Location of Repository

Transitions of care from child and adolescent mental health\ud services to adult mental health services (TRACK Study) : a study of protocols in Greater London

By Swaran P. Singh, Moli Paul, Tamsin Ford, Tami Kramer and Tim Weaver

Abstract

Background: Although young people's transition from Child and Adolescent Mental Health Services (CAMHS) to Adult Mental Health Services (AMHS) in England is a significant health issue for service users, commissioners and providers, there is little evidence available to guide service development. The TRACK study aims to identify factors which facilitate or impede effective transition from CAHMS to AMHS. This paper presents findings from a survey of transition protocols in Greater London.\ud Methods: A questionnaire survey (Jan-April 2005) of Greater London CAMHS to identify transition protocols and collect data on team size, structure, transition protocols, population served and referral rates to AMHS. Identified transition protocols were subjected to content analysis.\ud Results: Forty two of the 65 teams contacted (65%) responded to the survey. Teams varied in type (generic/targeted/in-patient), catchment area (locality-based, wider or national) and transition boundaries with AMHS. Estimated annual average number of cases considered suitable for transfer to AMHS, per CAMHS team (mean 12.3, range 0–70, SD 14.5, n = 37) was greater than the annual average number of cases actually accepted by AMHS (mean 8.3, range 0–50, SD 9.5, n = 33). In April 2005, there were 13 active and 2 draft protocols in Greater London. Protocols were largely\ud similar in stated aims and policies, but differed in key procedural details, such as joint working between CAHMS and AMHS and whether protocols were shared at Trust or locality level. While the centrality of service users' involvement in the transition process was identified, no protocol specified how users should be prepared for transition. A major omission from protocols was procedures to ensure continuity of care for patients not accepted by AMHS.\ud Conclusion: At least 13 transition protocols were in operation in Greater London in April 2005. Not all protocols meet all requirements set by government policy. Variation in protocol-sharing organisational units and transition process suggest that practice may vary. There is discontinuity of care provision for some patients who 'graduate' from CAMHS services but are not accepted by\ud adult services

Topics: BF, RJ101
Publisher: BioMed Central
Year: 2008
OAI identifier: oai:wrap.warwick.ac.uk:201

Suggested articles

Preview

Citations

  1. (2003). A: Distinguishing between the validity and utility of psychiatric diagnoses. doi
  2. A: Interface between child and adult mental health. In Family matters: interface between child and adult mental health Edite d by: Reder doi
  3. (2002). American Academy of P, American Academy of Family P, American College of Physicians-American Society of Internal M: A Consensus Statement on Health Care Transitions for Young Adults With Special Health Care Needs.
  4. AuditCommission: Children in mind. London ,
  5. (2003). Child and adolescent mental health interface work with primary services: a survey of NHS provider trusts. Child and Adolescent Mental Health doi
  6. (2005). Child and Adolescent Mental Health Services: Reasoned Advice to Commissioners and Providers.
  7. (2004). child matters, change for children. London , Department of Health;
  8. (1990). Considering normal and abnormal together: the essence of developmental psychopathology. Development and Psychopathology doi
  9. (2005). DL: State child mental health efforts to support youth in transition to adulthood. doi
  10. (1999). DOH: Effective care co-ordination in mental health services: modernising the care programme approach - a policy booklet. London , Department of Health; doi
  11. (2007). etal: Age of onset of mental disorders: a review of recent literature. Current Opinion in Psychiatry doi
  12. (2000). Framework for the assessment of children in need and their families. London , Department of Health, Department for Education and Employment and Home Office;
  13. (1999). futures: promoting children and young people's mental health. London , Mental Health Foundation; doi
  14. (2003). Getting the right start: the National Service Framework for Children, Young People and Maternity Services -emerging findings. London , Department of Health;
  15. Service Framework for Children, Young People and Maternity Services: the mental health and psychological well-being of children and young people: standard 9. London , doi
  16. (1999). Service Framework for Mental Health: modern standards and service models. London , Department of Health; doi
  17. (2005). Sireling L, etal: Mind the gap: the interface between CAMHS and adult services. Psychiatric Bulletin
  18. (1999). The mind and its discontents.
  19. (2007). The specialist youth mental health model: strengthening the weakest link in the public mental health system.
  20. (2006). to adult transition. HASCAS tools for transition. A literature review for informed practice. London , Health and Social Care Advisory Service;
  21. Transition: getting it right for young people. London ,
  22. Upper and lower age limit of CAMHS
  23. (2006). Youth matters: next steps. London , Department for Education and Skills;

To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.