Continuity of care from child and adolescent to adult mental health services: evidence from a regional survey in Northern Italy

BackgroundTransfer of care from one healthcare provider to another is often understood as a suboptimal version of the process of transition.AimsTo separate and evaluate concepts of transfer and transition between child and adolescent mental health services (CAMHS) and adult mental health services (AMHS).MethodIn 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.ResultsOf 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 in(n = 63) was met most often.ConclusionsTransfer 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.

Download Full-text

P-317 - The characteristics and activities of child and adolescent mental health services in italy: a regional survey

European Psychiatry ◽

10.1016/s0924-9338(12)74484-x ◽

2012 ◽

Vol 27 ◽

pp. 1

Author(s):

L. Pedrini ◽

G. de Girolamo ◽

D. Sisti ◽

S. Palazzi

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Health Services ◽

Adolescent Mental Health ◽

Child And Adolescent ◽

Regional Survey

Download Full-text

The characteristics and activities of child and adolescent mental health services in Italy: a regional survey

BMC Psychiatry ◽

10.1186/1471-244x-12-7 ◽

2012 ◽

Vol 12 (1) ◽

Cited By ~ 10

Author(s):

Laura Pedrini ◽

◽

Giovanni Colasurdo ◽

Stefano Costa ◽

Michela Fabiani ◽

...

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Health Services ◽

Adolescent Mental Health ◽

Child And Adolescent ◽

Regional Survey

Download Full-text

Challenges during the transition from child and adolescent mental health services to adult mental health services

BJPsych Bulletin ◽

10.1192/bjb.2019.85 ◽

2020 ◽

Vol 44 (4) ◽

pp. 163-168 ◽

Cited By ~ 4

Author(s):

Gaelle Hendrickx ◽

Veronique De Roeck ◽

Athanasios Maras ◽

Gwen Dieleman ◽

Suzanne Gerritsen ◽

...

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Young People ◽

Health Services ◽

Mental Health Problems ◽

Mental Healthcare ◽

Transition Process ◽

Child And Adolescent ◽

Smooth Transition ◽

Adult Mental Health

The transition from child and adolescent to adult mental health services for young people with mental health problems is of international concern. Despite the high prevalence of mental disorders during adolescence and their tendency to continue during adulthood, the majority of young people do not experience continuity of care. The aim of this review paper is to unravel the complexity of transitional mental healthcare to clinicians, policy makers and mental health service managers, and to address challenges to a smooth transition process at all levels.

Download Full-text

Reflections on developing an ADHD assessment service

Irish Journal of Psychological Medicine ◽

10.1017/ipm.2017.65 ◽

2017 ◽

Vol 35 (3) ◽

pp. 245-246

Author(s):

N. Farrelly

Keyword(s):

Mental Health ◽

Attention Deficit Hyperactivity Disorder ◽

Mental Health Services ◽

Health Services ◽

Attention Deficit ◽

Child And Adolescent ◽

Adhd Assessment ◽

Hyperactivity Disorder ◽

Adult Mental Health

Clinicians in adult mental health services are coming under increasing pressure to respond to requests for Attention Deficit Hyperactivity Disorder assessment and management both from those who are to no longer eligible for treatment in the Child and Adolescent services and those seeking a new assessment. The challenges in responding to such requests are discussed in this reflection.

Download Full-text