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Demographic, clinical, and service-use characteristics related to the clinician’s recommendation to transition from child to adult mental health services

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The Milestone Consortium (Including:

Gerritsen, S. E., van Bodegom, L. S., Dieleman, G. C., Overbeek, M. M., Verhulst, F. C., Wolke, Dieter, Rizopoulos, D., Appleton, R., van Amelsvoort, T. A. M. J., Bodier Rethore, C. et al.
). (2022) Demographic, clinical, and service-use characteristics related to the clinician’s recommendation to transition from child to adult mental health services. Social Psychiatry and Psychiatric Epidemiology . doi:10.1007/s00127-022-02238-6 (In Press)

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Official URL: http://dx.doi.org/10.1007/s00127-022-02238-6

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Abstract

Purpose:
The service configuration with distinct child and adolescent mental health services (CAMHS) and adult mental health services (AMHS) may be a barrier to continuity of care. Because of a lack of transition policy, CAMHS clinicians have to decide whether and when a young person should transition to AMHS. This study describes which characteristics are associated with the clinicians’ advice to continue treatment at AMHS.

Methods:
Demographic, family, clinical, treatment, and service-use characteristics of the MILESTONE cohort of 763 young people from 39 CAMHS in Europe were assessed using multi-informant and standardized assessment tools. Logistic mixed models were fitted to assess the relationship between these characteristics and clinicians’ transition recommendations.

Results:
Young people with higher clinician-rated severity of psychopathology scores, with self- and parent-reported need for ongoing treatment, with lower everyday functional skills and without self-reported psychotic experiences were more likely to be recommended to continue treatment. Among those who had been recommended to continue treatment, young people who used psychotropic medication, who had been in CAMHS for more than a year, and for whom appropriate AMHS were available were more likely to be recommended to continue treatment at AMHS. Young people whose parents indicated a need for ongoing treatment were more likely to be recommended to stay in CAMHS.

Conclusion:
Although the decision regarding continuity of treatment was mostly determined by a small set of clinical characteristics, the recommendation to continue treatment at AMHS was mostly affected by service-use related characteristics, such as the availability of appropriate services.

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 > 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 services -- Great Britain, Teenagers -- Mental health services -- Great Britain, Mental health services, Preventive mental health services for teenagers , Child mental health -- Evaluation, Outcome assessment (Medical care)
Journal or Publication Title: Social Psychiatry and Psychiatric Epidemiology
Publisher: Springer Nature Switzerland AG
ISSN: 0933-7954
Official Date: 10 February 2022
Dates:
DateEvent
10 February 2022Published
22 January 2022Accepted
DOI: 10.1007/s00127-022-02238-6
Status: Peer Reviewed
Publication Status: In Press
Access rights to Published version: Open Access
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
602442Seventh Framework Programmehttp://dx.doi.org/10.13039/100011102
Contributors:
ContributionNameContributor ID
Research GroupThe Milestone Consortium, UNSPECIFIED

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