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Mapping child and adolescent mental health services and the interface during transition to adult services in six Swiss cantons
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Kilicel, Deniz, De Crescenzo, Franco, Barbe, Remy, Edan, Anne, Curtis, Logos, Singh, Swaran P., Micali, Nadia, Aubry, Jean-Michel, Mégevand, Jacqueline, Eliez, Stephan, Plessen, Kerstin Jessica and Armando, Marco (2022) Mapping child and adolescent mental health services and the interface during transition to adult services in six Swiss cantons. Frontiers in Psychiatry, 13 . 814147. doi:10.3389/fpsyt.2022.814147 ISSN 1664-0640.
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WRAP-Mapping-child-adolescent-mental-health-services-interface-adult-six-Swiss-2022.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons Attribution 4.0. Download (529Kb) | Preview |
Official URL: https://doi.org/10.3389/fpsyt.2022.814147
Abstract
Rationale: Transition in psychiatry refers to the period where young people transit from Child and Adolescent Mental Health Services (CAMHS) to Adult Mental Health Services (AMHS). Discontinuity of care during this period is well-documented but little is known about provisions and transition characteristics and policies across Switzerland. The aim of this article is to describe the architecture of public mental health providers in Switzerland and compare it to EU countries.
Method: Two mapping surveys, developed previously for European countries, were adapted and sent to cantonal experts: the adapted European CAMHS Mapping Questionnaire (ECM-Q) assessing the architecture and functioning of CAMHS and the adapted Standardized Assessment Tool for Mental Health Transition (SATMeHT) to map CAMHS-AMHS interface.
Results: Data were gathered from six cantons. Activity data and transition policies were comparable between Swiss regions and European countries. The percentage of young people below 19 years who were in care was above 2% in every responding canton with a higher proportion of boys than girls for patients <12 years of age. The transition occurred at the age of 18 years, civil majority, in each canton, and between 0 and 24% (3/7) and 25% and 49% (4/7) of young people were expected to transition. One canton (1/7) benefitted from written guidelines, at the CAMHS level only, regarding transition but none had guidelines for mapping CAMHS/AMHS interface even at the regional level.
Conclusion: Despite the availability of resources and even if the possibilities of access to care are on average higher than in many European countries, issues regarding transition remain comparable in six Swiss cantons when compared to Europe. Meaning that beyond resources, it is the coordination between services that needs to be worked on. Importantly, implementing those changes would not require investing financial resources but rather working on the coordination between existing teams.
| Item Type: | Journal Article | |||||||||
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| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RC Internal medicine R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services |
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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): | Mental health facilities -- Discharge planning -- Switzerland, Youth -- Mental health services -- Switzerland, Youth -- Mental health services -- European Union countries, Teenagers -- Mental health services -- Switzerland, Teenagers -- Mental health services -- European Union countries, Child mental health services -- Switzerland, Child mental health services -- European Union countries, Mental health services -- Switzerland, Mental health services -- European Union countries, Youth with mental disabilities -- Care -- Switzerland, Youth with mental disabilities -- Care -- European Union countries | |||||||||
| Journal or Publication Title: | Frontiers in Psychiatry | |||||||||
| Publisher: | Frontiers Media S.A. | |||||||||
| ISSN: | 1664-0640 | |||||||||
| Official Date: | 9 May 2022 | |||||||||
| Dates: |
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| Volume: | 13 | |||||||||
| Article Number: | 814147 | |||||||||
| DOI: | 10.3389/fpsyt.2022.814147 | |||||||||
| Status: | Peer Reviewed | |||||||||
| Publication Status: | Published | |||||||||
| Access rights to Published version: | Open Access (Creative Commons) | |||||||||
| Date of first compliant deposit: | 17 June 2022 | |||||||||
| Date of first compliant Open Access: | 17 June 2022 | |||||||||
| RIOXX Funder/Project Grant: |
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