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Transition outcomes for young people discharged from adolescent medium secure services in England : a qualitative study exploring adolescents’ and carers’ experiences
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Livanou, Maria, Bull, Marcus, Lane, Rebecca, D’Souza, Sophie, El Asam, Aiman and Singh, Swaran P. (2021) Transition outcomes for young people discharged from adolescent medium secure services in England : a qualitative study exploring adolescents’ and carers’ experiences. Clinical Child Psychology and Psychiatry, 26 (4). pp. 1227-1242. doi:10.1177/13591045211026048 ISSN 1359-1045.
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Official URL: https://doi.org/10.1177/13591045211026048
Abstract
Background: Young people in secure services present with multiple vulnerabilities, therefore transition periods are especially challenging for this group. In this study we followed up young people discharged from adolescent medium secure services to adult and community settings with the aim to explore transition experiences and outcomes.
Methods: Participants were recruited from 15 child and adult mental health services in England. We conducted qualitative semi-structured interviews with 13 young people, aged 18 -19 years, moving from child and adolescent medium secure units two to six months post-transition, and five carers one to three months pre-transition. Thematic analysis was performed to identify predetermined or data-driven themes elicited from face-to-face interviews.
Results: The findings indicated poor transition outcomes for young people with the most severe mental health symptoms and those who committed serious offences. Three overarching themes were identified: (1) unsettling environmental factors within adult services; (2) experiences of transition management and preparation; and (3) parental experiences of transition process and engagement with adult services.
Conclusion: The findings of this study indicate that young people and carers value ongoing involvement in the transition process by well-informed parallel care. They also highlight the need for a national integrative care model that diverges from the traditional ‘one-size-fits-all’ approach.
| Item Type: | Journal Article | ||||||||
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| Subjects: | B Philosophy. Psychology. Religion > BF Psychology H Social Sciences > HV Social pathology. Social and public welfare 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): | Teenagers -- Mental health services , Teenagers -- Mental health, Teenagers with mental disabilities -- Care -- England, Youth with mental disabilities -- Care -- England, Adolescent psychopathology -- England, Adolescent psychiatry -- England, Mentally ill teenagers, Mentally ill teenagers -- Services for -- England | ||||||||
| Journal or Publication Title: | Clinical Child Psychology and Psychiatry | ||||||||
| Publisher: | Sage | ||||||||
| ISSN: | 1359-1045 | ||||||||
| Official Date: | 1 October 2021 | ||||||||
| Dates: |
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| Volume: | 26 | ||||||||
| Number: | 4 | ||||||||
| Page Range: | pp. 1227-1242 | ||||||||
| DOI: | 10.1177/13591045211026048 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Reuse Statement (publisher, data, author rights): | This is the Accepted Version of the article and reuse is restricted to non-commercial and no derivative uses. | ||||||||
| Access rights to Published version: | Open Access (Creative Commons) | ||||||||
| Date of first compliant deposit: | 17 June 2021 | ||||||||
| Date of first compliant Open Access: | 18 June 2021 | ||||||||
| RIOXX Funder/Project Grant: |
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