Challenges during the transition from child and adolescent mental health services to adult mental health services

Hendrickx, Gaëlle; Roeck, Véronique De; Maras, Athanasios; Dieleman, Gwen; Gerritsen, Suzanne E; Purper-Ouakil, Diane; Russet, Frédérick; Schepker, Renate; Signorini, Giulia; Singh, Swaran P.; Street, Cathy; Tuomainen, Helena; Tremmery, Sabine

doi:10.1192/bjb.2019.85

Cited by 34 publications

(18 citation statements)

References 46 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…One way to improve the outcomes could be represented by the introduction of transition programs [ 192 ]. These may include implementing a progressive transition process, adequately moving the management of a disorder to the adult team in a coordinated way that is comprehensive of updated treatment plans, screening for comorbid conditions, and involves families and/or caregivers and the patient’s family physician in the process.…”

Section: Raising Concern About the Transition Process: The State Of T...mentioning

confidence: 99%

Where Do Neurodevelopmental Disorders Go? Casting the Eye Away from Childhood towards Adulthood

Antolini

Colizzi

2023

Healthcare

View full text Add to dashboard Cite

Neurodevelopmental disorders (NDDs) encompass a group of complex conditions with onset during the early developmental period. Such disorders are frequently associated with a number of neuropsychiatric features, the most prevalent ones being autism spectrum disorder, attention-deficit/hyperactivity disorder, intellectual disability, communication and specific learning disorders, and motor disorders. These conditions are characterized by wide genetic and clinical variability, and although they were previously conceptualized as childhood-limited disorders, NDDs are progressively being recognized as persistent conditions with a potentially relevant impact on the quality of life and overall functioning during adult life. In addition, emerging evidence seems to point towards the hypothesis of a neurodevelopmental continuum, according to which NNDs could portray different time-dependent outcomes, depending on the severity of the altered brain development. Despite representing lifelong phenotypes, they are often not promptly identified and/or managed in adulthood. In this regard, specific guidelines on clinical and therapeutic approaches for these conditions have not yet been delineated. In this view, future research investigations should be encouraged to broaden available knowledge, characterize the clinical course of NDDs across an individual’s lifespan, and better understand the patterns of aging-related concerns in adults with an NDD diagnosis. Additionally, considering the difficulties many young adults encounter while transitioning from childhood to adult mental health services, new, specific programs should be developed and existing programs should be implemented to improve the transition process and for the management of NDDs in adulthood.

show abstract

Section: Raising Concern About the Transition Process: The State Of T...mentioning

confidence: 99%

Where Do Neurodevelopmental Disorders Go? Casting the Eye Away from Childhood towards Adulthood

Antolini

Colizzi

2023

Healthcare

View full text Add to dashboard Cite

show abstract

“…The system for transition from child and adolescent mental health services to the adult mental health service has been reported to inadequate compared to other health services. [79][80][81] Research into transition tools for mental health is under way with the published protocol for the development and validation procedure of the "managing the link and strengthening transition from child to adult mental health care (MILESTONE)" suite of measures. 81 How such tools will work at the interface between rheumatology and mental health services for those young people with RMD and a mental health comorbidity remains to be seen.…”

Section: Mental Health and Transitionmentioning

confidence: 99%

<p>Young Minds: Mental Health and Transitional Care in Adolescent and Young Adult Rheumatology</p>

Palman¹,

McDonagh²

2020

OARRR

View full text Add to dashboard Cite

“…In a recent review, Hendrick (2020) outlined some of the challenges that CAMHS and AMHS face when ensuring policy is implemented into practise (Hendrickx et al, 2020). These complexities largely stem from cultural and systemic differences that exist between CAMHS and AMHS, including eligibility thresholds and waiting lists, which may increase the risk of young people being left without interim support (Hendrickx et al, 2020), lack of joint working, and poorly defined procedures (4-5). Yet, it is largely unclear, which specific factors could be prioritised to improve the transition experience for young people from the clients’ perspective.…”

Section: Introductionmentioning

confidence: 99%

Factors affecting Transition Success and Satisfaction from Child to Adult Mental Health Services in the UK

Williams

Willoughby

Bennetts

et al. 2022

Preprint

View full text Add to dashboard Cite

Background Qualitative research has identified factors affecting transition from child mental health services (CAMHS) to adult mental health services (AMHS) but it is unclear which of these factors may lead to disengagement from the young persons’ view. Methods N= 272 participants (mean age = 20+/- 2.31, 81% females) who had experience with the UK mental healthcare system (patients, carers, health workers) attempted the survey but only participants who had been treated in CAMHS were included in this study, resulting in a total N=144 (mean age = 19.8+/-2.3, 83% female). This study used a cross-sectional, quantitative survey assessing 12 pre-transition, 16 peri-transition, and 11 post-transition variables. The Client Attachment to Therapist Scale (CATS) was used to measure client attachment to CAMHS and AMHS therapists. Results Successful transition from CAMHS to AMHS was significantly predicted by using a helpful care plan, continuity of treatment between CAMHS and AMHS, and being engaged in a transition service. However, few clients were aware of transition services at the time of transition. Transition satisfaction was significantly predicted by the same variables. In addition, GP support during the transition, and a more secure attachment to AMHS therapists were associated with higher transition satisfaction. Conclusions The results suggest clients’ transition process might be significantly improved by focusing on useful individualised care plans, and ensuring continuity of treatment. Transition success and satisfaction could also be improved by making clients aware of and engaging them in transition services, involving GPs, and working on a secure attachment on the AMHS side.

show abstract

Challenges during the transition from child and adolescent mental health services to adult mental health services

Cited by 34 publications

References 46 publications

Where Do Neurodevelopmental Disorders Go? Casting the Eye Away from Childhood towards Adulthood

Where Do Neurodevelopmental Disorders Go? Casting the Eye Away from Childhood towards Adulthood

<p>Young Minds: Mental Health and Transitional Care in Adolescent and Young Adult Rheumatology</p>

Factors affecting Transition Success and Satisfaction from Child to Adult Mental Health Services in the UK

Contact Info

Product

Resources

About