The interface between child/adolescent and adult mental health services: results from a European 28-country survey.

Transition-related discontinuity of care is a major socioeconomic and societal challenge for the EU. The current service configuration, with distinct Child and Adolescent Mental Health (CAMHS) and Adult Mental Health Services (AMHS), is considered a weak link where the care pathway needs to be most...

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Publicado en:European Child & Adolescent Psychiatry Vol. 27; no. 4; pp. 501 - 512
Autores principales: Signorini, Giulia, Singh, Swaran P., Marsanic, Vlatka Boricevic, Dieleman, Gwen, Dodig-Ćurković, Katarina, Franic, Tomislav, Gerritsen, Suzanne E., Griffin, James, Maras, Athanasios, McNicholas, Fiona, O’Hara, Lesley, Purper-Ouakil, Diane, Paul, Moli, Russet, Frederick, Santosh, Paramala, Schulze, Ulrike, Street, Cathy, Tremmery, Sabine, Tuomainen, Helena, Verhulst, Frank
Formato: research tables/charts Journal Article
Publicado: Springer Nature Apr2018
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        atl: The interface between child/adolescent and adult mental health services: results from a European 28-country survey.
      aug:
        au:
          Signorini, Giulia
          Singh, Swaran P.
          Marsanic, Vlatka Boricevic
          Dieleman, Gwen
          Dodig-Ćurković, Katarina
          Franic, Tomislav
          Gerritsen, Suzanne E.
          Griffin, James
          Maras, Athanasios
          McNicholas, Fiona
          O’Hara, Lesley
          Purper-Ouakil, Diane
          Paul, Moli
          Russet, Frederick
          Santosh, Paramala
          Schulze, Ulrike
          Street, Cathy
          Tremmery, Sabine
          Tuomainen, Helena
          Verhulst, Frank
        affil: Psychiatric Epidemiology and Evaluation Unit, Saint John of God Clinical Research Centre, Brescia, Italy
      sug:
        subj:
          Mental Health Services In Adulthood
          Continuity of Patient Care In Adulthood
          Mental Disorders Diagnosed in Childhood
          Transitional Care
          Human
          European Union
          Questionnaires
          Socioeconomic Factors
          Child
          Adolescence
          Adult
          Child: 6-12 years
          Adolescent: 13-18 years
          Adult: 19-44 years
      ab: Transition-related discontinuity of care is a major socioeconomic and societal challenge for the EU. The current service configuration, with distinct Child and Adolescent Mental Health (CAMHS) and Adult Mental Health Services (AMHS), is considered a weak link where the care pathway needs to be most robust. Our aim was to delineate transitional policies and care across Europe and to highlight current gaps in care provision at the service interface. An online mapping survey was conducted across all 28 European Countries using a bespoke instrument: The Standardized Assessment Tool for Mental Health Transition (SATMEHT). The survey was directed at expert(s) in each of the 28 EU countries. The response rate was 100%. Country experts commonly (12/28) reported that between 25 and 49% of CAMHS service users will need transitioning to AMHS. Estimates of the percentage of AMHS users aged under 30 years who had has previous contact with CAMHS were most commonly in the region 20-30% (33% on average).Written policies for managing the interface were available in only four countries and half (14/28) indicated that no transition support services were available. This is the first survey of CAMHS transitional policies and care carried out at a European level. Policymaking on transitional care clearly needs special attention and further elaboration. The Milestone Study on transition should provide much needed data on transition processes and outcomes that could form the basis for improving policy and practice in transitional care.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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