Transiting Out of Child and Adolescent Mental Health Services – Influences on Continuities and Discontinuities in Mental Health Care

Dowdney, Linda; Bruce, Helen

doi:10.1002/9781118557174.ch8

Cited by 3 publications

(4 citation statements)

References 34 publications

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“…Further, unlike Blum et al [15], these criteria are specific to transitions from CAMHS to AMHS. These criteria were used as definitions and key elements for transition success in 15 articles reviewed [5,11,13,14,20,39,[41][42][43][44][45][46][47][48][49]. The criteria include: (a) information transfer: evidence that a referral letter, summary of CAMHS care, or CAMHS case notes were transferred to AMHS along with a contemporaneous risk assessment; (b) period of parallel care: a period of joint working between CAMHS and AMHS during transition; (c) transition planning: at least one meeting involving the service user and/or carer and a key professional from both CAMHS and AMHS prior to transfer of care; and (d) continuity of care: either engaged with AMHS 3 months post-transition or appropriately discharged by AMHS following transition.…”

Section: Question 1: Operationalization Of Child To Adult Mental Healmentioning

confidence: 99%

“…The need to identify all stakeholders from CAMHS, AMHS, pediatric care, the education system and caregivers who will have a role in the transition was identified in several documents [59,63,75,78,79,104]. Role clarity for all stakeholders is important, particularly when determining which agency takes primary clinical responsibility during the transition process [41,53,58,67,76]. Youth and their caregiver(s), and the CAMHS provider should collaborate in identifying an AMHS provider who will best suit their needs and transition goals [38,47,56,58,59,67,102].…”

Section: Core Element 4: Transition Planningmentioning

confidence: 99%

“…It is critical that the young person and their caregiver(s) are engaged in developing and regularly updating the transition plan [1,34,53,54,56,59,60,70,75,79,85]. This may include ensuring youth and their families are aware of the services available, know how they can prepare, what it means to transition, and what the transition process will entail [34,41,45]. As part of the transition process, youth should be provided resources and tools on strategies to manage their health.…”

Section: Core Element 4: Transition Planningmentioning

confidence: 99%

“…This includes the recommendation that the transfer from CAMHS to AMHS should only occur when the young person is stable [13,43,50,51,56,59,65,76]. It is recommended that a formal handover of care should occur prior to transfer, include all stakeholders and be made during a multidisciplinary case meeting [34,35,41,44,56,60,65,76,80,103]. A transfer package should be prepared ahead of this meeting and each stakeholder is given a copy of the package containing the dates of all future appointments, plan of care, goals, pending actions, and legal documents [13,14,35,50,54,56,57,60,61,65,76,85].…”

Section: Core Element 5: Transfer Of Carementioning

confidence: 99%

See 3 more Smart Citations

Identifying core components and indicators of successful transitions from child to adult mental health services: a scoping review

Cleverley

Rowland

Bennett

et al. 2018

Eur Child Adolesc Psychiatry

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The aim of this scoping review was to identify the core components of interventions that facilitate successful transition from child and adolescent mental health services to adult mental health services. In the absence of rigorous evaluations of transition program effectiveness for transitioning youth with mental health care needs, these core components can contribute to informed decisions about promising program and intervention strategies. This review examined data from 87 peer-reviewed and non-academic documents to determine the characteristics that support the transition process and to identify opportunities for system and program improvement. Data were extracted and synthesized using a descriptive analytic framework. A major finding of this review is a significant lack of measurable indicators in the academic and gray literature. This review did identify 26 core components organized within the framework of the six core elements of healthcare transitions. Policy makers, practitioners, and administrators can use the core components to guide decisions about transition program and intervention content. Confirmation of the impact of these core program components on youth outcomes awaits the conduct of rigorous randomized trials. Future research also needs to explicitly focus on the development of indicators to evaluate transition programs and interventions.

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Section: Question 1: Operationalization Of Child To Adult Mental Healmentioning

confidence: 99%

Section: Core Element 4: Transition Planningmentioning

confidence: 99%

Section: Core Element 4: Transition Planningmentioning

confidence: 99%

Section: Core Element 5: Transfer Of Carementioning

confidence: 99%

See 2 more Smart Citations

Identifying core components and indicators of successful transitions from child to adult mental health services: a scoping review

Cleverley

Rowland

Bennett

et al. 2018

Eur Child Adolesc Psychiatry

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Continuities and Discontinuities in Youth Mental Healthcare

Bruce¹,

Dowdney²

2017

Child Psychology and Psychiatry

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Transitions in mental health and addiction care for youth and their families: a scoping review of needs, barriers, and facilitators

Markoulakis,

Cader,

Chan

et al. 2023

BMC Health Serv Res

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Introduction Transitional-aged youth (TAY) with mental health and/or addictions (MHA) concerns and their families experience significant challenges finding, accessing, and transitioning through needed MHA care. To develop appropriate supports that assist TAY and their families in navigating MHA care, their experiences of transitions in the MHA care system must be better understood. This scoping review identifies and explores the needs, barriers, and facilitators for TAY and their families when transitioning through MHA care. Methods This scoping review commenced with a search of five relevant databases. Three research team members were involved in title, abstract, and full-text scanning and data extraction. Sources focusing on TAY anywhere between the ages of 12–29 years and meeting the study objectives were included. Extractions compiled background and narrative information about the nature and extent of the data. Analysis and synthesis of findings involved numerical description of the general information extracted (e.g., numbers of sources by country) and thematic analysis of narrative information extracted (e.g., family involvement in TAY help-seeking). Results A total of 5894 sources were identified. Following title and abstract scanning, 1037 sources remained for full-text review. A total of 66 sources were extracted. Findings include background information about extracted sources, in addition to five themes that emerged pertaining to barriers and facilitators to access and transitions through care and the needs and roles of TAY and families in supporting help-seeking and care transitions: holistic supports, proactive preparation, empowering TAY and families, collaborative relationships, and systemic considerations. These five themes demonstrate approaches to care that can ensure TAY and families’ needs are met, barriers are mitigated, and facilitators are enhanced. Conclusion This review provides essential contextual information regarding TAY with MHA concerns and their families’ needs when seeking care. Such findings lend to an enhanced understanding of how MHA programs can support this population’s needs, involve family members as appropriate, reduce the barriers experienced, and work to build upon existing facilitators.

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Transiting Out of Child and Adolescent Mental Health Services – Influences on Continuities and Discontinuities in Mental Health Care

Cited by 3 publications

References 34 publications

Identifying core components and indicators of successful transitions from child to adult mental health services: a scoping review

Identifying core components and indicators of successful transitions from child to adult mental health services: a scoping review

Continuities and Discontinuities in Youth Mental Healthcare

Transitions in mental health and addiction care for youth and their families: a scoping review of needs, barriers, and facilitators

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