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Managing the link and strengthening transition from child to adult mental health care in Europe (MILESTONE) : background, rationale and methodology
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MILESTONE Consortium (Including: Tuomainen, Helena, Schulze, Ulrike, Warwick, Jane, Paul, Moli, Dieleman, Gwen, Franić, Tomislav, Madan, Jason, Maras, Athanasios, McNicholas, Fiona, Purper-Ouakil, Diane, Santosh, Paramala, Signorini, Giulia, Street, Catherine, Tremmery, Sabine, Verhulst, Frank C., Wolke, Dieter and Singh, Swaran P.). (2018) Managing the link and strengthening transition from child to adult mental health care in Europe (MILESTONE) : background, rationale and methodology. BMC Psychiatry, 18 . 167. doi:10.1186/s12888-018-1758-z
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Official URL: https://doi.org/10.1186/s12888-018-1758-z
Abstract
Background
Transition from distinct Child and Adolescent Mental Health (CAMHS) to Adult Mental Health Services (AMHS) is beset with multitude of problems affecting continuity of care for young people with mental health needs. Transition-related discontinuity of care is a major health, socioeconomic and societal challenge globally. The overall aim of the Managing the Link and Strengthening Transition from Child to Adult Mental Health Care in Europe (MILESTONE) project (2014-19) is to improve transition from CAMHS to AMHS in diverse healthcare settings across Europe. MILESTONE focuses on current service provision in Europe, new transition-related measures, long term outcomes of young people leaving CAMHS, improving transitional care through 'managed transition', ethics of transitioning and the training of health care professionals.
Methods
Data will be collected via systematic literature reviews, pan-European surveys, and focus groups with service providers, users and carers, and members of youth advocacy and mental health advocacy groups. A prospective cohort study will be conducted with a nested cluster randomised controlled trial in eight European Union (EU) countries (Belgium, Croatia, France, Germany, Ireland, Italy, Netherlands, UK) involving over 1000 CAMHS users, their carers, and clinicians.
Discussion
Improving transitional care can facilitate not only recovery but also mental health promotion and mental illness prevention for young people. MILESTONE will provide evidence of the organisational structures and processes influencing transition at the service interface across differing healthcare models in Europe and longitudinal outcomes for young people leaving CAMHS, solutions for improving transitional care in a cost-effective manner, training modules for clinicians, and commissioning and policy guidelines for service providers and policy makers.
| Item Type: | Journal Article | ||||||
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| Subjects: | R Medicine > RA Public aspects of medicine R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services |
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| Divisions: | Faculty of Medicine > Warwick Medical School > Health Sciences > Clinical Trials Unit Faculty of Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Faculty of Science > Psychology |
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| Library of Congress Subject Headings (LCSH): | Child mental health services -- European Union countries, Mental health services -- European Union countries | ||||||
| Journal or Publication Title: | BMC Psychiatry | ||||||
| Publisher: | Biomed Central | ||||||
| ISSN: | 1471-244X | ||||||
| Official Date: | 4 June 2018 | ||||||
| Dates: |
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| Volume: | 18 | ||||||
| Article Number: | 167 | ||||||
| DOI: | 10.1186/s12888-018-1758-z | ||||||
| Status: | Peer Reviewed | ||||||
| Publication Status: | Published | ||||||
| Access rights to Published version: | Open Access | ||||||
| Description: | Correction : Following publication of the original article [1], the authors reported they wanted to reinstate a co-author, who previously declined his authorship due to a misinterpretation of authorship limitations per research center. In this Correction, Dr. de Girolamo is included as co-author on the paper. Dr. de Girolamo has contributed to the design and conduct of the MILESTONE project. https://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-018-1881-x |
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