Process, outcome and experience of transition from child to adult mental healthcare : multiperspective study
Singh, Swaran P., Paul, Moli, Ford, Tamsin, Kramer, Tami, McLaren, Susan, Hovish, Kimberly, Islam, Zoebia, Belling, Ruth and White, Sarah. (2010) Process, outcome and experience of transition from child to adult mental healthcare : multiperspective study. British Journal of Psychiatry, Vol.197 (No.4). pp. 305-312. ISSN 0007-1250
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Official URL: http://dx.doi.org/10.1192/bjp.bp.109.075135
Many adolescents with mental health problems experience transition of care from child and adolescent mental health services (CAMHS) to adult mental health services (AMHS).
As part of the TRACK study we evaluated the process, outcomes and user and carer experience of transition from CAMHS to AMHS.
We identified a cohort of service users crossing the CAMHS/AMHS boundary over 1 year across six mental health trusts in England. We tracked their journey to determine predictors of optimal transition and conducted qualitative interviews with a subsample of users, their carers and clinicians on how transition was experienced.
Of 154 individuals who crossed the transition boundary in 1 year, 90 were actual referrals (i.e. they made a transition to AMHS), and 64 were potential referrals (i.e. were either not referred to AMHS or not accepted by AMHS). Individuals with a history of severe mental illness, being on medication or having been admitted were more likely to make a transition than those with neurodevelopmental disorders, emotional/neurotic disorders and emerging personality disorder. Optimal transition, defined as adequate transition planning, good information transfer across teams, joint working between teams and continuity of care following transition, was experienced by less than 5% of those who made a transition. Following transition, most service users stayed engaged with AMHS and reported improvement in their mental health.
For the vast majority of service users, transition from CAMHS to AMHS is poorly planned, poorly executed and poorly experienced. The transition process accentuates pre-existing barriers between CAMHS and AMHS
|Item Type:||Journal Article|
|Subjects:||R Medicine > RA Public aspects of medicine|
|Divisions:||Faculty of Medicine > Warwick Medical School > Mental Health and Wellbeing
Faculty of Medicine > Warwick Medical School
|Library of Congress Subject Headings (LCSH):||Teenagers -- Mental health services -- Great Britain|
|Journal or Publication Title:||British Journal of Psychiatry|
|Publisher:||Royal College of Psychiatrists|
|Official Date:||22 October 2010|
|Page Range:||pp. 305-312|
|Access rights to Published version:||Restricted or Subscription Access|
|Funder:||National Institute for Health Research (Great Britain) (NIHR)|
1. Royal College of Paediatrics and Child Health. Bridging the gaps: health care for adolescents. 2003 11 October 2007]; Available from: www.rcpch.ac.uk.
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