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Demographic, clinical, and service-use characteristics related to the clinician’s recommendation to transition from child to adult mental health services
- Source :
- Social Psychiatry and Psychiatric Epidemiology, 57(5), 973-991. Springer, Social Psychiatry and Psychiatric Epidemiology, 57(5), 973-991. D. Steinkopff-Verlag, Gerritsen, S E, van Bodegom, L S, Dieleman, G C, Overbeek, M M, Verhulst, F C, Wolke, D, Rizopoulos, D, Appleton, R, van Amelsvoort, T A M J, Bodier Rethore, C, Bonnet-Brilhault, F, Charvin, I, Da Fonseca, D, Davidović, N, Dodig-Ćurković, K, Ferrari, A, Fiori, F, Franić, T, Gatherer, C, de Girolamo, G, Heaney, N, Hendrickx, G, Jardri, R, Kolozsvari, A, Lida-Pulik, H, Lievesley, K, Madan, J, Mastroianni, M, Maurice, V, McNicholas, F, Nacinovich, R, Parenti, A, Paul, M, Purper-Ouakil, D, Rivolta, L, de Roeck, V, Russet, F, Saam, M C, Sagar-Ouriaghli, I, Santosh, P J, Sartor, A, Schulze, U M E, Scocco, P, Signorini, G, Singh, S P, Singh, J, Speranza, M, Stagi, P, Stagni, P, Street, C & for the Milestone Consortium 2022, ' Demographic, clinical, and service-use characteristics related to the clinician’s recommendation to transition from child to adult mental health services ', Social Psychiatry and Psychiatric Epidemiology, vol. 57, no. 5, pp. 973-991 . https://doi.org/10.1007/s00127-022-02238-6, Social Psychiatry and Psychiatric Epidemiology, Social Psychiatry and Psychiatric Epidemiology, 2022, 57 (5), pp.973-991. ⟨10.1007/s00127-022-02238-6⟩, for the Milestone Consortium 2022, ' Demographic, clinical, and service-use characteristics related to the clinician’s recommendation to transition from child to adult mental health services ', Social Psychiatry and Psychiatric Epidemiology, vol. 57, no. 5, pp. 973-991 . https://doi.org/10.1007/s00127-022-02238-6, Social Psychiatry and Psychiatric Epidemiology, 57(5), 973-991. SPRINGER HEIDELBERG
- Publication Year :
- 2022
-
Abstract
- Purpose The service configuration with distinct child and adolescent mental health services (CAMHS) and adult mental health services (AMHS) may be a barrier to continuity of care. Because of a lack of transition policy, CAMHS clinicians have to decide whether and when a young person should transition to AMHS. This study describes which characteristics are associated with the clinicians’ advice to continue treatment at AMHS. Methods Demographic, family, clinical, treatment, and service-use characteristics of the MILESTONE cohort of 763 young people from 39 CAMHS in Europe were assessed using multi-informant and standardized assessment tools. Logistic mixed models were fitted to assess the relationship between these characteristics and clinicians’ transition recommendations. Results Young people with higher clinician-rated severity of psychopathology scores, with self- and parent-reported need for ongoing treatment, with lower everyday functional skills and without self-reported psychotic experiences were more likely to be recommended to continue treatment. Among those who had been recommended to continue treatment, young people who used psychotropic medication, who had been in CAMHS for more than a year, and for whom appropriate AMHS were available were more likely to be recommended to continue treatment at AMHS. Young people whose parents indicated a need for ongoing treatment were more likely to be recommended to stay in CAMHS. Conclusion Although the decision regarding continuity of treatment was mostly determined by a small set of clinical characteristics, the recommendation to continue treatment at AMHS was mostly affected by service-use related characteristics, such as the availability of appropriate services.
- Subjects :
- Adult mental health service
Adult
Mental Health Services
Parents
Health (social science)
Child and adolescent mental health service
Social Psychology
RJ
Epidemiology
ADOLESCENT
Child and adolescent mental health services
Adult mental health services
Young adults
Transition
SDG 3 - Good Health and Well-being
PEOPLE
SCHIZOPHRENIA
Humans
Family
Child
Demography
Mental Disorders
CARE
Psychiatry and Mental health
Young adult
[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie
RA
Subjects
Details
- Language :
- English
- ISSN :
- 09337954 and 14339285
- Volume :
- 57
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- Social Psychiatry and Psychiatric Epidemiology
- Accession number :
- edsair.doi.dedup.....68cd31a0ee6249b15aa834cb70b6f79a