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Cohort profile
- Source :
- BMJ Open, 11(12):e053373. BMJ Publishing Group, Gerritsen, S E, Maras, A, Van Bodegom, L S, Overbeek, M M, Verhulst, F C, Wolke, D, Appleton, R, Bertani, A, Cataldo, M G, Conti, P, Da Fonseca, D, Davidović, N, Dodig-A †urković, K, Ferrari, C, Fiori, F, Franić, T, Gatherer, C, De Girolamo, G, Heaney, N, Hendrickx, G, Kolozsvari, A, Levi, F M, Lievesley, K, Madan, J, Martinelli, O, Mastroianni, M, Maurice, V, McNicholas, F, O'Hara, L, Paul, M, Purper-Ouakil, D, De Roeck, V, Russet, F, Saam, M C, Sagar-Ouriaghli, I, Santosh, P J, Sartor, A, Schandrin, A, Schulze, U M E, Signorini, G, Singh, S P, Singh, J, Street, C, Tah, P, Tanase, E, Tremmery, S, Tuffrey, A, Tuomainen, H, Van Amelsvoort, T A M J, Wilson, A, Walker, L & Dieleman, G C 2021, ' Cohort profile : Demographic and clinical characteristics of the MILESTONE longitudinal cohort of young people approaching the upper age limit of their child mental health care service in Europe ', BMJ Open, vol. 11, no. 12, 053373 . https://doi.org/10.1136/bmjopen-2021-053373, BMJ Open, 11(12):053373. BMJ Publishing Group, Gerritsen, S E, Maras, A, Van Bodegom, L S, Overbeek, M M, Verhulst, F C, Wolke, D, Appleton, R, Bertani, A, Cataldo, M G, Conti, P, Da Fonseca, D, Davidović, N, Dodig-A †urković, K, Ferrari, C, Fiori, F, Franić, T, Gatherer, C, De Girolamo, G, Heaney, N, Hendrickx, G, Kolozsvari, A, Levi, F M, Lievesley, K, Madan, J, Martinelli, O, Mastroianni, M, Maurice, V, McNicholas, F, O'Hara, L, Paul, M, Purper-Ouakil, D, De Roeck, V, Russet, F, Saam, M C, Sagar-Ouriaghli, I, Santosh, P J, Sartor, A, Schandrin, A, Schulze, U M E, Signorini, G, Singh, S P, Singh, J, Street, C, Tah, P, Tanase, E, Tremmery, S, Tuffrey, A, Tuomainen, H, Van Amelsvoort, T A M J, Wilson, A, Walker, L & Dieleman, G C 2021, ' Cohort profile : Demographic and clinical characteristics of the MILESTONE longitudinal cohort of young people approaching the upper age limit of their child mental health care service in Europe ', BMJ Open, vol. 11, no. 12, 053373, pp. 1-15 . https://doi.org/10.1136/bmjopen-2021-053373, BMJ Open, 11(12):053373, 1-15. BMJ Publishing Group, BMJ Open
- Publication Year :
- 2021
-
Abstract
- PurposeThe presence of distinct child and adolescent mental health services (CAMHS) and adult mental health services (AMHS) impacts continuity of mental health treatment for young people. However, we do not know the extent of discontinuity of care in Europe nor the effects of discontinuity on the mental health of young people. Current research is limited, as the majority of existing studies are retrospective, based on small samples or used non-standardised information from medical records. The MILESTONE prospective cohort study aims to examine associations between service use, mental health and other outcomes over 24 months, using information from self, parent and clinician reports.ParticipantsSeven hundred sixty-three young people from 39 CAMHS in 8 European countries, their parents and CAMHS clinicians who completed interviews and online questionnaires and were followed up for 2 years after reaching the upper age limit of the CAMHS they receive treatment at.Findings to dateThis cohort profile describes the baseline characteristics of the MILESTONE cohort. The mental health of young people reaching the upper age limit of their CAMHS varied greatly in type and severity: 32.8% of young people reported clinical levels of self-reported problems and 18.6% were rated to be ‘markedly ill’, ‘severely ill’ or ‘among the most extremely ill’ by their clinician. Fifty-seven per cent of young people reported psychotropic medication use in the previous half year.Future plansAnalysis of longitudinal data from the MILESTONE cohort will be used to assess relationships between the demographic and clinical characteristics of young people reaching the upper age limit of their CAMHS and the type of care the young person uses over the next 2 years, such as whether the young person transitions to AMHS. At 2 years follow-up, the mental health outcomes of young people following different care pathways will be compared.Trial registration numberNCT03013595.<br />publishedVersion
- Subjects :
- Adult
Internationality
SAMPLE
RJ
child & adolescent psychiatry
ADOLESCENT
Jugendpsychiatrie
Cohort Studies
SDG 3 - Good Health and Well-being
ddc:150
QUALITY-OF-LIFE
Psychiatrische Versorgung
Child psychiatry
Humans
Prospective Studies
SCALE
Demography
Retrospective Studies
Psychiatry
Internationalität
OUTCOMES
DDC 150 / Psychology
Adolescent psychiatry
international health services
General Medicine
WHOQOL-BREF
Europe
Mental Health
Mental health services
CROSS
Adolescent Health Services
EXPERIENCE
Kinderpsychiatrie
adult psychiatry
RA
TRANSITION
RC
Subjects
Details
- Language :
- English
- ISSN :
- 20446055
- Volume :
- 11
- Issue :
- 12
- Database :
- OpenAIRE
- Journal :
- BMJ Open
- Accession number :
- edsair.doi.dedup.....330811fb4e4677b4e992608e0d04c32e