Evidence map›Paper›PMID 30850925›Full record

SynthesisEuropean child & adolescent psychiatry2019

Outcomes of young people who reach the transition boundary of child and adolescent mental health services: a systematic review.

Rebecca Appleton, Catriona Connell, Emma Fairclough, Helena Tuomainen, Swaran P Singh

Abstract readSystematic Review
In one paragraph

Synthesis in European child & adolescent psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Perspectives of young people who access support for mental health in primary care: a systematic review of their experiences and needs.The British journal of general practice : the journal of the Royal College of General Practitioners · 2022
    Pooled it
  3. Trial
  4. Trial
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  9. Observational
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  18. The importance of genetic counselling for turner syndrome transition.European child & adolescent psychiatry · 2025
    Review
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  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Rebecca AppletonWarwick Medical School, University of Warwick, Coventry, CV4 7AL, UK. b.appleton@warwick.ac.uk.ORCID http://orcid.org/0000-0003-4097-3512
Catriona ConnellWarwick Medical School, University of Warwick, Coventry, CV4 7AL, UK.ORCID http://orcid.org/0000-0002-4016-5120
Emma FaircloughInstitute of Psychological Sciences, University of Leeds, Leeds, LS2 9JT, UK.ORCID http://orcid.org/0000-0003-1040-4618
Helena TuomainenWarwick Medical School, University of Warwick, Coventry, CV4 7AL, UK.ORCID http://orcid.org/0000-0003-1636-8187
Swaran P SinghWarwick Medical School, University of Warwick, Coventry, CV4 7AL, UK.ORCID http://orcid.org/0000-0003-3454-2089

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

When young people reach the upper age limit of child and adolescent mental health services (CAMHS), care should be transferred to an adult mental health service (AMHS) if they require ongoing support. However, many young people experience a significant disruption of their care during this transition, whilst others may fail to transition at all. Currently, there is no systematic appraisal of the international evidence regarding the outcomes of young people after transition. A systematic review was conducted which aimed to synthesise and review the existing research regarding outcomes after transition. We searched six databases from their inception until December 2017 for research relating to either the mental health or service use outcomes of young people after reaching their CAMHS age boundary. Results were synthesised narratively. The initial searches identified 18,287 papers, of which 213 were screened on full text. 13 papers were included in the review, representing 10 cohorts of young people who crossed the transition age boundary. No studies contained extractable data on mental health outcomes following transition, and therefore, this review focused only on service use outcomes. Results showed a quarter of young people transitioned to AMHS, with the other young people experiencing varied outcomes after leaving CAMHS and multiple transitions during this time. This review provides evidence for the varying service use outcomes of young people after reaching the upper age limit of CAMHS. However, longitudinal research into long-term outcomes is lacking, in addition to research regarding the mental health and functioning outcomes of young people following transition.Protocol registration The protocol for this systematic review has been registered with PROSPERO, ID number CRD42018085916.

Indexed as

AdolescentAdolescent Health ServicesFemaleHumansMaleMental HealthMental Health ServicesTreatment OutcomeAMHSCAMHSMental health serviceSystematic reviewTransition

Identifiers

PMID30850925
PMCPMC6800846

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.