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A cross‐cultural qualitative study of the ethical aspects in the transition from child mental health services to adult mental health services

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O'Hara, Lesley, Holme, Ingrid, Tah, Priya, Franic, Tomislav, Vrljičak Davidović, Nikolina, Paul, Moli, Singh, Swaran P., Street, Cathy, Tuomainen, Helena, Schulze, Ulrike et al.
(2020) A cross‐cultural qualitative study of the ethical aspects in the transition from child mental health services to adult mental health services. Child and Adolescent Mental Health, 25 (3). pp. 143-149. doi:10.1111/camh.12377 ISSN 1475-357X.

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Official URL: http://dx.doi.org/10.1111/camh.12377

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Abstract

Background
Transitioning from Child and Adolescent Mental Health Services (CAMHS) to Adult Mental Health Services (AMHS) raises novel ethical aspects for healthcare professionals, as well as for young people, their parents and carers.

Method
Focus groups were conducted in Croatia, Ireland and the United Kingdom with youth mental health groups and youth representatives with no mental health (MH) remit. One hundred and eleven participants, aged from 16 to 60 years, contributed to discussions.

Results
Perpetuation of stigma, autonomy and decision‐making were central themes as both enablers and deterrents of successful transition. The tension between professional (and at times parental) paternalism and young persons' growing autonomy was well captured in the themes; (a) desired practice, (b) who should decide, (c) the process of decision‐making and (d) potential harm(s).

Conclusions
This study provides insight into the ethical values, particularly autonomy and collaboratively working, which people expect to underpin the transition between CAMHS and AMHS.

Item Type: Journal Article
Divisions: 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
Journal or Publication Title: Child and Adolescent Mental Health
Publisher: Wiley
ISSN: 1475-357X
Official Date: September 2020
Dates:
DateEvent
September 2020Published
23 March 2020Available
8 February 2020Accepted
Volume: 25
Number: 3
Page Range: pp. 143-149
DOI: 10.1111/camh.12377
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
602442Seventh Framework Programmehttp://dx.doi.org/10.13039/100011102

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