scholarly journals Transition from child and adolescent to adult mental health services in the Republic of Ireland: an investigation of process and operational practice

2013 ◽  
Vol 8 (3) ◽  
pp. 291-297 ◽  
Author(s):  
Niamh McNamara ◽  
Fiona McNicholas ◽  
Tamsin Ford ◽  
Moli Paul ◽  
Blanaid Gavin ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Child And Adolescent ◽  
Republic Of Ireland ◽  
Adult Mental Health ◽  
The Republic

Transitioning from the child and adolescent to the adult mental health services: An unresolved challenge and an opportunity

2020 ◽  
Vol 13 (4) ◽  
pp. 180-183
Author(s):  
Alberto Segura-Frontelo ◽  
Raquel Alvarez García ◽  
Violeta López de Lerma Borrué ◽  
Fabiola Rincón de los Santos ◽  
Enrique Baca-García
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Child And Adolescent ◽  
Adult Mental Health

scholarly journals Referral patterns for specialist child and adolescent mental health services in the Republic of Ireland during the COVID-19 pandemic compared with 2019 and 2018

BJPsych Open ◽  
2021 ◽  
Vol 7 (3) ◽  
Author(s):  
Fiona McNicholas ◽  
Ian Kelleher ◽  
Elma Hedderman ◽  
Fionnuala Lynch ◽  
Elaine Healy ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Third Wave ◽  
Physical And Mental Health ◽  
Significant Drop ◽  
Catchment Population ◽  
The Republic

Background Countries worldwide are experiencing a third wave of the coronavirus disease 2019 (COVID-19) pandemic. Government-imposed restrictive measures continue with undetermined effects on physical and mental health. Aims To compare child and adolescent mental health services (CAMHS) referrals over 11 months (January–November) in 2020, 2019 and 2018 and examine any impact the different phases of the COVID-19 restrictions might have on referral rates. Method Monthly CAMHS Health Service Executive data were examined, covering a catchment population of 260 560 or 12.7% of all youth (age group 0–18 years) in Ireland. The total number of urgent and routine referrals, appointments offered, rates of non-attendances and discharge outcome are presented. Results There was a significant drop in referrals in 2020, compared with prior years (χ2 = 10.3, d.f. = 2, P = 0.006). Referrals in 2020 dropped from March to May by 11% and from June to August by 10.3%. From September, both routine and urgent referrals increased by 50% compared with previous years (2018/2019), with the highest increase in November 2020 (180%). Clinic activity also increased from September, with double the number of out-patient appointments offered, compared with previous years (χ2 = 5171.72, d.f. = 3, P < 0.001) and lower (6.6%) rates of non-attendance (χ2 = 868.35, d.f. = 3, P < 0.001). Conclusions In 2020, following an initial decline, referrals to CAMHS increased consistently from September. Such unprecedented increase in referrals places further strain on services that are already underresourced and underfunded, with the likelihood of increased waiting lists post COVID-19. It is envisaged that once the pandemic is over, resources will be even more constrained, and CAMHS will be urgently in need of additional ring-fenced funding.

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

2020 ◽  
Vol 44 (4) ◽  
pp. 163-168 ◽  
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.

Reflections on developing an ADHD assessment service

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.

Determinants of Transition From Child and Adolescent to Adult Mental Health Services: A Western Australian Pilot Study

2016 ◽  
Vol 52 (3) ◽  
pp. 184-190 ◽  
Author(s):  
Rebecca H Perera ◽  
Shane L Rogers ◽  
Stephen Edwards ◽  
Paul Hudman ◽  
Catherine Malone
Keyword(s):  
Mental Health ◽  
Pilot Study ◽  
Mental Health Services ◽  
Health Services ◽  
Child And Adolescent ◽  
Adult Mental Health ◽  
Western Australian

scholarly journals What do young patients need when transitioning from child to adult mental health services?

2020 ◽  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Young Patients ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Ethical Values ◽  
Adult Mental Health

Researchers have examined the ethical values that people expect to underpin the transition from child and adolescent mental health services (CAMHS) to adult mental health services (AMHS).

scholarly journals Who is in the transition gap? Transition from CAMHS to AMHS in the Republic of Ireland

2015 ◽  
Vol 32 (1) ◽  
pp. 61-69 ◽  
Author(s):  
F. McNicholas ◽  
M. Adamson ◽  
N. McNamara ◽  
B. Gavin ◽  
M. Paul ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Young People ◽  
Health Service ◽  
Health Services ◽  
Young Person ◽  
Republic Of Ireland ◽  
Transition Boundary ◽  
The Republic ◽  
Service Need

ObjectiveThe ITRACK study explored the process and predictors of transition between Child and Adolescent Mental Health Services (CAMHS) and Adult Mental Health Services (AMHS) in the Republic of Ireland.MethodFollowing ethical approval, clinicians in each of Ireland’s four Health Service Executive (HSE) areas were contacted, informed about the study and were invited to participate. Clinicians identified all cases who had reached the transition boundary (i.e. upper age limit for that CAMHS team) between January and December 2010. Data were collected on clinical and socio-demographic details and factors that informed the decision to refer or not refer to the AMHS, and case notes were scrutinised to ascertain the extent of information exchanged between services during transition.ResultsA total of 62 service users were identified as having crossed the transition boundary from nine CAMHS [HSE Dublin Mid-Leinster (n=40, 66%), HSE South (n=18, 30%), HSE West (n=2, 3%), HSE Dublin North (n=1, 2%)]. The most common diagnoses were attention deficit hyperactivity disorder (ADHD; n=19, 32%), mood disorders (n=16, 27%), psychosis (n=6, 10%) and eating disorders (n=5, 8%). Forty-seven (76%) of those identified were perceived by the CAMHS clinician to have an ‘on-going mental health service need’, and of these 15 (32%) were referred, 11 (23%) young people refused and 21 (45%) were not referred, with the majority (12, 57%) continuing with the CAMHS for more than a year beyond the transition boundary. Young people with psychosis were more likely to be referred [χ2 (2, 46)=8.96, p=0.02], and those with ADHD were less likely to be referred [χ2 (2, 45)=8.89, p=0.01]. Being prescribed medication was not associated with referral [χ2 (2, 45)=4.515, p=0.11]. In referred cases (n=15), there was documented evidence of consent in two cases (13.3%), inferred in another four (26.7%) and documented preparation for transition in eight (53.3%). Excellent written communication (100%) was not supported by face-to-face planning meetings (n=2, 13.3%), joint appointments (n=1, 6.7%) or telephone conversations (n=1, 6.7%) between corresponding clinicians.ConclusionsDespite perceived on-going mental health (MH) service need, many young people are not being referred or are refusing referral to the AMHS, with those with ADHD being the most affected. CAMHS continue to offer on-going care past the transition boundary, which has resource implications. Further qualitative research is warranted to understand, in spite of perceived MH service need, the reason for non-referral by the CAMHS clinicians and refusal by the young person.

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