Demographic, clinical, and service-use characteristics related to the clinician's recommendation to transition from child to adult mental health services.
Author
Gerritsen, S Evan Bodegom, L S
Dieleman, G C
Overbeek, M M
Verhulst, F C
Wolke, D
Rizopoulos, D
Appleton, R
van Amelsvoort, T A M J
Bodier Rethore, C
Bonnet-Brilhault, F
Charvin, I
Da Fonseca, D
Davidović, N
Dodig-Ćurković, K
Ferrari, A
Fiori, F
Franić, T
Gatherer, C
de Girolamo, G
Heaney, N
Hendrickx, G
Jardri, R
Kolozsvari, A
Lida-Pulik, H
Lievesley, K
Madan, J
Mastroianni, M
Maurice, V
McNicholas, F
Nacinovich, R
Parenti, A
Paul, M
Purper-Ouakil, D
Rivolta, L
de Roeck, V
Russet, F
Saam, M C
Sagar-Ouriaghli, I
Santosh, P J
Sartor, A
Schulze, U M E
Scocco, P
Signorini, G
Singh, S P
Singh, J
Speranza, M
Stagi, P
Stagni, P
Street, C
Tah, P
Tanase, E
Tremmery, S
Tuffrey, A
Tuomainen, H
Walker, L
Wilson, A
Maras, A
Affiliation
Department of Child and Adolescent Psychiatry and Psychology, Erasmus Medical Center, Rotterdam, The Netherlands; Yulius Academy, Yulius Mental Health Organization, Dordrecht, The Netherlands; Clinical Child and Family Studies, Vrije Universiteit Amsterdam, The Netherlands; Department of Clinical Medicine, University of Copenhagen, Denmark; Department of Psychology, University of Warwick, Coventry, UK; Department of Biostatistics, Erasmus Medical Center, Rotterdam, The Netherlands; NIHR Mental Health Policy Research Unit, Division of Psychiatry, University College London, UK; Department of Psychiatry and Neuropsychology, University of Maastricht, The Netherlands; Mondriaan Mental Health Care, Heerlen, The Netherlands; Centre Hospitalier Universitaire de Tours, France; Centre Hospitalier Universitaire de Marseille, France; University Hospital Split, Croatia; School of Medicine, University of Split, Croatia; Faculty for Dental Care and Health, Osijek, Croatia; University Health Center Osijek, Croatia; Unit for Child and Adolescent Psychiatry, Osijek, Croatia; IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy; DISM, ULSS 16, SOPROXI Onlus, Padua, Italy; Department of Child and Adolescent Psychiatry, Institute of Psychiatry, Psychology and Neuroscience, Kings College London, UK; Centre for Interventional Paediatric Psychopharmacology and Rare Diseases, South London and Maudsley NHS Foundation Trust, London, UK; HealthTracker Ltd, Kent, UK; Warwick Medical School, University of Warwick, Coventry, UK; Department of Neurosciences, Centre for Clinical Psychiatry, KU Leuven, Belgium; Lille Neurosciences and Cognitions, Plasticity and Subjectivity Team, CURE Platform, Université de Lille, INSERM (U-1172), Fontan Hospital, CHU Lille, France; CH Versailles, France; Warwick Clinical Trials Unit, Warwick Medical School, University of Warwick, Coventry, UK; Centre Hospitalier Universitaire de Montpellier, Saint Eloi Hospital, Montpellier, France; School of Medicine & Medical Science, University College Dublin, Republic of Ireland; Lucena CAMHS, SJOG, Dublin, Republic of Ireland; Child and Adolescent Neuropsychiatry Unit, ASST Monza, Italy; Università Degli Studi Milano Bicocca, Milan, Italy; Centre Hospitalier Universitaire de Lille, France; Coventry and Warwickshire Partnership NHS Trust, Coventry, UK; INSERM, CESP U1018, PsyDev, University Paris Saclay, UVSQ, Versailles, France; Psychiatric Epidemiology and Evaluation Unit, Saint John of God Clinical Research Center, Brescia, Italy; Department of Mental Health, Psychiatry Unit, San Gerardo Hospital, Monza, Brianza, Italy; Department of Neurosciences, KU Leuven, Belgium; Child and Youth Studies, Campus Social School, University Colleges Leuven Limburg, Heverlee, Belgium; Department of Child and Adolescent Psychiatry/Psychotherapy, University of Ulm, Germany; Josefinum Augsburg, Klinik für Kinder- und Jugenspsychiatrie und Psychotherapie, Augsburg, Germany; Department of Mental Health, ULSS 6 Euganea, Padua, Italy; SOPROXI Onlus, Padua, Italy; Service Universitaire de Psychiatrie de l'Enfant et de l'Adolescent, Centre Hospitalier de Versailles, France; Child and Adolescent Neuropsychiatry Unit, AUSL Modena, Italy; Child and Adolescent Neuropsychiatry, Department of Mental Health, Modena, Italy; Abteilung für Psychiatrie und Psychotherapie des Kindes-und Jugendalters Weissenau, ZfP Südwürttemberg, Ravensburg, Germany;Publication date
2022-02-10Subject
Mental health
Metadata
Show full item recordAbstract
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.Citation
Gerritsen SE, van Bodegom LS, Dieleman GC, Overbeek MM, Verhulst FC, Wolke D, Rizopoulos D, Appleton R, van Amelsvoort TAMJ, Bodier Rethore C, Bonnet-Brilhault F, Charvin I, Da Fonseca D, Davidović N, Dodig-Ćurković K, Ferrari A, Fiori F, Franić T, Gatherer C, de Girolamo G, Heaney N, Hendrickx G, Jardri R, Kolozsvari A, Lida-Pulik H, Lievesley K, Madan J, Mastroianni M, Maurice V, McNicholas F, Nacinovich R, Parenti A, Paul M, Purper-Ouakil D, Rivolta L, de Roeck V, Russet F, Saam MC, Sagar-Ouriaghli I, Santosh PJ, Sartor A, Schulze UME, Scocco P, Signorini G, Singh SP, Singh J, Speranza M, Stagi P, Stagni P, Street C, Tah P, Tanase E, Tremmery S, Tuffrey A, Tuomainen H, Walker L, Wilson A, Maras A; Milestone Consortium. Demographic, clinical, and service-use characteristics related to the clinician's recommendation to transition from child to adult mental health services. Soc Psychiatry Psychiatr Epidemiol. 2022 May;57(5):973-991. doi: 10.1007/s00127-022-02238-6. Epub 2022 Feb 10. PMID: 35146551; PMCID: PMC9042957.Type
ArticleAdditional Links
https://pubmed.ncbi.nlm.nih.gov/35146551/PMID
35146551Publisher
Springer Science+Business Mediaae974a485f413a2113503eed53cd6c53
10.1007/s00127-022-02238-6