Leaving child and adolescent mental health services (CAMHS): the impact of diagnosis and medication management on optimal discharge or transition

IF 1 Q4 PSYCHIATRY
C. Street, Ellen Ni Chinseallaigh, I. Holme, R. Appleton, P. Tah, H. Tuomainen, Sophie Leijesdorff, L. V. van Bodegom, T. van Amelsvoort, T. Franić, Helena Tomljenovic, F. Mcnicholas
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Abstract

Purpose This study aims to explore how young people in child and adolescent mental health services (CAMHS) in the UK, Ireland, The Netherlands and Croatia, experienced leaving CAMHS and identified a range of factors impeding optimal discharge or transition to adult mental health services (AMHS). Design/methodology/approach Interviews about discharge or transition planning, including what information was provided about their ongoing mental health needs, undertaken with 34 young people aged 17–24, all previous or current attendees of CAMHS. Some interviews included accounts by parents or carers. Data were thematically analysed. Findings A number of previously well-documented barriers to a well-delivered discharge or transition were noted. Two issues less frequently reported on were identified and further discussed; they are the provision of an adequately explained, timely and appropriately used diagnosis and post-CAMHS medication management. Overall, planning processes for discharging or transitioning young people from CAMHS are often sub-optimal. Practice with regard to how and when young people are given a diagnosis and arrangements for the continuation of prescribed medication appear to be areas requiring improvement. Originality/value Study participants came from a large cohort involving a wide range of different services and health systems in the first pan-European study exploring the CAMHS to adult service interface. Two novel and infrequently discussed issues in the literature about young people’s mental health transitions, diagnosis and medication management were identified in this cohort and worthy of further study.
离开儿童和青少年心理健康服务(CAMHS):诊断和药物管理对最佳出院或过渡的影响
目的本研究旨在探讨在英国、爱尔兰、荷兰和克罗地亚接受儿童和青少年心理健康服务(CAMHS)的年轻人如何经历离开CAMHS,并确定一系列阻碍最佳出院或过渡到成人心理健康服务(AMHS)的因素。设计/方法/方法:对34名17-24岁的年轻人进行了关于出院或过渡计划的访谈,包括提供了关于他们目前心理健康需求的信息,这些年轻人以前或现在都参加了CAMHS。一些采访包括父母或看护人的陈述。对数据进行主题分析。研究结果指出,许多先前记录良好的障碍阻碍了良好的出院或过渡。确定并进一步讨论了较少报告的两个问题;它们是提供充分解释、及时和适当使用的诊断和camhs后的药物管理。总体而言,从CAMHS中释放或过渡年轻人的规划过程往往不是最理想的。关于如何以及何时对年轻人进行诊断和安排继续服用处方药物的做法似乎是需要改进的领域。独创性/价值研究参与者来自一个大队列,涉及范围广泛的不同服务和卫生系统,这是首个探索CAMHS与成人服务接口的泛欧研究。在这一队列中发现了两个关于年轻人心理健康转变、诊断和药物管理的新颖且不常被讨论的问题,值得进一步研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.20
自引率
8.30%
发文量
32
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