Transitioning from Adolescent to Adult Mental Health Services: An Integrative Literature Review

Scholz, Brett; Battams, Samantha; Platania‐Phung, Chris; Happell, Brenda

doi:10.1080/01612840.2018.1524534

Cited by 8 publications

(21 citation statements)

References 60 publications

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“…In contrast, community mental healthcare focuses on whether the user can profit from some of the legal benefits that exist. Researchers have previously called this a silo structure approach that reflects a barrier to focusing on intersectoral long-term care [ 14 , 39 , 40 ]. There are many indications that recovery-oriented intersectoral care requires health professionals from both sectors and users and relatives in the community to focus on how the user wishes the recovery process to be supported professionally [ 11 , 41 ].…”

Section: Discussionmentioning

confidence: 99%

Recovery-Oriented Intersectoral Care in Mental Health: As Perceived by Healthcare Professionals and Users

Jørgensen

Rasmussen

Hansen

et al. 2020

IJERPH

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This study aimed to explore how mental health professionals and users perceive recovery-oriented intersectoral care when comparing mental health hospitals and community mental healthcare. Methodological design: Five audio-recorded focus group interviews of nurses, other health professionals and users were explored using manifest and latent content analysis. Ethical issues and approval: The study was designed in accordance with the ethical principles of the Helsinki Declaration and Danish law. Each study participant in the two intersectoral sectors gave their informed consent after verbal and written information was provided. Findings: From the health professionals’ perspective, the main theme informed by subthemes and categories was formulated: ‘Recovery-oriented intersectoral care requires more coordination and desire for collaboration’. Two subthemes were subsequently formulated: ‘The users´ perspective of the centre’ and ‘Need for a common agenda and understanding of recovery-oriented intersectoral care’. From the users´ perspective, the main theme was formulated as: ‘Recovery-oriented intersectoral care in tension between medical- and holistically oriented care’. This theme was informed by two subthemes: ‘The users´ perspective is not in focus’ and ‘A trusting relationship and a holistic approach brings coherence’. Conclusions: This study reveals that health professionals want to work in a recovery-oriented manner in intersectoral care, but several challenges appear which make achieving this aim difficult. A common understanding of recovery and how it should be carried out in intersectoral care does not exist. Care decisions are primarily made paternalistically, where the users’ and relatives’ voices are ignored. In an attempt to create coherence across sectors, intersectoral network meetings have been established with health professionals from both sectors. However, the meetings are characterised by a lack of a clear purpose regarding the meeting structure and content, and users are only minimally involved. Our results can contribute to dealing with the challenges of incorporating recovery-oriented intersectoral care as an ideology in all psychiatric and municipal contexts and is, therefore, important for health professionals and users.

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Section: Discussionmentioning

confidence: 99%

Recovery-Oriented Intersectoral Care in Mental Health: As Perceived by Healthcare Professionals and Users

Jørgensen

Rasmussen

Hansen

et al. 2020

IJERPH

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“…Parents have been found to share this preference for TAY to remain longer within the child MHA system [ 63 ]. These findings speak to the need for service providers to adopt a different approach when working with TAY in the adult MHA system [ 55 , 64 ]. For example, an ‘age window’ may be appropriate instead of an arbitrary age cut-off [ 65 ].…”

Section: Resultsmentioning

confidence: 99%

“…Such approaches would be part of a larger cultural shift needed to acknowledge that TAY are distinct from and differ in needs when compared to younger children and older adults [ 8 ]. Flexibility in managing recovery was also suggested, for example, by shifting from a mindset of ‘aging out’ to one of ‘continuing on,’ [ 64 ] highlighting that recovery from MHA concerns may be a lifelong journey for many [ 23 , 55 , 66 ] rather than a process with a defined endpoint. Therefore, the timing of transition and the need for flexibility in this regard appear to be important aspects of TAY’s access to MHA care [ 55 ].…”

Section: Resultsmentioning

confidence: 99%

Transitions in mental health and addiction care for youth and their families: a scoping review of needs, barriers, and facilitators

Markoulakis,

Cader,

Chan

et al. 2023

BMC Health Serv Res

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Introduction Transitional-aged youth (TAY) with mental health and/or addictions (MHA) concerns and their families experience significant challenges finding, accessing, and transitioning through needed MHA care. To develop appropriate supports that assist TAY and their families in navigating MHA care, their experiences of transitions in the MHA care system must be better understood. This scoping review identifies and explores the needs, barriers, and facilitators for TAY and their families when transitioning through MHA care. Methods This scoping review commenced with a search of five relevant databases. Three research team members were involved in title, abstract, and full-text scanning and data extraction. Sources focusing on TAY anywhere between the ages of 12–29 years and meeting the study objectives were included. Extractions compiled background and narrative information about the nature and extent of the data. Analysis and synthesis of findings involved numerical description of the general information extracted (e.g., numbers of sources by country) and thematic analysis of narrative information extracted (e.g., family involvement in TAY help-seeking). Results A total of 5894 sources were identified. Following title and abstract scanning, 1037 sources remained for full-text review. A total of 66 sources were extracted. Findings include background information about extracted sources, in addition to five themes that emerged pertaining to barriers and facilitators to access and transitions through care and the needs and roles of TAY and families in supporting help-seeking and care transitions: holistic supports, proactive preparation, empowering TAY and families, collaborative relationships, and systemic considerations. These five themes demonstrate approaches to care that can ensure TAY and families’ needs are met, barriers are mitigated, and facilitators are enhanced. Conclusion This review provides essential contextual information regarding TAY with MHA concerns and their families’ needs when seeking care. Such findings lend to an enhanced understanding of how MHA programs can support this population’s needs, involve family members as appropriate, reduce the barriers experienced, and work to build upon existing facilitators.

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“…Moreover, a recent review revealed a general lack of robust evaluations of child and adolescent mental health transition interventions. 35 Our recent review 34 highlighted an urgent need for a formal evaluation of the model considering clinical, programme and economic outcomes.…”

Section: Introductionmentioning

confidence: 99%

Mixed-methods study protocol for an evaluation of the mental health transition navigator model in child and adolescent mental health services: the Navigator Evaluation Advancing Transitions (NEAT) study

et al. 2021

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IntroductionTransition from child and adolescent mental health services (CAMHS) to community or adult mental health services (AMHS) is a highly problematic health systems hurdle, especially for transition-aged youth. A planned and purposeful transition process is often non-existent or experienced negatively by youth and their caregivers. Stakeholders, including youth and their caregivers, have demanded interventions to support more effective transitions, such a transition navigator. The transition navigator model uses a navigator to facilitate complex transitions from acute care CAMHS to community or AMHS. However, despite the widespread implementation of this model, there has been no evaluation of the programme, hindering its scalability. This paper describes the study protocol of the Navigator Evaluation Advancing Transitions study that aims to collaborate with patients, caregivers and clinicians in the evaluation of the navigator model.Methods and analysisA pre and post mixed-method study will be conducted, using the Triple Aim Framework, to evaluate the navigator model. We will recruit participants from one large tertiary and two community hospitals in Toronto, Canada. For the quantitative portion of the study, we will recruit a sample of 45 youth (15 at each site), aged 16–18, and their caregivers at baseline (referral to navigator) (T1) and 6 months (T2). Youth and caregiver participants will complete a set of standardised measures to assess mental health, service utilisation, and satisfaction outcomes. For the qualitative portion of the study, semistructured interviews will be conducted at 6 months (T2) with youth, their caregivers and clinicians to better understand their experience and satisfaction with the model.Ethics and disseminationResearch Ethics Board (REB) approval has been obtained from the lead research sites, the University of Toronto and the Hospital for Sick Children. The results of the study will be reported in peer-reviewed publications, webinars and conferences and to all relevant stakeholders.

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Transitioning from Adolescent to Adult Mental Health Services: An Integrative Literature Review

Cited by 8 publications

References 60 publications

Recovery-Oriented Intersectoral Care in Mental Health: As Perceived by Healthcare Professionals and Users

Recovery-Oriented Intersectoral Care in Mental Health: As Perceived by Healthcare Professionals and Users

Transitions in mental health and addiction care for youth and their families: a scoping review of needs, barriers, and facilitators

Mixed-methods study protocol for an evaluation of the mental health transition navigator model in child and adolescent mental health services: the Navigator Evaluation Advancing Transitions (NEAT) study

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