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Demographic, clinical, and service-use characteristics related to the clinician’s recommendation to transition from child to adult mental health services

2022; Springer Science+Business Media; Volume: 57; Issue: 5 Linguagem: Inglês

10.1007/s00127-022-02238-6

1433-9285

Suzanne Gerritsen, Larissa S van Bodegom, Gwendolyn C. Dieleman, M.M.M. Overbeek, Frank C. Verhulst, Dieter Wolke, Dimitris Rizopoulos, Rebecca Appleton, Thérèse van Amelsvoort, C. Bodier Rethore, Frédérique Bonnet‐Brilhault, Isabelle Charvin, D. Da Fonséca, Nikolina Davidović, Katarina Dodig‐Ćurković, Alize J Ferrari, Federico Fiori, Tomislav Franić, Charlotte Gatherer, Giovanni de Girolamo, Natalie Heaney, Gaëlle Hendrickx, Renaud Jardri, Alfred Kolozsvari, Hélène Lida-Pulik, Kate Lievesley, Jason Madan, Mathilde Mastroianni, Virginie Maurice, Fiona McNicholas, Renata Nacinovich, Aesa Parenti, Moli Paul, Diane Purper‐Ouakil, L Rivolta, Véronique De Roeck, Frédérick Russet, Melanie C. Saam, Ilyas Sagar-Ouriaghli, Paramala Santosh, Anne Sartor, Ulrike Schulze, Paolo Scocco, Giulia Signorini, Swaran P. Singh, Jatinder Singh, Mario Speranza, Paolo Stagi, Paola Stagni, Cathy Street, Priya Tah, Elena Tănase, Sabine Tremmery, Amanda Tuffrey, Helena Tuomainen, Lisa A.S. Walker, Anna Wilson, Athanasios Maras, Laura Adams, Giovanni Allibrio, Marco Armando, Sonja Aslan, Nadia Baccanelli, Monica Balaudo, Fabia Bergamo, Angelo Bertani, Jo Anne Berriman, Albert E. Boon, Karen Braamse, Ulrike Breuninger, Maura Buttiglione, Sarah Grace Buttle, A. Schandrin, Marco Cammarano, Alastair Canaway, Fortunata Cantini, Cristiano Cappellari, Marta Carenini, Giuseppe Carrà, Cecilia Ferrari, Krizia Chianura, Philippa Coleman, Annalisa Colonna, Patrizia Conese, Raffaella Costanzo, Claire Daffern, Marina Danckaerts, Andrea De Giacomo, Jean-Pierre Ermans, Alan Farmer, Jörg M. Fegert, Sabrina Ferrari, Giuliana Galea, Michela Gatta, Elisa Gheza, Giacomo Goglia, MariaRosa Grandetto, James M. Griffin, Flavia Micol Levi, Véronique Humbertclaude, Nicola Ingravallo, Roberta Invernizzi, Caoimhe Kelly, Meghan Killilea, James Kirwan, C Klockaerts, Vlatka Kovač, Ashley Liew, Christel Lippens, Francesca Macchi, Lidia Manenti, Francesco Margari, Lucia Margari, Paola Martinelli, Leighton McFadden, Deny Menghini, Sarah Miller, Emiliano Monzani, Giorgia Morini, Todor Mutafov, Lesley O’Hara, Cristina Negrinotti, Emmanuel Nelis, Francesca Neri, Paulina Nikolova, Marzia Nossa, Maria Giulia Cataldo, Michele Noterdaeme, Francesca Felicia Operto, Vittoria Panaro, Adriana Pastore, Vinuthna Pemmaraju, Ann Pepermans, Maria Giuseppina Petruzzelli, Anna Presicci, Catherine Prigent, Francesco Mazzeo Rinaldi, Erika Riva, Anne Roekens, Ben Rogers, Pablo Ronzini, Vehbi Sakar, Selena Salvetti, Ottaviano Martinelli, Tanveer Sandhu, Renate Schepker, M. Siviero, Michael Slowik, Courtney Smyth, Patrizia Conti, Maria Antonietta Spadone, Fabrizio Starace, Patrizia Stoppa, Lucia Tansini, Cecilia Toselli, Guido Trabucchi, Maria Tubito, Arno van Dam, Hanne van Gutschoven, Dirk Van West, Fabio Vanni, Chiara Vannicola, Cristiana Varuzza, Pamela Varvara, Patrizia Ventura, Stefano Vicari, Stefania Vicini, Carolin von Bentzel, Philip Wells, Beata Williams, Marina Zabarella, Anna Zamboni, Edda Zanetti,

Childhood Cancer Survivors' Quality of Life

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.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.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.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.