American Association of Community Psychiatrists' Principles for Managing Transitions in Behavioral Health Services

Sowers, Wesley; Rohland, Barbara M.

doi:10.1176/appi.ps.55.11.1271

Cited by 13 publications

(14 citation statements)

References 26 publications

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“…Linkage is better served when the step to what has traditionally been called aftercare is treated more as a transition than as a change (3)(4)(5). The most effective strategies seem to be those that introduce personal connections and reduce the distinction between inpatient and outpatient services.…”

Section: Discussionmentioning

confidence: 99%

Best Practices: The Jail Inreach Project: Linking Homeless Inmates Who Have Mental Illness With Community Health Services

Buck¹,

Brown²,

Hickey³

2011

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The Jail Inreach Project is a health care-based intensive case management "inreach" program that engages incarcerated persons from the homeless population who have behavioral health disorders (mental illness, substance use disorder, or both) in establishing a plan for specific postrelease services. The Jail Inreach Project aims to provide continuity of care and integrate this highly marginalized subpopulation of homeless persons into primary and behavioral health care systems by establishing patient-centered health homes. The use of integrated primary and behavioral health models in conjunction with provisions for immediate access to and continuity of care upon release is emerging as a best practice in combating the rapid cycling of this vulnerable population between streets and shelters, emergency centers, and the county jail. Preliminary results indicate that more than half of the persons referred to the program remained successfully linked with services postrelease, whereas slightly less than one-third who engaged in services while incarcerated did not retain linkage on release.

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Section: Discussionmentioning

confidence: 99%

Best Practices: The Jail Inreach Project: Linking Homeless Inmates Who Have Mental Illness With Community Health Services

Buck¹,

Brown²,

Hickey³

2011

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“…38 Individual organizations work both independently and within systems of care to progressively provide and promote continuity of care for people with mental health problems. 15 …”

Section: Continuity Of Carementioning

confidence: 99%

“…15 Transition planning works better within organizations and systems of care that combine or bridge youth and adult service systems. Leaders in this area have called both for more research and for support to implement effective programs and collaborative systems of care for people with mental health disorders.…”

Section: Introductionmentioning

confidence: 99%

“…17 Organizations can reduce fragmentation and promote continuity of mental health care by providing specific services, progressively and comprehensively planning successful transitions that ensure continuity of care, along with support and respect. 15 Specific principles for continuity of behavioral health care include prioritizing transition planning from the start of treatment, coordinating plans based on consumer participation. Culturally sensitive services such as ethnic and linguistic matching also help decrease discontinuities that may occur if members of ethnic groups drop out of needed care.…”

Section: Introductionmentioning

confidence: 99%

“…18 Transition planning should therefore be preventive, accessible, gradual, and culturally sensitive, clarifying personal responsibility and specifying accountability for components of the plan. 15, 19 …”

Section: Introductionmentioning

confidence: 99%

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How Community Organizations Promote Continuity of Care for Young People with Mental Health Problems

Polgar

Cabassa

Morrissey

2014

J Behav Health Serv Res

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Young people between the ages of 16 and 25 who experience mental health problems experience transitions and need help from a variety of organizations. Organizations promote continuity of care by assisting young adults with developmental, service, and systemic transitions. Providers offer specific services to help transitions and also form cooperative relationships with other community organizations. Results from a survey of 100 service providers in one community describe organizational attributes and practices which are associated with continuity of care in a regional system for young adults. Data analyses show that full-service organizations which practice cultural competence offer more specific services that foster continuity of care. Larger, full-service organizations are also more likely to have more extensive and collaborative inter-organizational networks that help young adults continue care over time within the regional system of care.

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Healthcare transition in patients with rare genetic disorders with and without developmental disability: Neurofibromatosis 1 and williams–beuren syndrome

Lierde

Menni

Bedeschi

et al. 2013

American J of Med Genetics Pt A

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There are between 5,000 and 8,000 distinct rare diseases (RDs) affecting 6-8% of the population, most of which are caused by genetic defects. Many are highly complex, childhood-onset, multi-system disorders that are often associated with developmental disability, and require lifelong, highly specialized care and support. As larger numbers of children with previously fatal RDs survive into adulthood, they encounter significant challenges in transitioning from family-centered, developmentally focused, multidisciplinary pediatric care to a less supportive adult healthcare system that is often unfamiliar with these conditions. This paper discusses the challenges of the transition from pediatric to adult health care in two groups of patients with multisystem genetic RDs (neurofibromatosis 1 [NF1] and Williams-Beuren syndrome [WBS]), and analyzes strategies for making the process easier for patients with and without developmental disabilities. Our findings show that there are still no guidelines in national healthcare programs on how to transition RD adolescents with and without developmental disabilities, and only a few pediatric centers have implemented the elements of transition in their general practice. Evidence regarding programs to facilitate transition is inconclusive and the transition from pediatric medicine to adult medicine for RDs remains a major challenge. However, transition requires both time and personnel, which are difficult to find in periods of fiscal austerity. Nevertheless, we should strongly advocate for governments investing more into transition infrastructure or they will face increased long-term social and economic costs due to poor treatment compliance, disengagement from services, increased genetic risks, and higher rates of disease-related complications.

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American Association of Community Psychiatrists' Principles for Managing Transitions in Behavioral Health Services

Cited by 13 publications

References 26 publications

Best Practices: The Jail Inreach Project: Linking Homeless Inmates Who Have Mental Illness With Community Health Services

Best Practices: The Jail Inreach Project: Linking Homeless Inmates Who Have Mental Illness With Community Health Services

How Community Organizations Promote Continuity of Care for Young People with Mental Health Problems

Healthcare transition in patients with rare genetic disorders with and without developmental disability: Neurofibromatosis 1 and williams–beuren syndrome

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