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Practitioner Review: Continuity of mental health care from childhood to adulthood for youths with ADHD - who, how and when?

Adamo, Nicoletta
Singh, Swaran P
Bölte, Sven
Coghill, David
Newcorn, Jeffrey, H
Parlatini, Valeria
Purper-Ouakil, Diane
Rausch, Juliane
Rohde, Luis
Paramala, Santosh
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Affiliation
King's College London; University of Warwick; Coventry and Warwickshire Partnership NHS Trust; Stockholm Health Care Services; Curtin University, Perth; University of Melbourne; Icahn School of Medicine at Mount Sinai, New York; CHU Montpellier-Saint Eloi, Médecine Psychologique de l'Enfant et de l'Adolescent, Montpellier; INSERM 1018 CESP Psychiatry, Development and Trajectories, Villejuif, France; University of Heidelberg; Federal University of Rio Grande do Sul; Medical School Council, UniEduK, São Paulo, Brazil; National Institute of Developmental Psychiatry & National Center for Innovation and Research in Mental Health, Sao Paulo, Brazil; Maudsley Hospital, London; HealthTracker Ltd, Gillingham, UK; Radboud University Medical Center, Donders Institute for Brain, Cognition and Behaviour, Department of Cognitive Neuroscience, Nijmegen, The Netherlands; University Center, Nijmegen
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Publication date
2024-11
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Abstract
Many youths with attention-deficit/hyperactivity disorder (ADHD) experience significant long-term impairment and may develop concurrent mental and somatic health difficulties as adults. This is associated with burden and costs for the individual and society which could be prevented through continued support in youth. Yet, only few young people transition to adult mental health services for ongoing care in different countries worldwide. We provide an overview on current transition practices, highlighting the gaps in knowledge and the barriers to effective service transitioning, while considering the large geographical variation in available guidelines and service provision. For ease of use, this review is organized in a question-and-answer format covering different aspects of the transition process and considering both service users' and clinicians' perspectives. Consensus is needed to identify those that require continued care, the optimal timing to arrange transition, and the most suitable services. Finally, we discuss cost-effectiveness of transition practices, consider examples of best practice, and propose recommendations on how to improve transitional care, including the importance of service users' input into transition planning.
Citation
Adamo N, Singh SP, Bölte S, Coghill D, Newcorn JH, Parlatini V, Purper-Ouakil D, Rausch J, Rohde L, Santosh P, Banaschewski T, Buitelaar JK. Practitioner Review: Continuity of mental health care from childhood to adulthood for youths with ADHD - who, how and when? J Child Psychol Psychiatry. 2024 Nov;65(11):1526-1537. doi: 10.1111/jcpp.14036. Epub 2024 Jul 16. PMID: 39014993.
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