ArticleEuropean child & adolescent psychiatry2021
"I'm just a long history of people rejecting referrals" experiences of young people who fell through the gap between child and adult mental health services.
Article in European child & adolescent psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.
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Who cites it
25 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Approaches to early intervention for common mental health problems in young people: a systematic review.BMC medicine · 2025Pooled it
- 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
- The effect of managed transition on the proportion of young people transitioning from CAMHS to AMHS: Analysis of the Milestone Cluster Randomised Clinical Trial.Psychological medicine · 2026Trial
- 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
- Evaluation of the mental health transition navigation model in child and adolescent mental health settings: findings from a pre-post, mixed-methods study.European child & adolescent psychiatry · 2026Article
- A qualitative investigation of views on practice in early support hubs from staff working in care and support roles.PLOS mental health · 2026Article
- A qualitative investigation of young people's experiences and views of Early Support Hubs across England.PloS one · 2026Article
- The Association Between Trajectories of Self-reported Psychotic Experiences and Continuity of Mental Health Care in a Longitudinal Cohort of Adolescents and Young Adults.Schizophrenia bulletin · 2025Article
- Transitions for youth and young adults with eating disorders and/or other mental health conditions: a Canadian guideline.Journal of eating disorders · 2025Review
- Exploring the barriers and facilitators of discharging children and young people from child and adolescent mental health services.Clinical child psychology and psychiatry · 2025Article
- Article
- Alternative approaches to standard inpatient mental health care: development of a typology of service models.International journal of mental health systems · 2025Article
- [Transition in mental health from childhood to adulthood: A scoping review].Anales del sistema sanitario de Navarra · 2025Article
- Primus Inter PARES: First among equals-practical strategies for young adult PAtient RESearch partners (PARES) by young adult PARES.Research involvement and engagement · 2024Article
- Predictors of transitioning to adult mental health services and associated costs: a cross-country comparison.BMJ mental health · 2023Article
- Article
- Reformed child and adolescent mental health services in a devolved healthcare system: a mixed-methods case study of an implementation site.Frontiers in health services · 2023Article
- Young people who have fallen through the mental health transition gap: a qualitative study on primary care support.The British journal of general practice : the journal of the Royal College of General Practitioners · 2022Article
- 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
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The paediatric-adult split in mental health care necessitates young people to make a transition between services when they reach the upper end of child and adolescent mental health services (CAMHS). However, we know that this transition is often poor, and not all young people who require ongoing support are able to continue care in adult mental health services (AMHS). These young people are said to have fallen through the gap between services. This research aimed to explore the reasons why young people fall through the gap between CAMHS and AMHS, and what effect this has had on them and their families. Narrative interviews were conducted with 15 young people and 15 parents, representing 19 unique transition stories. Themes were identified collaboratively using thematic analysis. Reasons for falling through the gap were grouped into systemic problems and problems with the quality of care received. Effects of falling through the gap were grouped into separate themes for young people (feeling abandoned; struggling to manage without continued care; problems with medication) and parents (emotional impact of care ending; parents taking an active role in the young person's care). To our knowledge, this is the first qualitative study that has focused only on the experiences of young people who have fallen through the gap between services. This research adds novel findings to existing literature regarding barriers to transition and the effects of discontinuity of care.
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