Mental Health

Cooper, Sally‐Ann

doi:10.1002/9780470713198.ch20

Cited by 6 publications

(3 citation statements)

References 46 publications

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“…In the UK, some services use age cut-offs between 16 and 18 years while others consider CAMHS appropriate only for those in full-time education [16]. In its surveys on mental health, the UK National Office for Statistics groups 16 and 17-year-olds with adults and those aged 15 and under as children, with no separate category for adolescents [17]. It has been argued that services should consider the health and developmental needs of two groups, children under 12 years and young people between 12-24 years [4].…”

Section: Adolescence: Stage or Age?mentioning

confidence: 99%

Transition of care from child to adult mental health services: the great divide

Singh

2009

Current Opinion in Psychiatry

214

190

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Purpose of the review: Adolescents with mental health problems often require transition of care from child and adolescent (CAMHS) to adult mental health services (AMHS). This review is a synthesis of current research and policy literature on transition to determine the magnitude of the problem, barriers at the interface between CAMHS and AMHS and outcomes of poor transition.Recent Findings: Adolescence is a risk period for emergence of serious mental disorders. CAMHS and AMHS use rigid age cut-offs to delineate service boundaries, creating discontinuities in provision of care. Adolescent mental health services are patchy across the world. Several recent studies have confirmed that problems occur during transition in diverse settings across several countries. In physical health, there are emerging models of practice to improve the process and outcomes of transition, but there is very little comparable literature in mental health care.Summary Poor transition leads to disruption in continuity of care, disengagement from services and is likely to lead to poorer outcomes. Some young people, such as those with neurodevelopmental disorders and complex needs, are at a greater risk of falling through the care gap during transition. Services need robust and high quality evidence on the process and outcomes of transition so that effective intervention strategies can be developed.

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Section: Adolescence: Stage or Age?mentioning

confidence: 99%

Transition of care from child to adult mental health services: the great divide

Singh

2009

Current Opinion in Psychiatry

214

190

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“…This is an area which is poorly researched and there is a need for more work to be undertaken on identifying and addressing the mental health needs of people with PMLD. For an overview of methodological issues in the assessment of mental health in the learning disability population see Cooper (2004).…”

Section: Discussionmentioning

confidence: 99%

An audit of adults with profound and multiple learning disabilities within a West Midlands Community Health Trust – implications for service development

Gittins¹,

Rose²

2008

Br J Learning Disab

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Accessible summary• We wanted to find out more information about adults with profound and multiple learning disabilities who lived in our area. • We carried out a survey (audit) using information from the local Community Teams.• We found 61 people. Many of these people had two or more disabilities e.g. physical disability, hearing problems, epilepsy, problems with eating and drinking. • We have set up a multidisciplinary team to work with this group of people.• We have made a register to keep information up to date.• We want to highlight the very special needs of this group of people and make sure they are given a good service. SummaryAn audit was carried out to gain an overview of the profound and multiple learning disabilities (PMLD) population in a local health trust to inform current and future service provision. An overview of the issues faced in developing clear defining criteria is presented. Published definitions of PMLD were used to identify clients from data held on the Special Needs Register (SNR -a data base of people with learning disabilities known to health and social services departments). Information obtained was cross checked with community teams and other professional service records to identify any further individuals who may meet criteria for PMLD. Existing information from individual case notes was then audited to confirm the clients identified meet the criteria for PMLD. The audit identified 61 adults with PMLD; all have complex needs and multiple health care requirements. Eighty-three per cent had two or more disabilities in addition to profound intellectual impairment. Twenty-nine per cent were reported as having problems with dysphagia. People with PMLD should be given priority for health action plans, particularly vision and hearing screening. The audit also needs to be extended to include younger people in transition to adult services. A register of clients with PMLD needs to be established and maintained as part of the SNR register.

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“…Dual diagnosis refers to the co-existence of an intellectual disability and a psychiatric disorder or mental health problem. Past decades have shown an increased interest in mental health and behavioural problems in individuals with intellectual disabilities (see Cooper 2004). Studies on the prevalence of psychopathology have shown an increased risk for psychiatric and behavioural disorders in these individuals (e.g.…”

Section: The Place and Importance Of Dual Diagnosis In The Field Of Imentioning

confidence: 99%