Leaving child and adolescent mental health services (CAMHS): the impact of diagnosis and medication management on optimal discharge or transition
ISSN: 1361-9322
Article publication date: 29 August 2023
Issue publication date: 9 November 2023
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.
Keywords
Acknowledgements
Corrigendum: It has come to the attention of the publisher that the article: Street, C., Ni Chinseallaigh, E., Holme, I., Appleton, R., Tah, P., Tuomainen, H., Leijdesdorff, S., van Bodegom, L., van Amelsvoort, T., Franic, T., Tomljenovic, H. and McNicholas, F. (2023), “Leaving child and adolescent mental health services (CAMHS): the impact of diagnosis and medication management on optimal discharge or transition”, Mental Health Review Journal, Vol. ahead-of-print No. ahead-of-print. https://doi.org/10.1108/MHRJ-10-2022-0066, did not include the MILESTONE Consortium as an author.
Our guidelines make it clear that anyone who made a significant contribution to the paper must be included as an author.
The MILESTONE Consortium has been added as an author to this paper.
Citation
Street, C., Ni Chinseallaigh, E., Holme, I., Appleton, R., Tah, P., Tuomainen, H., Leijdesdorff, S., van Bodegom, L., van Amelsvoort, T., Franic, T., Tomljenovic, H. and McNicholas, F. (2023), "Leaving child and adolescent mental health services (CAMHS): the impact of diagnosis and medication management on optimal discharge or transition", Mental Health Review Journal, Vol. 28 No. 4, pp. 362-375. https://doi.org/10.1108/MHRJ-10-2022-0066
Publisher
:Emerald Publishing Limited
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