The Library
The black hole of the transition process : dropout of care before transition age in adolescents
Tools
Tools
Tools
Reneses, Blanca, Escudero, Almudena, Tur, Nuria, Agüera-Ortiz, Luis, Moreno, Dolores María, Saiz-Ruiz, Jerónimo, Rey-Bruguera, Mayelin, Pando, Maria-Fuencisla, Bravo-Ortiz, Maria-Fe, Moreno, Ana, Rey-Mejías, Ángel and Singh, Swaran P. (2022) The black hole of the transition process : dropout of care before transition age in adolescents. European Child & Adolescent Psychiatry . doi:10.1007/s00787-021-01939-8 ISSN 1018-8827. (In Press)
|
PDF
WRAP-black-hole-transition-process-dropout-care-transition-adolescents-2022.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons Attribution 4.0. Download (801Kb) | Preview |
Official URL: https://doi.org/10.1007/s00787-021-01939-8
Abstract
Recent evidence confirms the risks of discontinuity of care when young people make a transition from child and adolescent mental health services (CAMHS) to adult mental health services (AMHS), although robust data are still sparse. We aimed to identify when and how patients get lost to care during transition by tracking care pathways and identifying factors which influence dropping out of care during transition. This is a retrospective observational study of 760 patients who reached the transition age boundary within 12 months before transition time and being treated at CAMHS for at least during preceding 18 months. Data were collected at two time points: last visit to CAHMS and first visit to AHMS. Socio-demographic, clinical and service utilization variables on CAMHS treatment were collected. In the 12 months leading up to the transition boundary, 46.8% of subjects (n = 356) withdrew from CAHMS without further contact with AHMS, 9.3% withdrew from CAHMS but were referred to AHMS by other services, 29% were transferred from CAHMS to AHMS, 10% remained at CAHMS and 5% patients were transferred to alternative services. Fifty-six percent of subjects experience cessation of care before the transition age. The risk of dropout increases with shorter contact time in CAMHS, is greater in subjects without pharmacological treatment, and decreases in subjects with psychosis, bipolar disorder, eating disorders, mental retardation, and neurodevelopmental disorders. This study confirms that a large number of people drop out of care as they approach the CAMHS transition and experience discontinuity of care during this critical period.
| Item Type: | Journal Article | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Subjects: | R Medicine > RA Public aspects of medicine R Medicine > RC Internal 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 |
|||||||||
| SWORD Depositor: | Library Publications Router | |||||||||
| Library of Congress Subject Headings (LCSH): | Adolescent psychiatry , Teenagers -- Mental health , Teenagers -- Mental health services , Teenagers -- Medical care, Preventive mental health services for teenagers , Dropouts -- Health aspects, Continuum of care , Mental health facilities -- Discharge planning | |||||||||
| Journal or Publication Title: | European Child & Adolescent Psychiatry | |||||||||
| Publisher: | Springer Medizin | |||||||||
| ISSN: | 1018-8827 | |||||||||
| Official Date: | 20 January 2022 | |||||||||
| Dates: |
|
|||||||||
| DOI: | 10.1007/s00787-021-01939-8 | |||||||||
| Status: | Peer Reviewed | |||||||||
| Publication Status: | In Press | |||||||||
| Access rights to Published version: | Open Access (Creative Commons) | |||||||||
| Date of first compliant deposit: | 28 February 2022 | |||||||||
| Date of first compliant Open Access: | 1 March 2022 | |||||||||
| RIOXX Funder/Project Grant: |
|
Request changes or add full text files to a record
Repository staff actions (login required)
 |
View Item |
Downloads
Downloads per month over past year
