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Sustain and reinforce transition from child to adult mental health care in Switzerland : study protocol

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Kilicel, Deniz, De Crescenzo, Franco, Micali, Nadia, Barbe, Remy, Edan, Anne, Curtis, Logos, Singh, Swaran P., Aubry, Jean-Michel, Eliez, Stephan and Armando, Marco (2020) Sustain and reinforce transition from child to adult mental health care in Switzerland : study protocol. Swiss Archives of Neurology, Psychiatry and Psychotherapy, 171 . w03156. doi:10.4414/sanp.2020.03156 ISSN 2297-7007.

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Official URL: https://doi.org/10.4414/sanp.2020.03156

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Abstract

AIM

A suboptimal transition in mental health care affects a young person’s wellbeing and health in the long run. We aim to identify a large cohort of young people approaching the transition boundary between child and adolescent and adult mental health services in the canton of Geneva and implement the model of managed transition for a randomly selected subset.

METHODS

We will perform a nested-cohort randomised controlled trial, which is a modification of the multiple cohort randomised controlled trial, where the allocation to the intervention is conducted by cluster randomisation, with each distinct mental health service constituting a cluster. We will include 387 adolescents with a mental disorder, without intellectual disability and within 18 months of reaching the transition boundary. We will randomly allocate mental health services to the intervention (managed transition) or control group (treatment as usual). The primary outcome is the patient’s health status as measured by Health of the Nation Outcome Scale for Children and Adolescents (HoNOSCA) or Health of the Nation Outcome Scale for adults (HoNOS).

CONCLUSIONS

This is a protocol of a nested-cohort randomised controlled trial. This study will promote change in health systems management and administration. It will facilitate close collaboration between child and adolescent and adult mental health services, which for decades have been completely separated and differentiated.

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
SWORD Depositor: Library Publications Router
Library of Congress Subject Headings (LCSH): Mental health services -- Switzerland, Child mental health services -- Switzerland, Long-term care facilities -- Switzerland
Journal or Publication Title: Swiss Archives of Neurology, Psychiatry and Psychotherapy
Publisher: EMH Swiss Medical Publishers, Ltd.
ISSN: 2297-7007
Official Date: 27 November 2020
Dates:
DateEvent
27 November 2020Published
Volume: 171
Article Number: w03156
DOI: 10.4414/sanp.2020.03156
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access (Creative Commons)
Date of first compliant deposit: 3 June 2021
Date of first compliant Open Access: 3 June 2021
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
UNSPECIFIEDFondation privée des HUGhttp://viaf.org/viaf/1633159234084203370550
RP-2017-08-ST2-006[NIHR] National Institute for Health Researchhttp://dx.doi.org/10.13039/501100000272
BRC-1215-20005[NIHR] National Institute for Health Researchhttp://dx.doi.org/10.13039/501100000272
Is Part Of: 1

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