UCL Discovery
UCL home » Library Services » Electronic resources » UCL Discovery

Demographic, clinical, and service-use characteristics related to the clinician's recommendation to transition from child to adult mental health services

Gerritsen, SE; van Bodegom, LS; Dieleman, GC; Overbeek, MM; Verhulst, FC; Wolke, D; Rizopoulos, D; ... Milestone Consortium, .; + view all (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 10.1007/s00127-022-02238-6. (In press). Green open access

[thumbnail of Appleton_Gerritsen2022_Article_DemographicClinicalAndService-.pdf]
Preview
Text
Appleton_Gerritsen2022_Article_DemographicClinicalAndService-.pdf - Published Version

Download (606kB) | Preview

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.

Type: Article
Title: Demographic, clinical, and service-use characteristics related to the clinician's recommendation to transition from child to adult mental health services
Location: Germany
Open access status: An open access version is available from UCL Discovery
DOI: 10.1007/s00127-022-02238-6
Publisher version: https://doi.org/10.1007/s00127-022-02238-6
Language: English
Additional information: This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made.
Keywords: Adult mental health services, Child and adolescent mental health services, Transition, Young adults
UCL classification: UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL
URI: https://discovery.ucl.ac.uk/id/eprint/10143806
Downloads since deposit
13Downloads
Download activity - last month
Download activity - last 12 months
Downloads by country - last 12 months

Archive Staff Only

View Item View Item