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- Title
Transitional care: from CAMHS to AMHS.
- Authors
Ezquiaga Bravo, I.; Nascimento, M.; Martínez Sadurní, L.; Marrón, M.; Vilar, A.; Salvador, A.; Sorli, R.; Siñol, P.; Batlle, S.; Martín, L. M.
- Abstract
Introduction: Adolescents and young adults are at risk for the emergence of mental disorders; 50% of mental health problems show-up by the age of 16 and 75% by 24. This vulnerable population needs an organized transition between child and adolescent mental health services (CAMHS) and adult mental health services (AMHS). Many times this transition struggles due to ideological, structural and functional differences between CAMHS and AMHS. There is a lack of consensus and high-quality evidence regarding which transition-model is the most appropriate for these emerging adults. Objectives: To describe the transition model from a sample recruited at CAMHS in Barcelona (CSMIJ-Sant-Martí). Methods: Cross-sectional descriptive analysis of a sample of adolescents referred from CAMHS to AMHS, regarding active followup, waiting days and psychiatric characteristics. Results: Between January 2018 and June 2019, 51 CAMHS patients (58.8% males) were referred to 3 different AMHS; 34 of them (66.6%) have an active follow-up at the moment of the study. 23 patients (45.1%) meet criteria for severe mental disorder, and 34 (66.6%) have neuropsychiatric-treatment prescriptions. Sequential model was used in 45 (88.2%), whereas 6 patients (11.7%) needed parallel transition. Average waiting days until transfer was 49.9 days. One CAMHS-AMHS coordination-meeting takes place every 6 months to assure optimal transition. Conclusions: Our results suggest both sequential and parallel models can be effective for a successful CAMHS-AMHS transition. An individualized and flexible approach will always be needed, as well as good coordination between services. Improving transitional care is essential for the prevention, treatment and prognosis of young people. More studies must be conducted in this regard.
- Subjects
BARCELONA (Spain); TRANSITIONAL care; YOUNG adults; CHILD mental health services; MENTAL health services; MENTAL illness; ADOLESCENT health
- Publication
European Psychiatry, 2020, Vol 63, pS78
- ISSN
0924-9338
- Publication type
Article