eprintid: 10190426
rev_number: 6
eprint_status: archive
userid: 699
dir: disk0/10/19/04/26
datestamp: 2024-04-10 16:02:21
lastmod: 2024-04-10 16:02:21
status_changed: 2024-04-10 16:02:21
type: article
metadata_visibility: show
sword_depositor: 699
creators_name: Boonstra, Anouk
creators_name: Leijdesdorff, Sophie
creators_name: Street, Cathy
creators_name: Holme, Ingrid
creators_name: van Bodegom, Larissa
creators_name: Franić, Tomislav
creators_name: Appleton, Rebecca
creators_name: Tah, Priya
creators_name: Tuomainen, Helena
creators_name: Tomljenovic, Helena
creators_name: McNicholas, Fiona
creators_name: van Amelsvoort, Thérèse
title: Turning 18 in mental health services: a multicountry qualitative study of service user experiences and views
ispublished: inpress
divisions: UCL
divisions: B02
divisions: C07
divisions: D79
divisions: FH7
keywords: Transition; young people; mental health services; continuity of care; CAMHS; AMHS
note: This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (https://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided that no alterations are made and the original article is properly cited. The written permission of Cambridge University Press must be obtained prior to any commercial use and/or adaptation of the article.
abstract: Background:


	    Worldwide, the division between Child and Adolescent Mental Health Services (CAMHS) and Adult Mental Health Services (AMHS) has frequently resulted in fragmented care with an unprepared, non-gradual transition. To improve continuity of care and other service transition experiences, service user input is essential. However, such previous qualitative studies are from a decade ago or focused on one mental disorder or country. The aim of the present study was to learn from service users’ transition experiences and suggested improvements.


	  
	  
	    Methods:


	    Semi-structured interviews were held with young people aged 18–24 and/or parents/caregivers in the United Kingdom, Ireland, the Netherlands and Croatia. Inclusion was based on the experience of specialist mental health care before and after turning 18. Thematic analysis of transcribed and translated interview transcripts was performed using ATLAS.ti 9.


	  
	  
	    Results:


	    Main themes of service user experiences included abrupt changes in responsibilities, various barriers and a lack of preparation, communication and ongoing care. Young people expressed a great need for continuity of care. Their suggestions to improve transitional care included early and adequate preparation, joint working, improved communication from and between services, overlapping services, staying at CAMHS for longer and designated youth mental health teams.


	  
	  
	    Conclusions:


	    Young people who experienced care before and after turning 18 suggested either altering the age limits of services or ensuring early preparation and communication regarding the transition and finding AHMS. This communication should include general changes when turning 18. Further considerations include increasing collaboration and overlap between CAMHS and AMHS.
date: 2024-04-02
date_type: published
publisher: Cambridge University Press (CUP)
official_url: http://dx.doi.org/10.1017/ipm.2024.5
oa_status: green
full_text_type: pub
language: eng
primo: open
primo_central: open_green
verified: verified_manual
elements_id: 2266351
doi: 10.1017/ipm.2024.5
lyricists_name: Appleton, Rebecca
lyricists_id: RAPPL21
actors_name: Flynn, Bernadette
actors_id: BFFLY94
actors_role: owner
full_text_status: public
publication: Irish Journal of Psychological Medicine
citation:        Boonstra, Anouk;    Leijdesdorff, Sophie;    Street, Cathy;    Holme, Ingrid;    van Bodegom, Larissa;    Franić, Tomislav;    Appleton, Rebecca;                     ... van Amelsvoort, Thérèse; + view all <#>        Boonstra, Anouk;  Leijdesdorff, Sophie;  Street, Cathy;  Holme, Ingrid;  van Bodegom, Larissa;  Franić, Tomislav;  Appleton, Rebecca;  Tah, Priya;  Tuomainen, Helena;  Tomljenovic, Helena;  McNicholas, Fiona;  van Amelsvoort, Thérèse;   - view fewer <#>    (2024)    Turning 18 in mental health services: a multicountry qualitative study of service user experiences and views.                   Irish Journal of Psychological Medicine        10.1017/ipm.2024.5 <https://doi.org/10.1017/ipm.2024.5>.    (In press).    Green open access   
 
document_url: https://discovery.ucl.ac.uk/id/eprint/10190426/1/turning-18-in-mental-health-services-a-multicountry-qualitative-study-of-service-user-experiences-and-views.pdf