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Transitioning from child and adolescent mental health services with attention-deficit hyperactivity disorder in Ireland : case note review
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Tatlow-Golden, M., Gavin, B., McNamara, N., Singh, Swaran P., Ford, T., Paul, M., Cullen, W. and McNicholas, F. (2018) Transitioning from child and adolescent mental health services with attention-deficit hyperactivity disorder in Ireland : case note review. Early Intervention in Psychiatry, 12 (3). pp. 505-512. doi:10.1111/eip.12408 ISSN 1751-7885.
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Official URL: http://doi.org/10.1111/eip.12408
Abstract
In a context of international concern about early adult mental health service provision, this study identifies characteristics and service outcomes of young people with attention-deficit hyperactivity disorder (ADHD) reaching the child and adolescent mental health service (CAMHS) transition boundary (TB) in Ireland. The iTRACK study invited all 60 CAMHS teams in Ireland to participate; 8 teams retrospectively identified clinical case files for 62 eligible young people reaching the CAMHS TB in all 4 Health Service Executive Regions. A secondary case note analysis identified characteristics, co-morbidities, referral and service outcomes for iTRACK cases with ADHD (nā=ā20). Two-thirds of young people with ADHD were on psychotropic medication and half had mental health co-morbidities, yet none was directly transferred to public adult mental health services (AMHS) at the TB. Nearly half were retained in CAMHS, for an average of over a year; most either disengaged from services (40%) and/or actively refused transfer to AMHS (35%) at or after the TB. There was a perception by CAMHS clinicians that adult services did not accept ADHD cases or lacked relevant service/expertise. Despite high rates of medication use and co-morbid mental health difficulties, there appears to be a complete absence of referral to publicly available AMHS for ADHD youth transitioning from CAMHS in Ireland. More understanding of obstacles and optimum service configuration is essential to ensure that care is both available and accessible to young people with ADHD.
| Item Type: | Journal Article | ||||||||
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| Subjects: | R Medicine > R Medicine (General) 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 > Mental Health and Wellbeing Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Attention-deficit hyperactivity disorder, Attention-deficit-disordered children -- Ireland, Attention-deficit disorder in adults -- Ireland, Attention-deficit-disordered youth -- Ireland, Mental health services -- Ireland, Child mental health services -- Ireland | ||||||||
| Journal or Publication Title: | Early Intervention in Psychiatry | ||||||||
| Publisher: | Wiley-Blackwell Publishing Ltd. | ||||||||
| ISSN: | 1751-7885 | ||||||||
| Official Date: | June 2018 | ||||||||
| Dates: |
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| Volume: | 12 | ||||||||
| Number: | 3 | ||||||||
| Page Range: | pp. 505-512 | ||||||||
| DOI: | 10.1111/eip.12408 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Access rights to Published version: | Restricted or Subscription Access | ||||||||
| Date of first compliant deposit: | 23 September 2016 | ||||||||
| Date of first compliant Open Access: | 1 May 2018 | ||||||||
| Funder: | Ireland. Health Research Board (HRB), Shire plc | ||||||||
| Grant number: | HRA_HSR/2010/27 (HRB) |
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