Predicting Child-to-Adult Community Mental Health Service Continuation

Cohen, Deborah A.; Klodnick, Vanessa V.; Kramer, Mark D.; Strakowski, Stephen M.; Baker, James

doi:10.1007/s11414-020-09690-9

Cited by 12 publications

(20 citation statements)

References 36 publications

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“…For this study, we recruited a purposive sample of 17 to 19-year-olds with a serious emotional disturbance or mental health diagnosis who were either: (1) preparing to age out of child services within the next six months (upon their 18th or 19th birthday, depending on their funding) or (2) had aged out of services within the last year. The agency had 247 enrolled youth turned 18 during the study period, 64 of whom were enrolled in the two highest LOCs in children’s mental health services, 18 of those individuals obtained at least one service in adults services within the next year, displaying a disengagement rate (64%) similar to another recent state-wide analysis by the authors (Cohen et al, 2020a , 2020b ).…”

Section: Methodssupporting

confidence: 54%

“…Although 20% of AYA have a psychiatric and/or substance use disorder diagnosis, less than 25% of those diagnosed engage in mental health treatment (Center for Behavioral Health Statistics and Quality, 2016 ; Kessler et al, 2012 ; McGorry et al, 2013 ). Approximately 60% of youth enrolled in child mental health services exit care once they reach the age of 18 (Cohen et al, 2020a , 2020b ; Paul et al, 2013 ; Singh & Tuomainen, 2015 ).…”

Section: High Prevalence Of Mental Health Conditions and Low Service Engagementmentioning

confidence: 99%

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Creative Technology-Based Strategies for Engaging Young People with Serious Mental Health Conditions in Longitudinal Mental Health Services Research

Londoño

Klodnick

Emerson

et al. 2021

Child Adolesc Soc Work J

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A better understanding of the transition from child to adult community mental health services is important given the high rates of service drop-out. Conducting longitudinal research is challenging during a major service provider change. Developmentally-typical transition-to-adulthood instability can deter study engagement. This study examines the efficacy of creative technology-based strategies to recruit and engage adolescents and young adults (AYA) with serious mental health diagnoses in a qualitative study during their transition from child to adult services. Participants were recruited from one agency to complete three in-depth qualitative interviews and monthly surveys exploring mental health service experiences over 12-months. Participants received a smartphone and data plan for 6-months at initial interview, $50 at 6-month interview and $55 at 12-month interview. Four research assistants used a shared Google Voice account to text monthly online surveys and to communicate with participants. 19 participants enrolled; 74% remained enrolled across the 12-months. Smartphones and data plans were not effective in recruiting nor sustaining study engagement for most participants. Participants preferred a mix of texting and phone calls to prompt study engagement; 60% of online surveys were completed. Unanticipated participant-researcher communication outside of research scope suggests that the formation of strong relationships and additional support during this transitional time is critical for sustained study engagement. Study findings have practical implications for social work longitudinal research design and effective study implementation. Future social work research is warranted on innovative strategies to boost study and service engagement among AYA with serious co-occurring mental health and developmental instability.

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Section: Methodssupporting

confidence: 54%

Section: High Prevalence Of Mental Health Conditions and Low Service Engagementmentioning

confidence: 99%

Creative Technology-Based Strategies for Engaging Young People with Serious Mental Health Conditions in Longitudinal Mental Health Services Research

Londoño

Klodnick

Emerson

et al. 2021

Child Adolesc Soc Work J

Self Cite

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“…Pharmacological treatment (Reneses et al, 2018) and more service contact in the year leading to transition were (Cohen et al, 2020) also positively associated with continuation. However, neither of the studies found association between sociodemographic characteristics and continuation (Cohen et al, 2020;Reneses et al, 2018). The MILESTONE cohort systematically followed young people with emotional disorders, neurodevelopmental disorders and emerging personality disorder across the transition boundary to compare service use and costs between those who did and did not transition to AMHS (Appleton, 2021;Singh et al, 2021).…”

Section: Continuity Of Carementioning

confidence: 96%

“…Twelve studies included participants with any MH diagnoses without further specification (Adamopoulos & Samuel, 2021; Cohen, Klodnick, Kramer, Strakowski, & Baker, 2020; Garcia, Boix, Vegue, & De Angel, 2019; Islam et al., 2016; Leeb et al., 2020; Livanou et al., 2020; McNicholas et al., 2015; Paul et al., 2013; Pottick, Bilder, Vander Stoep, Warner, & Alvarez, 2008; Reneses et al., 2018; Saour, 2021; Singh et al., 2010, 2021; Stagi, Galeotti, Mimmi, Starace, & Castagnini, 2015). One study focused on ‘serious’ mental health disorders and provided the following example: schizophrenia spectrum, bipolar and major depressive disorders (Cohen et al., 2020). Maslow included young people with a range of physical and MH conditions including psychosis, bipolar disorders and major depression (Maslow, 2016), and we found a single study that included only young people with personality disorders (Malkov et al., 2021).…”

Section: Transition From Child To Amhs For Young People With Varied M...mentioning

confidence: 99%

Annual Research Review: A systematic review of mental health services for emerging adults – moulding a precipice into a smooth passage

Anderson

Newlove‐Delgado

Ford

2021

Child Psychology Psychiatry

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Background: The transition between child and adult services should aim to support young people into the next stage of their life in a way that optimises their function. Yet financial, organisational and procedural barriers to continuity of care often hamper smooth transition between child and adult services. Aim and method: We reviewed studies of transition from child to adult mental health services, focusing on: (a) rates of referrals and referral acceptance; (b) barriers and facilitators of successful transition; (c) continuity of care during and post-transition and (d) service users' experience of transition. Studies were identified through systematic searches of electronic databases: PsycINFO, Medline, Embase and Child Development and Adolescent Studies. Findings: Forty-seven papers describing 43 unique studies met inclusion criteria. Service provision is influenced by previous history and funding processes, and the presence or absence of strong primary care, specialist centres of excellence and coordination between specialist and primary care. Provision varies between and within countries, particularly whether services are restricted to 'core' mental health or broader needs. Unsupportive organisational culture, fragmentation of resources, skills and knowledge base undermine the collaborative working essential to optimise transition. Stigma and young people's concerns about peers' evaluation often prompt disengagement and discontinuation of care during transition, leading to worsening of symptoms and later, to service re-entry. Qualitative studies reveal that young people and families find the transition process frustrating and difficult, mainly because of lack of advanced planning and inadequate preparation. Conclusions: Despite increasing research interest over the last decade, transition remains 'poorly planned, executed and experienced'. Closer collaboration between child and adult services is needed to improve the quality of provision for this vulnerable group at this sensitive period of development.

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“…We know that early interventions are imperative and a number of the articles in this issue concentrate on youth, focusing on ways pediatric behavioral health services might intervene to reduce non-urgent emergency departments visits (in the Keefe et al paper), 1 developing training and technical assistance centers that respond to the special needs of youth with serious emotional disorders (in the Olson et al paper), 2 and assessing the mental health practices that have led to youth "aging out" of the system at 18 years (in the Cohen et al paper). 3 Additionally, we focus on the importance of diversity by highlighting the nature of mental health needs among an emerging Latino community with limited health care information (in the Bucay-Harari et al paper) 4 and examining how telepsychiatry might reduce treatment gaps in LGBT communities (in the Whaibeh et al paper). 5 Moreover, we recognize the individual is at the center of all care and explore ways to transition to person-centered care (in the Doherty et al paper).…”

mentioning

confidence: 99%

Our Voice and Our Vote Are More Important Than Ever Before

Ingoglia

2020

J Behav Health Serv Res

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The COVID-19 pandemic has made it clear how vital behavioral health professionals are to our individual health and to the health of our communities. More than ever, behavioral health professionals provide clients with life-saving treatment and services. It is truly hard to imagine where we would be as a nation without care from behavioral health professionals. The need will only intensify in the weeks and months ahead as we face a long period of recovery of our health, spirit, and economy, addressing the inevitable toll of long-term trauma on the nation's mental health.For many of us, the future is uncertain. Clinics providing needed services to some of our nation's most vulnerable, those living with mental illness and addictions and their families, are struggling to keep their doors open. The victims of these closures will not only be their patients and clients, they will be the staff who have bravely put their own fears aside to provide comfort and treatment.While the future is unclear and the full extent of the health crisis is still unfolding, I see promising signs of hope. The behavioral health field has always embodied strength and resilience, and that is certainly true right now.Even in these dark times, I have seen the power of unity and what can happen when we speak with one voice to let our nation's leaders know our wide-ranging contributions and our great needs. The National Council has joined our voices with organizations, policymakers, and individuals within our own community. Our list of victories is inspiring, and it is all because we recognize that we are better together.Our strength was evident as we spoke up to Congress and they listened. We secured policy changes supporting our community, gaining latitude in the use of telehealth and expansion of audio-only telehealth and Medicare coverage for a wider range of providers of telehealth services. Such efforts included Medicaid nonprofits in the Paycheck Protection Program and temporary relief of the Ryan Haight Act which allowed greater flexibility to prescribe controlled substances like antipsychotics and medication-assisted treatment (MAT), among others. In addition, the National Council spearheaded the largest mental health and addiction advocacy request in history, leading the effort for 40 other advocacy organizations to sign a request totaling $38.5 billion for behavioral health providers.However, we still have far to go. As the nation continues to grapple with and recover from COVID-19 and its aftershocks, we need continued investment in behavioral health. There are

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Predicting Child-to-Adult Community Mental Health Service Continuation

Cited by 12 publications

References 36 publications

Creative Technology-Based Strategies for Engaging Young People with Serious Mental Health Conditions in Longitudinal Mental Health Services Research

Creative Technology-Based Strategies for Engaging Young People with Serious Mental Health Conditions in Longitudinal Mental Health Services Research

Annual Research Review: A systematic review of mental health services for emerging adults – moulding a precipice into a smooth passage

Our Voice and Our Vote Are More Important Than Ever Before

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