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Cohort profile : demographic and clinical characteristics of the MILESTONE longitudinal cohort of young people approaching the upper age limit of their child mental health care service in Europe
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(2021) Cohort profile : demographic and clinical characteristics of the MILESTONE longitudinal cohort of young people approaching the upper age limit of their child mental health care service in Europe. BMJ Open, 11 (12). e053373. doi:10.1136/bmjopen-2021-053373
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WRAP-Cohort-profile-demographic-clinical-characteristics-MILESTONE-healthcare-Europe-2022.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons Attribution 4.0. Download (1838Kb) | Preview |
Official URL: https://doi.org/10.1136/bmjopen-2021-053373
Abstract
Purpose: The presence of distinct child and adolescent mental health services (CAMHS) and adult mental health services (AMHS) impacts continuity of mental health treatment for young people. However, we do not know the extent of discontinuity of care in Europe nor the effects of discontinuity on the mental health of young people. Current research is limited, as the majority of existing studies are retrospective, based on small samples or used non-standardised information from medical records. The MILESTONE prospective cohort study aims to examine associations between service use, mental health and other outcomes over 24 months, using information from self, parent and clinician reports. Participants: Seven hundred sixty-three young people from 39 CAMHS in 8 European countries, their parents and CAMHS clinicians who completed interviews and online questionnaires and were followed up for 2 years after reaching the upper age limit of the CAMHS they receive treatment at. Findings to date: This cohort profile describes the baseline characteristics of the MILESTONE cohort. The mental health of young people reaching the upper age limit of their CAMHS varied greatly in type and severity: 32.8% of young people reported clinical levels of self-reported problems and 18.6% were rated to be ‘markedly ill’, ‘severely ill’ or ‘among the most extremely ill’ by their clinician. Fifty-seven per cent of young people reported psychotropic medication use in the previous half year. Future plans: Analysis of longitudinal data from the MILESTONE cohort will be used to assess relationships between the demographic and clinical characteristics of young people reaching the upper age limit of their CAMHS and the type of care the young person uses over the next 2 years, such as whether the young person transitions to AMHS. At 2 years follow-up, the mental health outcomes of young people following different care pathways will be compared. Trial registration number: NCT03013595.
| Item Type: | Journal Article | ||||||
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| Subjects: | R Medicine > RA Public aspects of medicine R Medicine > RC Internal medicine R Medicine > RJ Pediatrics |
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| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | ||||||
| SWORD Depositor: | Library Publications Router | ||||||
| Library of Congress Subject Headings (LCSH): | Child mental health services -- Europe, Youth -- Mental health services -- Europe, Mentally ill -- Services for -- Europe, Mentally ill children -- Care -- Europe, Mental health services -- Teenagers -- Europe, Continuum of care -- Europe, Mental health facilities -- Discharge planning -- Europe | ||||||
| Journal or Publication Title: | BMJ Open | ||||||
| Publisher: | BMJ Publishing Group | ||||||
| ISSN: | 2044-6055 | ||||||
| Official Date: | 16 December 2021 | ||||||
| Dates: |
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| Volume: | 11 | ||||||
| Number: | 12 | ||||||
| Article Number: | e053373 | ||||||
| DOI: | 10.1136/bmjopen-2021-053373 | ||||||
| Status: | Peer Reviewed | ||||||
| Publication Status: | Published | ||||||
| Reuse Statement (publisher, data, author rights): | ** Embargo end date: 16-12-2021 ** From BMJ via Jisc Publications Router ** History: received 12-05-2021; accepted 12-11-2021; ppub 12-2021; epub 16-12-2021. ** Licence for this article starting on 16-12-2021: http://creativecommons.org/licenses/by-nc/4.0/ | ||||||
| Access rights to Published version: | Open Access | ||||||
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