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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... Full description

Journal Title: European child & adolescent psychiatry 2018, Vol.27 (4), p.501-511
Main Author: Signorini, G
Other Authors: Singh, SP , Marsanic, VB , Dieleman, Gwen , Dodig-Curkovic, K , Franic, T , Gerritsen, Suzanne , Griffin, J , Maras, Athanasios , McNicholas, F , O'Hara, L , Purper-Ouakil, D , Paul, M , Russet, F , Santosh, P , Schulze, U , Street, C , Tremmery, S , Tuomainen, H , Verhulst, Frank , Warwick, J , de Girolamo, G
Format: Electronic Article Electronic Article
Language: English
Subjects:
Publisher: Berlin/Heidelberg: Springer Berlin Heidelberg
ID: ISSN: 1018-8827
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recordid: cdi_hal_primary_oai_HAL_hal_02356224v1
title: The interface between child/adolescent and adult mental health services: results from a European 28-country survey
format: Article
creator:
  • Signorini, G
  • Singh, SP
  • Marsanic, VB
  • Dieleman, Gwen
  • Dodig-Curkovic, K
  • Franic, T
  • Gerritsen, Suzanne
  • Griffin, J
  • Maras, Athanasios
  • McNicholas, F
  • O'Hara, L
  • Purper-Ouakil, D
  • Paul, M
  • Russet, F
  • Santosh, P
  • Schulze, U
  • Street, C
  • Tremmery, S
  • Tuomainen, H
  • Verhulst, Frank
  • Warwick, J
  • de Girolamo, G
subjects:
  • Adolescent
  • adolescent mental health services
  • Adult
  • Child
  • Child and Adolescent Psychiatry
  • Discontinuity
  • Elaboration
  • Europe
  • Experts
  • Female
  • Health care industry
  • Health services
  • Humans
  • In care
  • Life Sciences
  • Male
  • Mapping
  • Medicine
  • Medicine & Public Health
  • Mental Health
  • Mental Health - standards
  • Mental Health Services
  • Mental Health Services - standards
  • Original Contribution
  • Policy making
  • Polls & surveys
  • Psychiatric services
  • Psychiatry
  • Questionnaires
  • Response rate
  • SDG 3 - Good Health and Well-being
  • Special needs children
  • Support services
  • Surveys
  • Surveys and Questionnaires
  • Transition
  • Young Adult
  • Youth mental health
ispartof: European child & adolescent psychiatry, 2018, Vol.27 (4), p.501-511
description: 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.
language: eng
source:
identifier: ISSN: 1018-8827
fulltext: no_fulltext
issn:
  • 1018-8827
  • 1435-165X
url: Link


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titleThe interface between child/adolescent and adult mental health services: results from a European 28-country survey
creatorSignorini, G ; Singh, SP ; Marsanic, VB ; Dieleman, Gwen ; Dodig-Curkovic, K ; Franic, T ; Gerritsen, Suzanne ; Griffin, J ; Maras, Athanasios ; McNicholas, F ; O'Hara, L ; Purper-Ouakil, D ; Paul, M ; Russet, F ; Santosh, P ; Schulze, U ; Street, C ; Tremmery, S ; Tuomainen, H ; Verhulst, Frank ; Warwick, J ; de Girolamo, G
creatorcontribSignorini, G ; Singh, SP ; Marsanic, VB ; Dieleman, Gwen ; Dodig-Curkovic, K ; Franic, T ; Gerritsen, Suzanne ; Griffin, J ; Maras, Athanasios ; McNicholas, F ; O'Hara, L ; Purper-Ouakil, D ; Paul, M ; Russet, F ; Santosh, P ; Schulze, U ; Street, C ; Tremmery, S ; Tuomainen, H ; Verhulst, Frank ; Warwick, J ; de Girolamo, G ; MILESTONE Consortium ; for the MILESTONE Consortium
descriptionTransition-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.
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subjectAdolescent ; adolescent mental health services ; Adult ; Child ; Child and Adolescent Psychiatry ; Discontinuity ; Elaboration ; Europe ; Experts ; Female ; Health care industry ; Health services ; Humans ; In care ; Life Sciences ; Male ; Mapping ; Medicine ; Medicine & Public Health ; Mental Health ; Mental Health - standards ; Mental Health Services ; Mental Health Services - standards ; Original Contribution ; Policy making ; Polls & surveys ; Psychiatric services ; Psychiatry ; Questionnaires ; Response rate ; SDG 3 - Good Health and Well-being ; Special needs children ; Support services ; Surveys ; Surveys and Questionnaires ; Transition ; Young Adult ; Youth mental health
ispartofEuropean child & adolescent psychiatry, 2018, Vol.27 (4), p.501-511
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1Springer-Verlag GmbH Germany, part of Springer Nature 2018. corrected publication [March/2018]
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7Griffin, J
8Maras, Athanasios
9McNicholas, F
10O'Hara, L
11Purper-Ouakil, D
12Paul, M
13Russet, F
14Santosh, P
15Schulze, U
16Street, C
17Tremmery, S
18Tuomainen, H
19Verhulst, Frank
20Warwick, J
21de Girolamo, G
22MILESTONE Consortium
23for the MILESTONE Consortium
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0The interface between child/adolescent and adult mental health services: results from a European 28-country survey
1European child & adolescent psychiatry
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0Eur Child Adolesc Psychiatry
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descriptionTransition-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.
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5Discontinuity
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8Experts
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10Health care industry
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titleThe interface between child/adolescent and adult mental health services: results from a European 28-country survey
authorSignorini, G ; Singh, SP ; Marsanic, VB ; Dieleman, Gwen ; Dodig-Curkovic, K ; Franic, T ; Gerritsen, Suzanne ; Griffin, J ; Maras, Athanasios ; McNicholas, F ; O'Hara, L ; Purper-Ouakil, D ; Paul, M ; Russet, F ; Santosh, P ; Schulze, U ; Street, C ; Tremmery, S ; Tuomainen, H ; Verhulst, Frank ; Warwick, J ; de Girolamo, G
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8Experts
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10Health care industry
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12Humans
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18Medicine & Public Health
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22Mental Health Services - standards
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24Policy making
25Polls & surveys
26Psychiatric services
27Psychiatry
28Questionnaires
29Response rate
30SDG 3 - Good Health and Well-being
31Special needs children
32Support services
33Surveys
34Surveys and Questionnaires
35Transition
36Young Adult
37Youth mental health
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abstractTransition-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.
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