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Transition from child and adolescent to adult mental health services in young people with depression : on what do clinicians base their recommendation?
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(2023) Transition from child and adolescent to adult mental health services in young people with depression : on what do clinicians base their recommendation? Depression and Anxiety, 2023 . 8495521. doi:10.1155/2023/8495521 ISSN 1091-4269.
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WRAP-transition-child-adolescent-adult-mental-health-services-young-people-depression-2023.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons Attribution 4.0. Download (736Kb) | Preview |
Official URL: https://doi.org/10.1155/2023/8495521
Abstract
Background. Clinicians in Child and Adolescent Mental Healthcare Services (CAMHS) face the challenge to determine who is at risk of persistence of depressive problems into adulthood and requires continued treatment after reaching the CAMHS upper age limit of care-provision. We assessed whether risk factors for persistence were related to CAMHS clinicians’ transition recommendations. Methods. Within the wider MILESTONE cohort study, 203 CAMHS users were classified with unipolar depressive disorder by their clinician, and 185 reported clinical levels of depressive problems on the DSM-oriented Depressive Problems scale of the Achenbach Youth Self Report. Logistic regression models were fitted to both subsamples to assess the relationship between clinicians’ transition recommendations and risk factors for persistent depression. Results. Only clinician-rated severity of psychopathology was related to a recommendation to continue treatment for those classified with unipolar depressive disorder (N=203; OR=1.45, 95% CI (1.03–2.03), p=.044) and for those with self-reported depressive problems on the Achenbach DSM-oriented Depressive Problems scale (N=185; OR=1.62, 95% CI (1.12–2.34), p=.012). Conclusion. Transition recommendations and need for continued treatment are based on clinical expertise, rather than self-reported problems and needs.
Item Type: | Journal Article | ||||||
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Subjects: | R Medicine > RJ Pediatrics | ||||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit 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 |
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SWORD Depositor: | Library Publications Router | ||||||
Library of Congress Subject Headings (LCSH): | Child mental health -- Research, Youth -- Mental health services, Youth -- Mental health, Child mental health services, Quality of life -- Children -- Health aspects, Well-being -- Age factors, Depression in children -- Research, Depression in adolescence -- Research | ||||||
Journal or Publication Title: | Depression and Anxiety | ||||||
Publisher: | John Wiley & Sons Ltd. | ||||||
ISSN: | 1091-4269 | ||||||
Official Date: | 31 October 2023 | ||||||
Dates: |
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Volume: | 2023 | ||||||
Article Number: | 8495521 | ||||||
DOI: | 10.1155/2023/8495521 | ||||||
Status: | Peer Reviewed | ||||||
Publication Status: | Published | ||||||
Access rights to Published version: | Open Access (Creative Commons) | ||||||
Date of first compliant deposit: | 7 December 2023 | ||||||
Date of first compliant Open Access: | 12 December 2023 | ||||||
RIOXX Funder/Project Grant: |
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