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Transfers and transitions between child and adult mental health services
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Paul, Moli, Ford, Tamsin, Kramer, Tami, Islam, Zoebia, Harley, Kath and Singh, Swaran P. (2013) Transfers and transitions between child and adult mental health services. The British Journal of Psychiatry, Volume 202 (Number s54). s36-s40. doi:10.1192/bjp.bp.112.119198 ISSN 0007-1250.
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Official URL: http://dx.doi.org/10.1192/bjp.bp.112.119198
Abstract
Background
Transfer of care from one healthcare provider to another is often understood as a suboptimal version of the process of transition.
Aims
To separate and evaluate concepts of transfer and transition between child and adolescent mental health services (CAMHS) and adult mental health services (AMHS).
Method
In a retrospective case-note survey of young people reaching the upper age boundary at six English CAMHS, optimal transition was evaluated using four criteria: continuity of care, parallel care, a transition planning meeting and information transfer.
Results
Of 154 cases, 76 transferred to AMHS. Failure to transfer resulted mainly from non-referral by CAMHS (n = 12) and refusal by service users (n = 12) rather than refusal by AMHS (n = 7). Four cases met all criteria for optimal transition, 13 met none; continuity of care (n = 63) was met most often.
Conclusions
Transfer was common but good transition rare. Reasons for failure to transfer differ from barriers to transition. Transfer should be investigated alongside transition in research and service development.
Item Type: | Journal Article | ||||
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Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services |
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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): | Child mental health services -- Great Britain, Mental health services -- Great Britain | ||||
Journal or Publication Title: | The British Journal of Psychiatry | ||||
Publisher: | Royal College of Psychiatrists | ||||
ISSN: | 0007-1250 | ||||
Official Date: | 2013 | ||||
Dates: |
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Volume: | Volume 202 | ||||
Number: | Number s54 | ||||
Page Range: | s36-s40 | ||||
DOI: | 10.1192/bjp.bp.112.119198 | ||||
Status: | Peer Reviewed | ||||
Publication Status: | Published | ||||
Access rights to Published version: | Restricted or Subscription Access | ||||
Funder: | National Institute for Health Research (Great Britain). Service Delivery and Organisation Programme (NIHR SDO) |
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