Mental disorders and transition to adult mental health services: A scoping review

Reale, Laura; Bonati, Maurizio

doi:10.1016/j.eurpsy.2015.07.011

Cited by 28 publications

(24 citation statements)

References 99 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…CAMHS and AMHS are two separate systems with unique funding structures, service philosophies and target populations [1,37,58,109]. Government funding allocations often dictate rigid age cut-offs, where service with CAMHS often ends at age 18 regardless of whether the youth is developmentally ready or connected to AMHS [1,5,72,104]. This can result in service gaps while youth are placed on a waitlist for AMHS.…”

Section: Discussionmentioning

confidence: 99%

Identifying core components and indicators of successful transitions from child to adult mental health services: a scoping review

Cleverley

Rowland

Bennett

et al. 2018

Eur Child Adolesc Psychiatry

View full text Add to dashboard Cite

The aim of this scoping review was to identify the core components of interventions that facilitate successful transition from child and adolescent mental health services to adult mental health services. In the absence of rigorous evaluations of transition program effectiveness for transitioning youth with mental health care needs, these core components can contribute to informed decisions about promising program and intervention strategies. This review examined data from 87 peer-reviewed and non-academic documents to determine the characteristics that support the transition process and to identify opportunities for system and program improvement. Data were extracted and synthesized using a descriptive analytic framework. A major finding of this review is a significant lack of measurable indicators in the academic and gray literature. This review did identify 26 core components organized within the framework of the six core elements of healthcare transitions. Policy makers, practitioners, and administrators can use the core components to guide decisions about transition program and intervention content. Confirmation of the impact of these core program components on youth outcomes awaits the conduct of rigorous randomized trials. Future research also needs to explicitly focus on the development of indicators to evaluate transition programs and interventions.

show abstract

Section: Discussionmentioning

confidence: 99%

Identifying core components and indicators of successful transitions from child to adult mental health services: a scoping review

Cleverley

Rowland

Bennett

et al. 2018

Eur Child Adolesc Psychiatry

View full text Add to dashboard Cite

show abstract

“…By focusing solely on professionals and parents/carers and using meta‐ethnography, this review moved beyond previous narrative reviews on transition (e.g. Paul et al., ; Reale & Bonati, ) and developed new meaning via third‐order constructs. Whilst not considering adolescents’ experiences, the current review builds upon the work of Broad et al.…”

Section: Discussionmentioning

confidence: 99%

“…Research on CAMHS‐AMHS transition has been previously reviewed (Broad, Sandhu, Sunderji, & Charach, ; Mulvale et al., ; Paul et al., ; Reale & Bonati, ). Transitions have been shown to be problematic, with the reasons varying across settings and countries (Reale & Bonati, ) but including policy‐practice gaps such as commissioning issues, a lack of leadership and not prioritising transition‐aged adolescents (Paul et al., ). These latter two reviews could have used a more systematic approach to data identification and analysis such as meta‐synthesis (Erwin, Brotherson, & Summers, ) to move beyond findings of individual studies and develop new meaning.…”

Section: Introductionmentioning

confidence: 99%

Review: Transition from Child and Adolescent Mental Health Services (CAMHS) to Adult Mental Health Services (AMHS): a meta‐synthesis of parental and professional perspectives

Hill

Wilde

Tickle

2019

Child Adoles Ment Health

View full text Add to dashboard Cite

Background Transition between Child and Adolescent Mental Health Services (CAMHS) and Adult Mental Health Services (AMHS) can be stressful for the young person and family alike. Previous reviews have focused on specific aspects of transition or perspectives of young people, or have not used systematic approaches to data identification and analysis. The objective of this review was to develop the understanding of the transition between CAMHS and AMHS by systematically identifying and synthesising evidence regarding professionals’ and parents/carers’ perspectives. Method A systematic search in July 2018 was conducted on Medline, PsycINFO and CINAHL. Google Scholar and references of selected articles were also searched. Papers were included if they presented empirical qualitative research in peer‐reviewed journals with a primary focus on experiences of parents/carers and/or mental health professionals in relation to adolescents making the CAMHS‐AMHS transition. Data were extracted from each full‐text paper. The quality of included studies was appraised using an expanded Critical Appraisal Skills Programme (2018) tool, and studies’ results were synthesised using meta‐ethnography. Results Fourteen studies of variable quality were identified. Four main third‐order constructs were developed through synthesis: (a) Service cultures; (b) Service resources and gaps; (c) Working relationships between the services; and (d) Leaving secure relationships for new ones. Conclusions Professionals and parents experience adolescents’ transition from nurturing and comprehensive CAMHS to more individualistic AMHS as having many barriers. There is desire for better preparation for transition between services and relationships, more joint working and better CAMHS‐AMHS communication. AMHS service gaps exist, for example for those with neurodevelopmental conditions.

show abstract

“…Furthermore, because of the distinct service cultures, CAMHS and AMHS clinicians' training regarding family involvement differs considerably; in adult psychiatry, the focus is more on the individual, not the family. 25,34 The need to give a young person autonomy to make their own decisions regarding treatment can be a difficult process for the parents, who may also require additional support. 35 Many parents and carers would like to remain involved in the treatment, although they respect their child's wishes and their right to privacy.…”

Section: Level Of the Individualmentioning

confidence: 99%

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

et al. 2020

View full text Add to dashboard Cite

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.

show abstract

Mental disorders and transition to adult mental health services: A scoping review

Abstract: The review reveals an evident need for longitudinal, controlled, health services research to identify and evaluate optimal service models with systematic and seamless transition protocols for patients with mental disorders requiring continuity of care into adult mental services.

Cited by 28 publications

References 99 publications

Identifying core components and indicators of successful transitions from child to adult mental health services: a scoping review

Identifying core components and indicators of successful transitions from child to adult mental health services: a scoping review

Review: Transition from Child and Adolescent Mental Health Services (CAMHS) to Adult Mental Health Services (AMHS): a meta‐synthesis of parental and professional perspectives

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

Contact Info

Product

Resources

About