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Care Transition from Child/Adolescents to Adult Services

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Book cover Mental Health and Illness of Children and Adolescents

Abstract

In countries with distinct child and adolescent mental health services (CAMHS), access to continued care in adult services can be problematic for those who reach the CAMHS service boundary. This transition boundary occurs at a time of significant change for young people, both in terms of biological and social maturation. Care transition is associated with increased anxiety and uncertainty for young people and their parents, often due to a suboptimal transition process. Adult mental health services (AMHS) have high eligibility thresholds, meaning continuity of care is most likely for those with more severe mental illness. Those who do not meet this threshold are further disadvantaged by the variability in service provision for adult well-being services. Increased uptake of recent policy initiatives and expansion of new service models is needed to ensure young people can continue to access appropriate care into adulthood.

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Under Review

  • Singh SP, Tuomainen H, Bouliotis G, Canaway A, De Girolamo G, Dieleman GC, Franić T, Madan J, Maras A, McNicholas F, Paul M, Purper-Ouakil D, Santosh P, Schulze UME, Street C, Tremmery S, Verhulst FC Wolke D, Warwick J, MILESTONE trial researchers∗, for the MILESTONE consortium. Randomised trial of Managed Transition at mental health service boundary. Lancet Psychiatry (under review)

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Tuomainen, H., Appleton, R., Singh, S.P. (2020). Care Transition from Child/Adolescents to Adult Services. In: Taylor, E., Verhulst, F., Wong, J., Yoshida, K., Nikapota, A. (eds) Mental Health and Illness of Children and Adolescents. Mental Health and Illness Worldwide. Springer, Singapore. https://doi.org/10.1007/978-981-10-0753-8_50-1

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