Islam, Zoebia, Ford, Tamsin, Kramer, Tami, Paul, Moli, Parsons, Helen, Harley, Katherine, Weaver, Tim, McLaren, Susan and Singh, Swaran P. (2016) Mind how you cross the gap! Outcomes for young people who failed to make the transition from child to adult services : the TRACK study. BJ Psych Bulletin, 40 (3). pp. 142-148. doi:10.1192/pb.bp.115.050690

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Abstract

Aims and method: The Transitions of Care from Child and Adolescent Mental Health Services to Adult Mental Health Services (TRACK) study was a multistage, multicentre study of adolescents' transitions between child and adult mental health services undertaken in England. We conducted a secondary analysis of the TRACK study data to investigate healthcare provision for young people (n = 64) with ongoing mental health needs, who were not transferred from child and adolescent mental health services (CAMHS) to adult mental health services mental health services (AMHS).

Results: The most common outcomes were discharge to a general practitioner (GP; n = 29) and ongoing care with CAMHS (n = 13), with little indication of use of third-sector organisations. Most of these young people had emotional/neurotic disorders (n = 31, 48.4%) and neurodevelopmental disorders (n = 15, 23.4%).

Clinical implications: GPs and CAMHS are left with the responsibility for the continuing care of young people for whom no adult mental health service could be identified. GPs may not be able to offer the skilled ongoing care that these young people need. Equally, the inability to move them decreases the capacity of CAMHS to respond to new referrals and may leave some young people with only minimal support.

Item Type:	Journal Article
Subjects:	H Social Sciences > HQ The family. Marriage. Woman R Medicine > RA Public aspects of medicine R Medicine > RC Internal medicine R Medicine > RJ Pediatrics
Divisions:	Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Cancer Research 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 > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH):	Child mental health services--England, Teenagers and adults--Mental health services--England, Mental illness, Mentally ill
Journal or Publication Title:	BJ Psych Bulletin
Publisher:	Royal College of Psychiatrists
ISSN:	2056-4694
Official Date:	1 June 2016
Dates:	Date Event 1 June 2016 Published 2 November 2015 Accepted 8 July 2015 Accepted 23 January 2015 Submitted
Volume:	40
Number:	3
Page Range:	pp. 142-148
DOI:	10.1192/pb.bp.115.050690
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Open Access
Funder:	National Institute for Health Research (Great Britain) (NIHR)
Grant number:	SDO/117 (NIHR)
Related URLs:	Publisher

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