Transfers and transitions between child and adult mental health services

Paul, Moli; Ford, Tamsin; Kramer, Tami; Islam, Zoebia; Harley, Kath; Singh, Swaran P.

doi:10.1192/bjp.bp.112.119198

Cited by 145 publications

(153 citation statements)

References 26 publications

(35 reference statements)

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“…Moreover, defining a good coordination goes beyond doing a good transfer. As noted by Paul et al [24], transfer is common but good transition is rare, with reports indicating that only between 22%e47% of youths make a successful transition to adult care [25,26].…”

Section: Discussionmentioning

confidence: 95%

Key Elements for, and Indicators of, a Successful Transition: An International Delphi Study

Surı́s

Akré

2015

Journal of Adolescent Health

221

177

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Section: Discussionmentioning

confidence: 95%

Key Elements for, and Indicators of, a Successful Transition: An International Delphi Study

Surı́s

Akré

2015

Journal of Adolescent Health

221

177

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“…However, in the absence of detailed data on ADHD CAMHS attendees in Ireland, this remains speculative. CAMHS record-keeping regarding transition was poor, as had also been found in UK for the TRACK study [43], with particularly little information regarding non-referral and later outcomes.…”

Section: Strengths and Limitations Of The Present Studymentioning

confidence: 97%

Transitioning from child and adolescent mental health services with attention‐deficit hyperactivity disorder in Ireland: Case note review

Tatlow‐Golden

Gavin

McNamara

et al. 2017

Early Intervention Psych

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KeywordsAttention-deficit hyperactivity disorder, ADHD, transition, child and adolescent mental health services, adult mental health services, CAMHS, AMHS ADHD transitions case note review Ireland Abstract AimIn a context of international concern about early adult mental health service provision, this study identifies characteristics and service outcomes of young people with attention-deficit hyperactivity disorder (ADHD) reaching the child and adolescent mental health service (CAMHS) transition boundary in Ireland. MethodsThe iTRACK study invited all 60 CAMHS teams in Ireland to participate; 8 teams retrospectively identified clinical case files for 62 eligible young people reaching the CAMHS transition boundary in all four Health Service Executive Regions. A secondary case note analysis identified characteristics, co-morbidities, referral and service outcomes for iTRACK cases with ADHD (n = 20). ResultsTwo-thirds of young people with ADHD were on psychotropic medication and half had mental health co-morbidities, yet none was directly transferred to public adult mental health services (AMHS) at the transition boundary. Nearly half were retained in CAMHS, for an average of over a year; most either disengaged from services (40%) and/or actively refused transfer to AMHS (35%) at or after the transition boundary. There was a perception by CAMHS clinicians that adult services did not accept ADHD cases or lacked relevant service/expertise. ConclusionsDespite high rates of medication use and comorbid mental health difficulties, there appears to be a complete absence of referral to publically available adult mental health services for ADHD youth transitioning from CAMHS in Ireland. More understanding of obstacles and optimum service configuration is essential to ensure that care is both available and accessible to young people with ADHD.

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“…Latest epidemiological evidence suggests that 15.4% of 11-13 years olds [34,35] and 19.5% of 19-24 year olds [35,36] in Ireland are experiencing diagnosable mental disorders at any given time with lifetime rates of disorder as high as 56% among [19][20][21][22][23][24] year olds [37]. These findings and those from other key studies in Ireland provide sufficient evidence to leverage for a real change in youth mental health services as envisaged and advocated for by leaders in the field over many years.…”

Section: Current Practicesmentioning

confidence: 99%

“…The current service configuration of Child and Adolescent Mental Health Services (CAMHS) and Adult Mental Health Services (AMHS) is increasingly regarded as an impediment to holistic and comprehensive care for young people, especially those who make a transition from one model to another [18][19][20][21]. Disruption of care during transition adversely affects the health, wellbeing and potential of this vulnerable group.…”

Section: Current Practicesmentioning

confidence: 99%

From early intervention in psychosis to youth mental health reform: a review of the evolution and transformation of mental health services for young people

Malla

Iyer

McGorry

et al. 2015

Soc Psychiatry Psychiatr Epidemiol

157

163

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Abstract:Purpose: Developments in the field of early intervention in psychotic disorders have encouraged further examination of and interest in youth mental health incorporating all levels of severity of mental disorders. Methods:The authors have briefly reviewed the relevant current state of knowledge, challenges and the service and research response across four countries (Australia, Ireland, the U.K. and Canada) most active in this field.Results: Here we present information on response to principal challenges associated with improving youth mental services in each country. Australia has developed a model comprised of a distinct front line youth mental health service (Headspace) to be implemented across the country and initially stimulated by success in early intervention in psychosis;in Ireland, Headstrong has been driven primarily through advocacy and philanthropy resulting in front line services (Jigsaw) which are being implemented across different jurisdictions; in the UK a limited regional response has addressed mostly problems with transition from child-adolescent to adult mental health services; and in Canada a national multi-site research initiative involving transformation of youth mental health services has been launched with public and philanthropic funding, with the expectation that results of this study will inform implementation of a transformed model of service across the country including indigenous peoples. Conclusions:There is evidence that several countries are now engaged in transformation of youth mental health services and in evaluation of these initiatives.

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Transfers and transitions between child and adult mental health services

Abstract: Transfer 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.

Cited by 145 publications

References 26 publications

Key Elements for, and Indicators of, a Successful Transition: An International Delphi Study

Key Elements for, and Indicators of, a Successful Transition: An International Delphi Study

Transitioning from child and adolescent mental health services with attention‐deficit hyperactivity disorder in Ireland: Case note review

From early intervention in psychosis to youth mental health reform: a review of the evolution and transformation of mental health services for young people

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