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Predictors of transitioning to adult mental health services and associated costs: a cross-country comparison.
Appleton, Rebecca; Canaway, Alastair; Tuomainen, Helena; Dieleman, Gwen; Gerritsen, Suzanne; Overbeek, Mathilde; Maras, Athanasios; van Bodegom, Larissa; Franic, Tomislav; de Girolamo, Giovanni; Madan, Jason; McNicholas, Fiona; Purper-Ouakil, Diane; Schulze, Ulrike M E; Tremmery, Sabine; Singh, Swaran P.
Afiliação
  • Appleton R; NIHR Mental Health Policy Research Unit, UCL, London, UK r.appleton@ucl.ac.uk.
  • Canaway A; Warwick Medical School, University of Warwick, Coventry, UK.
  • Tuomainen H; Warwick Medical School, University of Warwick, Coventry, UK.
  • Dieleman G; Department of Child and Adolescent Psychiatry and Psychology, Erasmus Medical Center, Rotterdam, The Netherlands.
  • Gerritsen S; Department of Child and Adolescent Psychiatry and Psychology, Erasmus Medical Center, Rotterdam, The Netherlands.
  • Overbeek M; Yulius Academy, Yulius Mental Health Organization, Dordrecht, The Netherlands.
  • Maras A; ARQ National Pyschotrauma Centre, Diemen, The Netherlands.
  • van Bodegom L; Clinical Child and Family Studies, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
  • Franic T; Yulius Academy, Yulius Mental Health Organization, Dordrecht, The Netherlands.
  • de Girolamo G; ARQ National Pyschotrauma Centre, Diemen, The Netherlands.
  • Madan J; Yulius Academy, Yulius Mental Health Organization, Dordrecht, The Netherlands.
  • McNicholas F; Department of Psychiatry, Clinical Hospital Center Split, Split, Croatia.
  • Purper-Ouakil D; Unit of Epidemiological Psychiatry, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy.
  • Schulze UME; Warwick Medical School, University of Warwick, Coventry, UK.
  • Tremmery S; Department of Academic Child and Adolescent Psychiatry, University College Dublin, School of Medicine & Medical Science, Dublin, Ireland.
  • Singh SP; Lucena Child and Adolescent Mental Health Services, St. John of God Community Services, Dublin, Ireland.
BMJ Ment Health ; 26(1)2023 Oct.
Article em En | MEDLINE | ID: mdl-37879676
BACKGROUND: Young people are at risk of falling through the care gap after leaving child and adolescent mental health services (CAMHS) despite an ongoing need for mental health support. Currently, little is known about the predictors of transitioning to adult mental health services (AMHS), and associated healthcare and societal costs as young people cross the transition boundary. OBJECTIVE: To conduct a secondary data analysis exploring predictors of transitioning or falling through the gap and associated costs. METHODS: Data were used from a longitudinal study, which followed young people from seven European countries for 2 years after reaching their CAMHS boundary. Predictors of transitioning (including sociodemographic and clinical variables) and longitudinal resource use were compared for 488 young people who transitioned to AMHS versus those who fell through the gap. FINDINGS: Young people were more likely to transition to AMHS if they were severely ill. Those from Italy, the Netherlands and the UK were more likely to fall through the gap than transition to AMHS. Healthcare costs fell for all young people over the study, with a sharper decrease for those who fell through the gap. CONCLUSIONS: Total healthcare costs fell for all participants, indicating that the intensity of mental health support reduces for all young people as they cross the CAMHS boundary, regardless of clinical need. CLINICAL IMPLICATIONS: It is important that alternative forms of mental health support are available for young people who do not meet the AMHS care threshold but still have mental health needs after leaving CAMHS.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transição para Assistência do Adulto / Serviços de Saúde Mental Limite: Adolescent / Adult / Humans Idioma: En Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transição para Assistência do Adulto / Serviços de Saúde Mental Limite: Adolescent / Adult / Humans Idioma: En Ano de publicação: 2023 Tipo de documento: Article