Australia has undergone significant youth mental health reform over the past 10 years, leading to numerous studies examining the effects of community-based mental health care programs for Australian youth. However, no synthesis of this literature currently exists. Therefore, this systematic review aimed to: (1) describe the types of community-based mental health programs that have been delivered to Australian youth in the past 10 years; and (2) examine their impact in improving young people’s mental health symptomology and psychosocial functioning. A systematic search of the peer-reviewed literature was conducted. Studies were included if they evaluated the extent to which such programs improved mental health symptomology (e.g., depression, anxiety, substance use) and/or psychosocial outcomes (e.g., social functioning, school engagement, employment) for Australian youth aged 10–25 years. Thirty-seven studies were included. Four types of community-based youth mental health care programs were identified: therapy (n = 16), case management (n = 9), integrated ‘one-stop-shop’ (n = 6) and lifestyle (n = 6) programs. The majority of therapeutic programs were effective in reducing mental health symptomology. Case management and integrated approaches consistently yielded significant improvements in both symptomology and psychosocial outcomes. Lifestyle programs were effective in alleviating depressive symptoms, but inconclusive for other outcomes. This review provides support for youth-friendly, systemic, multidisciplinary and integrated assertive outreach models of community mental health care to improve outcomes for young Australians experiencing mental health concerns. Several recommendations for future research are provided to strengthen the local evidence-base supporting community mental health programs to ultimately enhance young people’s life trajectory.

在过去的 10 年中，澳大利亚经历了重大的青少年心理健康改革，导致大量研究检验了以社区为基础的心理健康护理项目对澳大利亚青少年的影响。然而，目前不存在该文献的综合。因此，本系统评价旨在： (1) 描述过去 10 年中向澳大利亚青年提供的以社区为基础的心理健康项目的类型；(2) 检查它们对改善年轻人心理健康症状和心理社会功能的影响。对同行评议的文献进行了系统检索。如果研究评估此类项目改善心理健康症状（如抑郁、焦虑、物质使用）和/或心理社会结果（如社会功能、学校参与、就业）适用于 10-25 岁的澳大利亚青年。纳入了 37 项研究。确定了四种以社区为基础的青年精神卫生保健计划：治疗（n  = 16)、病例管理 ( n  = 9)、综合“一站式”服务 ( n  = 6) 和生活方式 ( n = 6) 程序。大多数治疗方案在减少心理健康症状方面是有效的。病例管理和综合方法在症状学和心理社会结果方面始终取得显着改善。生活方式计划在缓解抑郁症状方面是有效的，但对于其他结果尚无定论。该审查为社区精神卫生保健的青年友好型、系统性、多学科和综合自信的外展模式提供支持，以改善遇到精神健康问题的澳大利亚年轻人的结果。为未来的研究提供了几项建议，以加强支持社区心理健康计划的当地证据基础，最终改善年轻人的生活轨迹。