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Mapping transitional care-pathways among young people discharged from adolescent forensic medium secure units in England
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Livanou, Maria, Singh, Swaran P., Liapi, Fani and Furtado, Vivek (2020) Mapping transitional care-pathways among young people discharged from adolescent forensic medium secure units in England. Medicine, Science and the Law, 60 (1). pp. 45-53. doi:10.1177/0025802419887287
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Official URL: https://doi.org/10.1177/0025802419887287
Abstract
This study tracked young offenders transitioning from national adolescent forensic medium secure units to adult services in the UK within a six-month period. We used a mapping exercise to identify eligible participants moving during the study period from all national adolescent forensic medium secure units in England. Young people older than 17.5 years or those who had turned 18 years (transition boundary) and had been referred to adult and community services were included. Of the 34 patients identified, 53% moved to forensic adult inpatient services. Psychosis was the most prevalent symptom among males (29%), and emerging personality disorder symptomatology was commonly reported among females (18%) followed by learning disability (24%). The mean time for transition to adult mental-health services and community settings was eight months. There were no shared transition or discharge policies, and only two hospitals had discharge guidelines. The findings highlight the need for consistency between policy and practice among services along with the development of individualised care pathways. Future qualitative research is needed to understand and reflect on young people’s and carers’ experiences to improve transition service delivery.
| Item Type: | Journal Article | ||||||||
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| Subjects: | R Medicine > RA Public aspects of medicine R Medicine > RJ Pediatrics |
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| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Young adults -- Mental health services, Problem youth -- Services for, Forensic psychiatry, Youth -- Mental health services, Juvenile delinquents -- Mental health services, Juvenile justice, Administration of | ||||||||
| Journal or Publication Title: | Medicine, Science and the Law | ||||||||
| Publisher: | Sage Publications Ltd. | ||||||||
| ISSN: | 0025-8024 | ||||||||
| Official Date: | 1 January 2020 | ||||||||
| Dates: |
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| Volume: | 60 | ||||||||
| Number: | 1 | ||||||||
| Page Range: | pp. 45-53 | ||||||||
| DOI: | 10.1177/0025802419887287 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Reuse Statement (publisher, data, author rights): | Posted ahead of print. Livanou, Maria, Singh, Swaran P., Liapi, Fani and Furtado, Vivek (2019) Mapping transitional care-pathways among young people discharged from adolescent forensic medium secure units in England. Medicine, Science and the Law . (In Press) Copyright © 2019 The Authors. Reprinted by permission of SAGE Publications. DOI:https://doi.org/10.1177/0025802419887287 | ||||||||
| Access rights to Published version: | Restricted or Subscription Access | ||||||||
| RIOXX Funder/Project Grant: |
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