Abstract
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.
| Original language | English |
|---|---|
| Pages (from-to) | 501-511 |
| Number of pages | 11 |
| Journal | European Child and Adolescent Psychiatry |
| Volume | 27 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - Apr 2018 |
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Keywords
- Adolescent
- Adult
- Europe
- Female
- Humans
- Male
- Mental Health/standards
- Mental Health Services/standards
- Surveys and Questionnaires
- Young Adult
Cite this
The interface between child/adolescent and adult mental health services : results from a European 28-country survey. / MILESTONE Consortium.
In: European Child and Adolescent Psychiatry, Vol. 27, No. 4, 04.2018, p. 501-511.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - The interface between child/adolescent and adult mental health services
T2 - results from a European 28-country survey
AU - MILESTONE Consortium
AU - Signorini, Giulia
AU - Singh, Swaran P
AU - Marsanic, Vlatka Boricevic
AU - Dieleman, Gwen
AU - Dodig-Ćurković, Katarina
AU - Franic, Tomislav
AU - Gerritsen, Suzanne E
AU - Griffin, James
AU - Maras, Athanasios
AU - McNicholas, Fiona
AU - O'Hara, Lesley
AU - Purper-Ouakil, Diane
AU - Paul, Moli
AU - Russet, Frederick
AU - Santosh, Paramala
AU - Schulze, Ulrike
AU - Street, Cathy
AU - Tremmery, Sabine
AU - Tuomainen, Helena
AU - Verhulst, Frank
AU - Warwick, Jane
AU - de Girolamo, Giovanni
PY - 2018/4
Y1 - 2018/4
N2 - 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.
AB - 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.
KW - Adolescent
KW - Adult
KW - Europe
KW - Female
KW - Humans
KW - Male
KW - Mental Health/standards
KW - Mental Health Services/standards
KW - Surveys and Questionnaires
KW - Young Adult
U2 - 10.1007/s00787-018-1112-5
DO - 10.1007/s00787-018-1112-5
M3 - Article
C2 - 29368253
VL - 27
SP - 501
EP - 511
JO - European Child and Adolescent Psychiatry
JF - European Child and Adolescent Psychiatry
SN - 1018-8827
IS - 4
ER -