For all disorders culturally and ethically- sensitive [8] promotion of good mental health (indicated, selective and/or universal) prevention and early intervention should ideally be delivered in an integrated fashion that encompasses schools/colleges, and paediatricians/general practitioners, emergency departments, mental health settings, as well as the general community [60]. Overall, this study shows that any lower age threshold limiting access to mental health promotion campaigns or preventive or early interventions mental health programmes is not supported by meta-epidemiological evidence. Conversely, lower age thresholds that divide the education and training of mental health specialists or clinical services deprive individuals with developmental disorders (or other disorders with early onset) of continuity of care. Divisions fragment pathways to care and continued treatment from childhood through adolescence into adulthood (see below) [58]. Our recommendation for mental health services of the future would allow soft entry points, set no lower age threshold, and loosen lower age intake criteria [59]. For example, an indicated prevention and early intervention model of care for mood disorders, and schizophrenia-spectrum/primary psychotic disorders should ideally integrate low-threshold entry points for individuals of age
