(2022) Are psychiatrists trained to address the mental health needs of young people transitioning from child to adult services? Insights from a European survey. Frontiers in Psychiatry, 12 . 768206. doi:10.3389/fpsyt.2021.768206 ISSN 1664-0640.
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Abstract
Background: In mental health, transition refers to the pathway of young people from child and adolescent to adult services. Training of mental health psychiatrists on transition-related topics offers the opportunity to improve clinical practice and experiences of young people reaching the upper age limit of child and adolescent care.
Methods: National psychiatrist's organizations or experts from 21 European countries were surveyed 1/ to describe the status of transition in adult psychiatry (AP) and child and adolescent psychiatry (CAP) postgraduate training in Europe; 2/ to explore the amount of cross-training between both specialties. This survey was a part of the MILESTONE project aiming to study and improve the transition process of young people at the service boundary.
Results: Transition was a mandatory topic in the AP curriculum of 1/19 countries (5%) and in the CAP curriculum of 4/17 countries (24%). Most topics relevant for transition planning were addressed during AP training in 7/17 countries (41%) to 10/17 countries (59%), and during CAP training in 9/11 countries (82%) to 13/13 countries (100%). Depending on the training models, theoretical education in CAP was mandatory during AP training in 94% (15/16) to 100% of the countries (3/3); and in AP during CAP training in 81% (13/16) to 100% of the countries (3/3). Placements were mandatory in CAP during AP training in 67% (2/3) to 71% of the countries (12/17); and in AP during CAP training in 87% (13/15) to 100% of the countries (3/3).
Discussion and Conclusion: Specific training about transition is limited during CAP and AP postgraduate training in Europe. Cross-training between both specialties offers a basis for improved communication between child and adult services but efforts should be sustained in practical training. Recommendations are provided to foster further development and meet the specific needs of young people transitioning to adult services.
| Item Type: | Journal Article |
|---|---|
| Subjects: | 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 > 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, Child mental health services, Youth -- Mental health services, Adolescent psychiatry, Child psychiatry, Child welfare, Psychiatrists -- Training of |
| Journal or Publication Title: | Frontiers in Psychiatry |
| Publisher: | Frontiers Research Foundation |
| ISSN: | 1664-0640 |
| Official Date: | 9 February 2022 |
| Dates: | Date Event 9 February 2022 Published 29 November 2021 Accepted |
| Volume: | 12 |
| Article Number: | 768206 |
| DOI: | 10.3389/fpsyt.2021.768206 |
| Status: | Peer Reviewed |
| Publication Status: | Published |
| Access rights to Published version: | Open Access (Creative Commons open licence) |
| Date of first compliant deposit: | 9 February 2022 |
| Date of first compliant Open Access: | 9 February 2022 |
| RIOXX Funder/Project Grant: | Project/Grant ID RIOXX Funder Name Funder ID Applied Research Centre (ARC) West Midlands [NIHR] National Institute for Health Research |
| URI: | https://wrap.warwick.ac.uk/162641/ |
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