Transitional psychiatry in the Netherlands: Experiences and views of mental health professionals.
adolescent psychiatry
child psychiatry
mental health services
the Netherlands
transition to adult care
Journal
Early intervention in psychiatry
ISSN: 1751-7893
Titre abrégé: Early Interv Psychiatry
Pays: Australia
ID NLM: 101320027
Informations de publication
Date de publication:
12 2020
12 2020
Historique:
received:
21
06
2018
accepted:
26
09
2019
pubmed:
21
11
2019
medline:
7
7
2021
entrez:
21
11
2019
Statut:
ppublish
Résumé
The majority of psychopathology emerges in late adolescence and continues into adulthood. Continuity of care must be guaranteed in this life phase. The current service configuration, with a distinction between child/adolescent and adult mental health services (CAMHS and AMHS), impedes continuity of care. To map professionals' experiences with and attitudes towards young people's transition from CAMHS to AMHS and the problems they encounter. An online questionnaire distributed among professionals providing mental health care to young people (15-25 years old) with psychiatric disorders. Five hundred and eighteen professionals completed the questionnaire. Decision-making regarding transition is generally based on the professional's own deliberations. The preparation was limited to discussing changes with the adolescent and parents. Most transition-related problems are experienced in CAMHS, primarily with regard to collaboration with AMHS. Respondents report that the developmental age should be leading in the transition-decision making process and that developmentally appropriate services are important in bridging the gap. Professionals in CAMHS and AMHS experience problems in the preparation of, and the collaboration during transition. The problems are related to coordination, communication and rules and regulations. Professionals attach importance to improvement through an increase in flexibility and more specialist services for youth.
Sections du résumé
BACKGROUND
The majority of psychopathology emerges in late adolescence and continues into adulthood. Continuity of care must be guaranteed in this life phase. The current service configuration, with a distinction between child/adolescent and adult mental health services (CAMHS and AMHS), impedes continuity of care.
AIM
To map professionals' experiences with and attitudes towards young people's transition from CAMHS to AMHS and the problems they encounter.
METHODS
An online questionnaire distributed among professionals providing mental health care to young people (15-25 years old) with psychiatric disorders.
RESULTS
Five hundred and eighteen professionals completed the questionnaire. Decision-making regarding transition is generally based on the professional's own deliberations. The preparation was limited to discussing changes with the adolescent and parents. Most transition-related problems are experienced in CAMHS, primarily with regard to collaboration with AMHS. Respondents report that the developmental age should be leading in the transition-decision making process and that developmentally appropriate services are important in bridging the gap.
CONCLUSION
Professionals in CAMHS and AMHS experience problems in the preparation of, and the collaboration during transition. The problems are related to coordination, communication and rules and regulations. Professionals attach importance to improvement through an increase in flexibility and more specialist services for youth.
Identifiants
pubmed: 31747718
doi: 10.1111/eip.12890
pmc: PMC7687088
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
684-690Informations de copyright
© 2019 The Authors Early Intervention in Psychiatry Published by John Wiley & Sons Australia, Ltd.
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