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Transitioning from child to adult mental health services : what role for social services? Insights from a European survey

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Signorini, Giulia, Davidovic, Nikolina, Dieleman, Gwen, Franic, Tomislav, Madan, Jason, Maras, Athanasios, Mc Nicholas, Fiona, O'Hara, Lesley, Paul, Moli, Purper-Ouakil, Diane et al.
(2020) Transitioning from child to adult mental health services : what role for social services? Insights from a European survey. Journal of Children's Services, 15 (3). pp. 89-108. doi:10.1108/JCS-05-2020-0014

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Official URL: https://doi.org/10.1108/JCS-05-2020-0014

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Abstract

Purpose
Young people transitioning from child to adult mental health services are frequently also known to social services, but the role of such services in this study and their interplay with mental healthcare system lacks evidence in the European panorama. This study aims to gather information on the characteristics and the involvement of social services supporting young people approaching transition.

Design/methodology/approach
A survey of 16 European Union countries was conducted. Country respondents, representing social services’ point of view, completed an ad hoc questionnaire. Information sought included details on social service availability and the characteristics of their interplay with mental health services.

Findings
Service availability ranges from a low of 3/100,000 social workers working with young people of transition age in Spain to a high 500/100,000 social workers in Poland, with heterogeneous involvement in youth health care. Community-based residential facilities and services for youth under custodial measures were the most commonly type of social service involved. In 80% of the surveyed countries, youth protection from abuse/neglect is overall regulated by national protocols or written agreements between mental health and social services, with the exception of Czech Republic and Greece, where poor or no protocols apply. Lack of connection between child and adult mental health services has been identified as the major obstacles to transition (93.8%), together with insufficient involvement of stakeholders throughout the process.

Research limitations/implications
Marked heterogeneity across countries may suggest weaknesses in youth mental health policy-making at the European level. Greater inclusion of relevant stakeholders is needed to inform the development and implementation of person-centered health-care models. Disconnection between child and adult mental health services is widely recognized in the social services arena as the major barrier faced by young service users in transition; this “outside” perspective provides further support for an urgent re-configuration of services and the need to address unaligned working practices and service cultures.

Originality/value
This is the first survey gathering information on social service provision at the time of mental health services transition at a European level; its findings may help to inform services to offer a better coordinated social health care for young people with mental health disorders.

Item Type: Journal Article
Subjects: R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services
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 > Science > Psychology
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Child mental health services -- Europe, Mental health services -- Europe, Social service -- Europe, Child care services -- Europe
Journal or Publication Title: Journal of Children's Services
Publisher: Pier Professional Ltd.
ISSN: 1746-6660
Official Date: 17 September 2020
Dates:
DateEvent
17 September 2020Published
5 August 2020Accepted
Volume: 15
Number: 3
Page Range: pp. 89-108
DOI: 10.1108/JCS-05-2020-0014
Status: Peer Reviewed
Publication Status: Published
Reuse Statement (publisher, data, author rights): Copyright © 2020, Emerald Publishing Limited. This AAM is provided for your own personal use only. It may not be used for resale, reprinting, systematic distribution, emailing, or for any other commercial purpose without the permission of the publisher’
Access rights to Published version: Restricted or Subscription Access
Copyright Holders: Copyright © 2020, Emerald Publishing Limited
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
602442Seventh Framework Programmehttp://dx.doi.org/10.13039/100011102
Contributors:
ContributionNameContributor ID
Research GroupMILESTONE Consortium, UNSPECIFIED

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