ArticleJAMA network open2019
Association of Primary Care Continuity With Outcomes Following Transition to Adult Care for Adolescents With Severe Mental Illness.
Article in JAMA network open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
35 citing papers in PubMed, 1 synthesis or guideline pooled it, 64 citations in OpenAlex.
- 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 · 2022Pooled it
- Assessing the feasibility of an intervention for adolescents and parents transitioning out of paediatric eating disorder services: A mixed methods study.European eating disorders review : the journal of the Eating Disorders Association · 2025Trial
- Odyssée: protocol for a prospective cohort on psychiatric transition at age 17 in Nice, France.BMJ open · 2026Article
- Transitions from child to adult mental health care: the evidence-base for ESCAP guidance for clinicians.European child & adolescent psychiatry · 2026Article
- Co-Designing a Text Messaging Intervention for Youth Transitioning From Child to Adult Mental Health Services: Participatory Design Jam Study.JMIR formative research · 2026Article
- Strategies and Tools to Aid the Transition Between Paediatric and Adult Health Services for Young Adults With Neurodevelopmental Conditions: A Scoping Review.Journal of paediatrics and child health · 2026Article
- A home base for young adults: evidence that a primary care-embedded multidisciplinary rheumatology transition clinic improved care utilization and engagement.Health care transitions · 2026Article
- Patients and Communities Shape Regional Health Research Priorities: A Participatory Study from South Tyrol, Italy.Healthcare (Basel, Switzerland) · 2025Article
- TransitionED: A protocol for Co-designing and implementing Canadian practice guidelines for transitions for youth with eating disorders.European eating disorders review : the journal of the Eating Disorders Association · 2025Article
- Transitions for youth and young adults with eating disorders and/or other mental health conditions: a Canadian guideline.Journal of eating disorders · 2025Review
- Transitioning from paediatric to adult healthcare: Exploring the practices and experiences of care providers.Journal of child health care : for professionals working with children in the hospital and community · 2025Article
- A Socioecological Approach to Support the Transition to Adult Care for Youth With Medical Complexity: Family Perspectives and Recommendations.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- Quality Indicators for Transition from Pediatric to Adult Care for Youth With Chronic Conditions: Proposal for an Online Modified Delphi Study.JMIR research protocols · 2024Article
- Role of primary care in enhancing continuity of care for adolescents and young adults with chronic kidney disease undergoing transition to adult health services.Pediatric nephrology (Berlin, Germany) · 2024Article
- Role of primary care for individuals with childhood-onset neurologic conditions.Health care transitions · 2024Article
- Article
- Preventive care recommendations to promote health equity.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023Article
- Establishing a Care Continuum for Cardiometabolic Conditions for Patients with Serious Mental Illness.Current cardiology reports · 2023Review
- Young adults with eating disorders perspectives on educational resources to support the transition into adult medicine: a thematic analysis.Journal of eating disorders · 2023Article
- The Longitudinal Youth in Transition Study (LYiTS) Cohort Profile: Exploration by Hospital- Versus Community-Based Mental Health Services.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Importance: Adolescents with severe mental illness often age out of pediatric care without a clear transfer of care to adult services. The extent to which primary care provides stability during this vulnerable transition period is not known. Objective: To analyze the association between primary care continuity during the transition from pediatric to adult care and need for acute mental health services in young adulthood. Design, Setting, and Participants: This population-based cohort study used linked health and demographic administrative data for all adolescents aged 12 to 16 years with severe mental illness ascertained by hospitalization for schizophrenia, eating disorder, or mood disorder between April 1, 2002, and April 1, 2014, in Ontario, Canada. Participants were followed up through March 31, 2017. Data were analyzed from July 2018 to January 2019. Exposures: Continuous primary care (same physician as baseline [age 12-16 years] always or sometimes), discontinuous primary care (visits to a primary care physician during the transition period who was not the patient's usual physician), and no primary care during the transition period (age 17-18 years). Main Outcomes and Measures: Mental health-related hospitalizations and emergency department visits in young adulthood (age 19-26 years) adjusted for sex, rurality, neighborhood income, mental illness type, and health service use before transition. Results: Among 8409 adolescents with severe mental illness (5720 [68.0%] female; mean [SD] age, 14.8 [1.2] years), 5478 (65.1%) had continuous primary care, 2391 (28.4%) had discontinuous primary care, and 540 (6.4%) had no primary care during the transition period. Youths with no primary care during transition were more likely to be male (57.2%), have lower socioeconomic status (31.5%), and have no usual primary care practitioner at baseline (25.6%). Compared with continuous care, patients with discontinuous and no primary care had an increased rate of mental health-related hospitalization in young adulthood (adjusted relative rate, 1.20; 95% CI, 1.10-1.30; and adjusted relative rate, 1.30; 95% CI, 1.08-1.56, respectively). Conclusions and Relevance: In the context of decreasing outpatient specialist mental health visit rates following transition to adult care, ensuring adequate access to primary care during this vulnerable period may improve mental health outcomes in young adulthood.
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