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Background The majority of psychopathology emerges in late adolescence and continues into adulthood. Continuity of care must be guaranteed in this life phase. The current service configuration, with a distinction between child/adolescent and adult mental health services (CAMHS and AMHS), impedes continuity of care.AIm To map professionals' experiences with and attitudes towards young people's transition from CAMHS to AMHS and the problems they encounter.Methods An online questionnaire distributed among professionals providing mental health care to young people (15-25 years old) with psychiatric disorders.Results Five hundred and eighteen professionals completed the questionnaire. Decision-making regarding transition is generally based on the professional's own deliberations. The preparation was limited to discussing changes with the adolescent and parents. Most transition-related problems are experienced in CAMHS, primarily with regard to collaboration with AMHS. Respondents report that the developmental age should be leading in the transition-decision making process and that developmentally appropriate services are important in bridging the gap.Conclusion Professionals in CAMHS and AMHS experience problems in the preparation of, and the collaboration during transition. The problems are related to coordination, communication and rules and regulations. Professionals attach importance to improvement through an increase in flexibility and more specialist services for youth.

Background Trainees are performing fewer bronchoscopies as a result of the increased use of endobronchial ultrasound-guided transbronchial needle aspiration. Workforce planning and changes in trainee working patterns may also have compounded this situation. We investigated current trends in endobronchial biopsy (EBB) and transbronchial biopsy (TBB) training and competency in respiratory trainees and consultants across the United Kingdom. Methods We performed a national survey and received 131 online responses from 58 consultants and 73 registrars across 13 United Kingdom deaneries. Results A significant proportion (31%) of consultants, more than half of which were new consultants, had performed

The design and implementation of integrated and automated network–service management platforms that can seamlessly configure services, monitor service–network performance, and detect network faults are of great importance and interest to the service and network providers. In this paper we describe a set of integrated Operations Support Systems lOSSr that implement proactive network maintenance process in Wide Area Transaction Access Services. Copyright © 2000 John Wiley & Sons, Ltd.