25 years in leadership positions in the corporate, not for profit, and education sectors. After 14 years with Microsoft Canada, Sandra held leadership roles at SickKids Foundation, Canadian Breast Cancer Foundation and, most recently, at Wilfrid Laurier University.

Emily Tam

Emily Tam

Nutritionist, Dietitian

Emily is a registered Nutritionist/Dietitian who provides nutrition counselling using an approach founded on the principles of collaborating with clients to identify realistic goals and supporting them in implementing their individualized nutrition plans. She is especially passionate about supporting people to achieve recovery from disordered eating and eating disorders.

Anita Federici

Anita Federici

Clinical Psychologist and the Owner of The Centre for Psychology and Emotion Regulation

Dr. Anita Federici is a Clinical Psychologist and the Owner of The Centre for Psychology and Emotion Regulation, a private Clinic specializing in the assessment and treatment of eating disorders, personality disorders, and trauma. Anita has an established reputation for her work as a therapist, clinical trainer, researcher, program director and consultant.

TRP Supervisors

Director Dr. Joseph Ferenbok

Dr. Joseph Ferenbok

TRP Director

Driven to improve patient care, Prof. Ferenbok catapults projects forward with passion, wisdom, and a contagious chuckle. He is an Associate Director of the Health Innovation Hub, a Faculty of Medicine initiative intended to connect, align, serve, and facilitate the translation, innovation, and commercialization of 'Health Matters'.

See Joseph's full profile
Edyta Marcon, Advisor, Capstone Committee, Instructor, Supervisor, TRP Team

Dr. Edyta Marcon

Concept Translator Senior Research Associate, Donnelly Centre, University of Toronto

Edyta loves to encounter new questions, apply new knowledge, and meet new people. As a Senior Research Associate at the U of T Donnelly Centre, she currently studies how RNA modifications regulate gene expression and how they relate to human health and disease. Her interests extend beyond the laboratory into the application of scientific research using human centric design thinking.

See Edyta's full profile

About us

About us

The purpose of this project is to enhance the implementation of Measurement-Based Care (MBC) within Youth Wellness Hubs Ontario (YWHO) Networks, with a focus on youth accessing counselling services. Recognizing challenges in the standardized practice of MBC, this project aims to co-develop and evaluate a youth-friendly tool that fosters engagement and shared decision-making of youth in MBC. By actively involving youth advisors and employing a comprehensive methodology, the project seeks to improve treatment engagement, increase MBC uptake, and ultimately enhance the quality of counselling services for youth within the YWHO Networks.

Brianna Dunstan, Matthew Prebeg, Izzar Linares

Background

This project addresses the challenges surrounding the implementation of Measurement-Based Care (MBC) within the Youth Wellness Hubs Ontario (YWHO) Networks, particularly focusing on integrated counselling services for youth aged 12-25. MBC, the routine use of validated measures to tailor treatment and promote shared decision-making, faces low rates of implementation in practice. The project’s inception stemmed from a comprehensive environmental scan, including a preliminary survey of youth with lived/living experience accessing counselling services. Despite familiarity with MBC, respondents expressed a lack of understanding of its impact, highlighting a crucial gap in engagement.The YWHO’s Integrated Youth Services (IYS) model, aimed at delivering timely and relevant services, forms the contextual framework for the project. MBC is a vital tool used within IYS, especially in counselling. The project’s overarching goal is to design and evaluate a tool that bridges the identified gaps in youth engagement with MBC. This youth-friendly tool seeks to foster dialogue, active involvement, and shared decision-making in counselling. The expected beneficiaries encompass YWHO partners, including clients, families, staff, and policy makers, with the potential to positively impact health outcomes and service delivery.The environmental scan, involving a preliminary survey distributed through community networks and organizations, provided valuable insights. Contrary to assumptions that low implementation of MBC was due to youth’s lack of understanding or interest, youth respondents understood the purpose of and were interested in MBC, but reported feeling disconnected from the processes and its impact on their counselling journey. This underscored the need for a targeted intervention to enhance youth engagement in MBC practices. The project’s methodology involves the active participation of youth, youth advisors, and project partners, aligning with the collaborative spirit ingrained in the culture of YWHO.Together with youth advisors with lived/living experience of accessing counselling services, a tool will be co-developed to foster engagement and shared decision-making in MBC. To understand if the tool may be effective in increasing engagement in care, this tool will be evaluated with a survey and focus groups with youth aged 12-25 who report having accessed counselling services at YWHO presently or in the past. Counsellors who provide counselling services at YWHO will also be asked to evaluate the tool through a survey. The findings of the survey and focus groups will be used to refine the tool for implementation in counselling services at YWHO and wider dissemination.In summary, this project represents a significant step towards enhancing the quality of counselling services for youth within the YWHO Networks. By co-designing and evaluating a youth-friendly tool, the project strives to empower youth in their counselling experiences, fostering a culture of shared decision-making and improved treatment engagement. The findings are expected to contribute not only to individual treatment plans but also to the broader body of evidence on youth perspectives within integrated youth services in Ontario.

Capstone introduction video

Watch the video to learn more about the capstone project.

Team members

Brianna Dunstan

Brianna Dunstan

With a keen interest in fostering inclusivity in healthcare, Brianna has accumulated over 2 years of research experience in inclusive patient engagement. Their commitment to health equity and representation in health research and innovation is evident in their academic pursuits and research endeavours.

See Brianna's full profile
Matthew Prebeg

Matthew Prebeg

I'm sitting at an intersection of art and research, looking for ways to bridge my creative interests with my scientific ones. Passionate youth mental health advocate

See Matthew's full profile
TRP Placeholder image: Logo

Izzar Linares

See Izzar's full profile

Project Advisory Committee

Sandra Palmaro

Sandra Palmaro

Strategist and advisor

Sandra has spent more than 25 years in leadership positions in the corporate, not for profit, and education sectors. After 14 years with Microsoft Canada, Sandra held leadership roles at SickKids Foundation, Canadian Breast Cancer Foundation and, most recently, at Wilfrid Laurier University.

Emily Tam

Emily Tam

Nutritionist, Dietitian

Emily is a registered Nutritionist/Dietitian who provides nutrition counselling using an approach founded on the principles of collaborating with clients to identify realistic goals and supporting them in implementing their individualized nutrition plans. She is especially passionate about supporting people to achieve recovery from disordered eating and eating disorders.

Anita Federici

Anita Federici

Clinical Psychologist and the Owner of The Centre for Psychology and Emotion Regulation

Dr. Anita Federici is a Clinical Psychologist and the Owner of The Centre for Psychology and Emotion Regulation, a private Clinic specializing in the assessment and treatment of eating disorders, personality disorders, and trauma. Anita has an established reputation for her work as a therapist, clinical trainer, researcher, program director and consultant.

TRP Supervisors

Director Dr. Joseph Ferenbok

Dr. Joseph Ferenbok

TRP Director

Driven to improve patient care, Prof. Ferenbok catapults projects forward with passion, wisdom, and a contagious chuckle. He is an Associate Director of the Health Innovation Hub, a Faculty of Medicine initiative intended to connect, align, serve, and facilitate the translation, innovation, and commercialization of 'Health Matters'.

See Joseph's full profile
Edyta Marcon, Advisor, Capstone Committee, Instructor, Supervisor, TRP Team

Dr. Edyta Marcon

Concept Translator Senior Research Associate, Donnelly Centre, University of Toronto

Edyta loves to encounter new questions, apply new knowledge, and meet new people. As a Senior Research Associate at the U of T Donnelly Centre, she currently studies how RNA modifications regulate gene expression and how they relate to human health and disease. Her interests extend beyond the laboratory into the application of scientific research using human centric design thinking.

See Edyta's full profile

Background

Our project emerged from a shared concern for the health and safety of wildland firefighters facing increasingly challenging conditions. Recognizing the critical role respiratory protective equipment plays in their well-being, we assembled a diverse team of engineers, researchers, and experienced wildland firefighters. Through collaborative efforts and a human-centered design approach, we aim to improve and innovate existing equipment to better align the demands of wildland firefighting. By combining technical expertise with on-the-ground insights, we aspire to contribute meaningful advancements to the field, ultimately enhancing the protection and resilience of those who safeguard our wildlands during fire seasons. Through iterative collaboration and a deep understanding of on-the-ground realities, our project aspires to make meaningful advancements in the field, ultimately contributing to the heightened protection and resilience of those who tirelessly safeguard our wildlands.

Team members

Sumegha Jain

Sumegha Jain

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Janna Mohamed

Janna Mohamed

Janna is passionate about people and the planet. She believes that by collaborating across disciplines, we can problem-solve and innovate to tackle complex health challenges and translate evidence into action

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Arani Ravichandra

Arani Ravichandran

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Scientist
Stella Rho
Stella Rho

TRP Supervisors

Director Dr. Joseph Ferenbok

Joseph Ferenbok

TRP Director

Driven to improve patient care, Prof. Ferenbok catapults projects forward with passion, wisdom, and a contagious chuckle. He is an Associate Director of the Health Innovation Hub, a Faculty of Medicine initiative intended to connect, align, serve, and facilitate the translation, innovation, and commercialization of 'Health Matters'.

See full profile
Edyta Marcon, Advisor, Capstone Committee, Instructor, Supervisor, TRP Team

Edyta Marcon

Concept Translator Senior Research Associate, Donnelly Centre, University of Toronto

Edyta loves to encounter new questions, apply new knowledge, and meet new people. As a Senior Research Associate at the U of T Donnelly Centre, she currently studies how RNA modifications regulate gene expression and how they relate to human health and disease. Her interests extend beyond the laboratory into the application of scientific research using human centric design thinking.