ArticleSocial psychiatry and psychiatric epidemiology2019
Improving mental health pathways and care for adolescents in transition to adult services (IMPACT): a retrospective case note review of social and clinical determinants of transition.
Article in Social psychiatry and psychiatric epidemiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Age at onset of mental disorders worldwide: large-scale meta-analysis of 192 epidemiological studies.Molecular psychiatry · 2022Pooled it
- Effect of managed transition on mental health outcomes for young people at the child-adult mental health service boundary: a randomised clinical trial.Psychological medicine · 2023Trial
- Transitions from child to adult mental health care: the evidence-base for ESCAP guidance for clinicians.European child & adolescent psychiatry · 2026Article
- Age equality in UK healthcare policy and decision-making: a scoping review.BMC medical ethics · 2026Article
- Understanding child mental health care pathways in community-based services: a qualitative study in a French child and adolescent medico-social centre (CMPP).BMC health services research · 2026Article
- Non-random patterns in the co-occurrence and accumulation of adverse life events in two national panel datasets.Communications psychology · 2026Article
- Predictors of long-term follow-up clinic attendance and continued engagement among survivors of cancer in childhood and adolescence.Journal of cancer survivorship : research and practice · 2025Article
- Transitions for youth and young adults with eating disorders and/or other mental health conditions: a Canadian guideline.Journal of eating disorders · 2025Review
- Supportive use of digital technologies during transition to adult healthcare for young people with long-term conditions, focusing on Type 1 diabetes mellitus: A scoping review.Journal of child health care : for professionals working with children in the hospital and community · 2025Article
- Challenges in transitioning from adolescent to Adult Mental Health Services for young adults with ADHD in Italy: an observational study.Epidemiology and psychiatric sciences · 2024Observational
- Transitioning to adult mental health services for young people with ADHD: an Italian-based survey on practices for pediatric and adult services.Child and adolescent psychiatry and mental health · 2023Article
- Predictors of transitioning to adult mental health services and associated costs: a cross-country comparison.BMJ mental health · 2023Article
- The black hole of the transition process: dropout of care before transition age in adolescents.European child & adolescent psychiatry · 2023Observational
- Improving the Scope of Child Mental Health Interventions in Our Modern World.International journal of environmental research and public health · 2023Article
- Transitions in mental health and addiction care for youth and their families: a scoping review of needs, barriers, and facilitators.BMC health services research · 2023Article
- Transition from Child and Adolescent to Adult Mental Health Services in Young People with Depression: On What Do Clinicians Base their Recommendation?Depression and anxiety · 2023Article
- Demographic, clinical, and service-use characteristics related to the clinician's recommendation to transition from child to adult mental health services.Social psychiatry and psychiatric epidemiology · 2022Article
- Article
- Challenges during the transition from child and adolescent mental health services to adult mental health services.BJPsych bulletin · 2020Article
- Improving mental health pathways and care for adolescents in transition to adult services (IMPACT): a retrospective case note review of social and clinical determinants of transition.Social psychiatry and psychiatric epidemiology · 2019Article
Corrections and comments
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Authors and funding
12 authors.
Funding
Abstract
backgroundPoor transitions to adult care from child and adolescent mental health services may increase the risk of disengagement and long-term negative outcomes. However, studies of transitions in mental health care are commonly difficult to administer and little is known about the determinants of successful transition. The persistence of health inequalities related to access, care, and outcome is now well accepted including the inverse care law which suggests that those most in need of services may be the least likely to obtain them. We sought to examine the pathways and determinants of transition, including the role of social class.
methodA retrospective systematic examination of electronic records and case notes of young people eligible to transition to adult care over a 4-year period across five Health and Social Care NHS Trusts in Northern Ireland.
resultsWe identified 373 service users eligible for transition. While a high proportion of eligible patients made the transition to adult services, very few received an optimal transition process and many dropped out of services or subsequently disengaged. Clinical factors, rather than social class, appear to be more influential in the transition pathway. However, those not in employment, education or training (NEET) were more likely (OR 3.04: 95% CI 1.34, 6.91) to have been referred to Adult Mental Health Services (AMHS), as were those with a risk assessment or diagnosis (OR 4.89: 2.45, 9.80 and OR 3.36: 1.78, 6.34), respectively.
conclusionsDespite the importance of a smoother transition to adult services, surprisingly, few patients experience this. There is a need for stronger standardised policies and guidelines to ensure optimal transitional care to AMHS. The barriers between different arms of psychiatry appear to persist. Joint working and shared arrangements between child and adolescent and adult mental health services should be fostered.
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