Ruth Belling1, Susan McLaren2, Moli Paul3, Tamsin Ford4, Tami Kramer5, Tim Weaver6, Kimberly Hovish7, Zoebia Islam8, Sarah White9, Swaran P Singh10. 1. Research and Evaluation Consultant, Evaluation Works, Bedford, UK. 2. Emeritus Professor, Faculty of Health and Social Care, London South Bank University, London, UK mclaresm@lsbu.ac.uk. 3. Principal Teaching Fellow, Division of Mental Health and Well Being, Warwick Medical School, University of Warwick, UK. 4. Professor of Child and Adolescent Psychiatry, University of Exeter Medical School, University of Exeter, UK. 5. Senior Clinical Research Fellow/Consultant in Child and Adolescent Psychiatry, Faculty of Medicine, Imperial College London, UK. 6. Senior Lecturer in Mental Health Services Research, Faculty of Medicine, Imperial College London, UK. 7. Research Officer, Department of Childhood, Families and Health, Institute of Education, University of London, UK. 8. Senior Research Fellow/Lecturer, LOROS Hospice Care for Leicester, Leicestershire and Rutland and Birmingham and Solihull Mental Health Foundation Trust, UK. 9. Biostatistician, Section of Mental Health, Division of Population Health Sciences and Education, St. George's, University of London, UK. 10. Professor/Head of Division of Mental Health and Well Being, Warwick Medical School, University of Warwick, UK.
Abstract
OBJECTIVES: To investigate the organisational factors that impede or facilitate transition of young people from child and adolescent (CAMHS) to adult mental health services (AMHS). METHODS: Thirty-four semi-structured interviews were conducted with health and social care professionals working in child and adult services in four English NHS Mental Health Trusts and voluntary organisations. Data were analysed thematically using a structured framework. RESULTS: Findings revealed a lack of clarity on service availability and the operation of different eligibility criteria between child and adult mental health services, with variable service provision for young people with attention deficit hyperactivity disorder, autism spectrum disorders and learning disabilities. High workloads and staff shortages were perceived to influence service thresholds and eligibility criteria. CONCLUSIONS: A mutual lack of understanding of services and structures together with restrictive eligibility criteria exacerbated by perceived lack of resources can impact negatively on the transition between CAMHS and AMHS, disrupting continuity of care for young people.
OBJECTIVES: To investigate the organisational factors that impede or facilitate transition of young people from child and adolescent (CAMHS) to adult mental health services (AMHS). METHODS: Thirty-four semi-structured interviews were conducted with health and social care professionals working in child and adult services in four English NHS Mental Health Trusts and voluntary organisations. Data were analysed thematically using a structured framework. RESULTS: Findings revealed a lack of clarity on service availability and the operation of different eligibility criteria between child and adult mental health services, with variable service provision for young people with attention deficit hyperactivity disorder, autism spectrum disorders and learning disabilities. High workloads and staff shortages were perceived to influence service thresholds and eligibility criteria. CONCLUSIONS: A mutual lack of understanding of services and structures together with restrictive eligibility criteria exacerbated by perceived lack of resources can impact negatively on the transition between CAMHS and AMHS, disrupting continuity of care for young people.
Authors: Ania M Fiksinski; Maude Schneider; Clodagh M Murphy; Marco Armando; Stefano Vicari; Jaume M Canyelles; Doron Gothelf; Stephan Eliez; Elemi J Breetvelt; Celso Arango; Jacob A S Vorstman Journal: Am J Med Genet A Date: 2018-09-08 Impact factor: 2.802
Authors: Clodagh M Murphy; C Ellie Wilson; Dene M Robertson; Christine Ecker; Eileen M Daly; Neil Hammond; Anastasios Galanopoulos; Iulia Dud; Declan G Murphy; Grainne M McAlonan Journal: Neuropsychiatr Dis Treat Date: 2016-07-07 Impact factor: 2.570
Authors: Susan Young; Marios Adamou; Philip Asherson; David Coghill; Bill Colley; Gisli Gudjonsson; Chris Hollis; Jane McCarthy; Ulrich Müller; Moli Paul; Mark Pitts; Muhammad Arif Journal: BMC Psychiatry Date: 2016-08-26 Impact factor: 3.630