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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 ISSN 0025-8024.

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Official URL: https://doi.org/10.1177/0025802419887287

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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
Subjects: R Medicine > RA Public aspects of medicine
R Medicine > RJ Pediatrics
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
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:
DateEvent
1 January 2020Published
10 November 2019Available
30 September 2019Accepted
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
Date of first compliant deposit: 14 October 2019
Date of first compliant Open Access: 14 October 2019
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
UNSPECIFIEDNational Institute for Health Research (Great Britain). Collaboration for Leadership in Applied Health Research and West MidlandsUNSPECIFIED
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