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Mind how you cross the gap! Outcomes for young people who failed to make the transition from child to adult services : the TRACK study
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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 ISSN 2056-4694.
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Official URL: http://dx.doi.org/10.1192/pb.bp.115.050690
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 | ||||||||||
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| 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 |
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| 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 |
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| 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: |
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| 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 (Creative Commons) | ||||||||||
| Date of first compliant deposit: | 17 December 2015 | ||||||||||
| Date of first compliant Open Access: | 17 December 2015 | ||||||||||
| Funder: | National Institute for Health Research (Great Britain) (NIHR) | ||||||||||
| Grant number: | SDO/117 (NIHR) | ||||||||||
| Related URLs: |
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