Transition to Adult Mental Health Services for Young People With ADHD

2014 ◽  
Vol 22 (6) ◽  
pp. 601-608 ◽  
Author(s):  
Laura Reale ◽  
Maria Antonella Costantino ◽  
Marco Sequi ◽  
Maurizio Bonati
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Services ◽  
Health Services ◽  
Care Management ◽  
Adult Mental Health ◽  
Adult Services ◽  
Adult Service ◽  
Adult Mental Health Service ◽  
Pathway Of Care

Objective: To investigate the care management and continuity from child to adult mental health service for young adults with ADHD. Method: A questionnaire survey from 18 Regional ADHD Pediatric Centers (RAPC) in Lombardy, Italy, was used to collect data on transition protocols and population served, and to track the pathway of care of ADHD patients once they reached adulthood. Results: Twenty-eight percent of RAPC had transition protocols and 3% of the population annually served were potential referrals to adult service. Of 52 patients who turned 18 years, just over 70% were monitored by the general practitioner, of those 5 with RAPC support. One fifth of patients continued to use mental health services, the majority was still monitored by the RAPC, and only three by services for adult. Conclusion: Managing the process of transition to adult services in mental health care remains a need to be prioritized and better defined for ADHD patients.

scholarly journals The importance of intervening in adult mental health services when patients are parents

2014 ◽  
Vol 3 (6) ◽  
pp. 56 ◽  
Author(s):  
Camilla Lauritzen
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
Mental Health Services ◽  
Health Services ◽  
Health Care Systems ◽  
Theoretical Background ◽  
Parental Mental Illness ◽  
Adult Mental Health ◽  
Care Systems

This article addresses the issue of parental mental illness. The theoretical background and rationale for developing new routines to change clinical practice is described, suggesting a policy change in which a child focus is implemented in adult mental health services. Furthermore, proposed strategies that have the potential of being effective within existing health care systems are discussed.

scholarly journals Mental health professionals’ experiences transitioning patients with anorexia nervosa from child/adolescent to adult mental health services: a qualitative study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Veronica Lockertsen ◽  
Liv Nilsen ◽  
Lill Ann Wellhaven Holm ◽  
Øyvind Rø ◽  
Linn May Burger ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Anorexia Nervosa ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Professionals ◽  
Transition Period ◽  
Critical Time ◽  
Transition Process ◽  
Adult Mental Health

Abstract Background The transition period between child and adolescent mental health services (CAMHS) and adult mental health services (AMHS) has been identified as an especially critical time for patients with anorexia nervosa. In the present study, to better facilitate patients’ recovery process, we explored the experiences of professionals concerning the transition from CAMHS to AMHS. Method A qualitative explorative study was carried out based on recorded interviews from one multi-step focus group and two individual interviews with eight experienced health care professionals. Together they had experience with treating patients with AN and the transition from CAMHS to AMHS, both from specialized eating disorder units, specialized mental health care units, and from a school nurse context. Service users with parents` perspectives and patients’ perspectives were involved in all steps of the research process. Results Barriers experienced during the transition process were classified into four categories: (1) different treatment cultures that describe differences in how parents are included in CAMHS and AMHS; (2) mistrust between CAMHS and AMHS that can create a lack of collaboration and predictability for the patients’ transition; (3) Clinicians` factors such as lack of professional self-confidence can influence continuity of care for patients; and (4) lack of trust between services and not enough focus on building a new alliance in AMHS negatively influences the transition. Conclusions The present study revealed four important categories that professionals needs to consider when participating in the transition for patients with AN from CAMHS to AMHS. Awareness of these challenges might improve the transition process for patients with AN.

Experiences of Young Offenders and Health-care Professionals Involved in Transitions from Forensic Adolescent Mental Health Services: A Qualitative Study

2017 ◽  
Vol 41 (S1) ◽  
pp. S153-S153
Author(s):  
M. Livanou ◽  
V. Furtado ◽  
S. Singh
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Services ◽  
Young People ◽  
Health Services ◽  
Health Care Professionals ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Young Offenders ◽  
Adult Services

IntroductionTransitions from child and adolescent mental health services to adult mental health services have been quite troublesome for young people in the UK. There is strong evidence throughout the literature that long waiting lists and rigid adult services criteria hamper dramatically transitions across services. Little knowledge exists about transitions from forensic adolescent services to adult services.ObjectivesTo interview health-care professionals and young offenders in transition of care from forensic child and adolescent mental health services in England.AimsThis study aimed to bridge the current literature gap in regards to transitions across forensic services and the complexities resulting from disruptive care.MethodsThis study adopted a prospective design to identify young offenders referred to adult services over a six-month period. We utilized semi-structured interviews. Health-care professionals were interviewed about their transition views and perspectives. Young offenders were followed-up within a month of their transition and were interviewed.ResultsThe numbers of transitions within forensic settings are much lower compared to those of general transitions across mental health services in England. Transition delays were a repetitive theme across interviews due to lack of bed availability, especially in medium secure hospitals, and poor multi-agency communication. Commissioning determines age boundaries along with transfer destination for each service.ConclusionsIneffective liaison among different sectors might impact adversely young people and hallmark their long-stay in the system. Therefore, continuity of care within forensic services should be looked warily along with the role of policy shaped by commissioning. Multiple transitions can repeatedly traumatize young people moving across services.

Exploration of the dynamic barriers to adults with intellectual disabilities accessing mainstream mental health services

2015 ◽  
Vol 9 (6) ◽  
pp. 352-362 ◽  
Author(s):  
Paddy McNally ◽  
Kimberly McMurray
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
Intellectual Disabilities ◽  
Learning Disability ◽  
Content Type ◽  
Adult Mental Health ◽  
Adult Mental Health Service

Purpose – The purpose of this paper is to investigate the experiences of psychologists in considering the barriers to people with intellectual disabilities being able to access mainstream mental health services. Design/methodology/approach – The information relating to participant experiences was gathered by conducting two focus groups: one with psychologists working in the adult mental health service and the second with psychologists working in the learning disability service. A thematic analysis was used to determine the main themes from each of the focus groups. Findings – The overarching themes for the psychologists in the adult mental health service related to: service restrictions; confidence in their ability/skills; and resistance to change. The overarching themes for the psychologists in the learning disability service reflected: future thinking; protection; pessimism; and clarification around mental health and learning disability. Originality/value – The discussion includes consideration of the dynamic positions of the two services and recommendations for an integrated system of working.

scholarly journals Prioritizing core components of successful transitions from child to adult mental health care: a national Delphi survey with youth, caregivers, and health professionals

2021 ◽  
Author(s):  
Kristin Cleverley ◽  
Emma McCann ◽  
David O’Brien ◽  
Julia Davies ◽  
Kathryn Bennett ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Care ◽  
Delphi Study ◽  
Research Process ◽  
Adult Mental Health ◽  
Expert Advisory ◽  
Core Components

AbstractYouth accessing mental health care often experience a disruption in care as they attempt to transition between child and adolescent mental health services (CAMHS) and adult mental health services (AMHS). Few studies have evaluated interventions seeking to improve the experience and outcomes of CAMHS–AMHS transitions, in part due to lack of consensus on what constitutes best practices in intervention success. As such, the aim of this study was to engage patients, caregivers, and clinicians to prioritize core components of successful CAMHS–AMHS transitions which can be used in the design or evaluation of transition interventions. As such, a Delphi study was conducted to determine core components of successful CAMHS–AMHS transitions. Guided by the principles of patient-oriented research, three balanced expert panels consisting of youth, caregivers, and clinicians ranked and provided feedback on the importance and feasibility of core components of CAMHS-AMHS transitions. Components endorsed as feasible or important with ≥ 70% agreement from any panel moved to the next round. As a result, a list of 26 core components of CAMHS–AMHS transitions has been refined which can be used in the design, implementation, or evaluation of interventions intended to improve transition experiences and outcomes for youth in mental health care. Youth and families were engaged in an expert advisory role throughout the research process, contributing their important perspectives to the design and implementation of this study, as well as interpretation of the findings.

scholarly journals Transitioning from child to adult mental health services: what role for social services? Insights from a European survey

2020 ◽  
Vol 15 (3) ◽  
pp. 89-108
Author(s):  
Giulia Signorini ◽  
Nikolina Davidovic ◽  
Gwen Dieleman ◽  
Tomislav Franic ◽  
Jason Madan ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Services ◽  
Young People ◽  
Health Services ◽  
Social Services ◽  
Social Service ◽  
Service Availability ◽  
Content Type ◽  
Adult Mental Health

Purpose Young people transitioning from child to adult mental health services are frequently also known to social services, but the role of such services in this study and their interplay with mental healthcare system lacks evidence in the European panorama. This study aims to gather information on the characteristics and the involvement of social services supporting young people approaching transition. Design/methodology/approach A survey of 16 European Union countries was conducted. Country respondents, representing social services’ point of view, completed an ad hoc questionnaire. Information sought included details on social service availability and the characteristics of their interplay with mental health services. Findings Service availability ranges from a low of 3/100,000 social workers working with young people of transition age in Spain to a high 500/100,000 social workers in Poland, with heterogeneous involvement in youth health care. Community-based residential facilities and services for youth under custodial measures were the most commonly type of social service involved. In 80% of the surveyed countries, youth protection from abuse/neglect is overall regulated by national protocols or written agreements between mental health and social services, with the exception of Czech Republic and Greece, where poor or no protocols apply. Lack of connection between child and adult mental health services has been identified as the major obstacles to transition (93.8%), together with insufficient involvement of stakeholders throughout the process. Research limitations/implications Marked heterogeneity across countries may suggest weaknesses in youth mental health policy-making at the European level. Greater inclusion of relevant stakeholders is needed to inform the development and implementation of person-centered health-care models. Disconnection between child and adult mental health services is widely recognized in the social services arena as the major barrier faced by young service users in transition; this “outside” perspective provides further support for an urgent re-configuration of services and the need to address unaligned working practices and service cultures. Originality/value This is the first survey gathering information on social service provision at the time of mental health services transition at a European level; its findings may help to inform services to offer a better coordinated social health care for young people with mental health disorders.

scholarly journals Mind the gap: the interface between child and adult mental health services

2005 ◽  
Vol 29 (8) ◽  
pp. 292-294 ◽  
Author(s):  
Swaran P. Singh ◽  
Navina Evans ◽  
Lester Sireling ◽  
Helen Stuart
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Problems ◽  
Full Time ◽  
Adult Mental Health ◽  
Adult Services ◽  
Health Authorities ◽  
Audit Commission ◽  
The Uk

Adolescents with mental health problems are poorly served by mental health services, since responsibility for care often falls between child and adult services. Within the UK, there is no consensus on how service boundaries should be delineated. Some services use an age cut-off at some point between 16 and 18 years, whereas others consider child services to be appropriate only for those in full-time education. The Audit Commission (1999) reported that nationally 29% of health authorities commissioned child and adolescent mental health services for young people before their 16th birthday only, although adult services were not considered suitable for those under 17 years old. The report highlighted the poor development of adolescent services and their inadequate links with other agencies, including adult mental health services.

ADHD and transitions to adult mental health services

2018 ◽  
Author(s):  
Chris Hollis
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Young People ◽  
Health Services ◽  
Adult Adhd ◽  
Neurodevelopmental Disorder ◽  
Adult Mental Health ◽  
Adult Services ◽  
Before And After

Despite the recognition of ADHD as a lifespan neurodevelopmental disorder, the majority of young people with ADHD fail to transition successfully to adult services. Health service transition marks a particularly vulnerable time for young people with ADHD, as disengagement from services and untreated ADHD lead to serious adverse psychiatric and social outcomes. Barriers to successful transition include the lack of adult ADHD services, differences in acceptance thresholds, lack of knowledge and training among practitioners in adult services, and a less family-orientated culture in adult services that may exclude parents. Young people and parents should routinely be involved in the design and evaluation of services related to transition. The role of an ADHD transition worker and increased involvement of primary care in the management of ADHD is recommended to provide greater continuity and support before and after the transfer of care from child and adolescent to adult mental health services.

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