Evidence map›Paper›PMID 37310306›Full record

Trial reportPsychological medicine2023

Effect of managed transition on mental health outcomes for young people at the child-adult mental health service boundary: a randomised clinical trial.

S P Singh, H Tuomainen, G Bouliotis, A Canaway, G De Girolamo, G C Dieleman, T Franić, J Madan, A Maras, F McNicholas and 11 more

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Psychological medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03013595 (The Effectiveness of Managed Transition in Improving the Health and Social Outcomes for Young People Transitioning From Child to Adult Mental Health Care), which is not on this map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 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.

NCT03013595 naunknown statusnot on this map

The Effectiveness of Managed Transition in Improving the Health and Social Outcomes for Young People Transitioning From Child to Adult Mental Health Care: the MILESTONE Study

TypeinterventionalSponsorUniversity of WarwickRan2015 to 2018Enrolled1,000ConditionsMental Health Impairment, Mental Health DisorderArmsTRAM feedback
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. [Transitional psychiatric needs and identity development of adolescents in Tyrol].Neuropsychiatrie : Klinik, Diagnostik, Therapie und Rehabilitation : Organ der Gesellschaft Osterreichischer Nervenarzte und Psychiater · 2024
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Commentary: State of transitional care for emerging adults - reflections on Anderson et al.Journal of child psychology and psychiatry, and allied disciplines · 2022
    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

21 authors.

S P SinghMental Health and Wellbeing, Warwick Medical School, University of Warwick, Coventry, UK.
H TuomainenMental Health and Wellbeing, Warwick Medical School, University of Warwick, Coventry, UK.
G BouliotisWarwick Clinical Trials Unit, Warwick Medical School, University of Warwick, Coventry, UK.
A CanawayWarwick Clinical Trials Unit, Warwick Medical School, University of Warwick, Coventry, UK.
G De GirolamoIRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy.
G C DielemanDepartment of Child and Adolescent Psychiatry and Psychology, Erasmus Medical Center, Rotterdam, the Netherlands.
T FranićDepartment of Psychiatry, Clinical Hospital Center Split, Split, Croatia.
J MadanWarwick Clinical Trials Unit, Warwick Medical School, University of Warwick, Coventry, UK.
A MarasDepartment of Child and Adolescent Psychiatry and Psychology, Erasmus Medical Center, Rotterdam, the Netherlands.
F McNicholasDepartment of Child and Adolescent Psychiatry, University College Dublin School of Medicine and Medical Science, Dublin, Republic of Ireland.
M PaulCoventry and Warwickshire Partnership NHS Trust, Coventry, UK.
D Purper-OuakilCentre Hospitalier Universitaire de Montpellier, Saint Eloi Hospital, Unit of Child and Adolescent Psychiatry (MPEA1), Montpellier, France.
P SantoshDepartment of Child and Adolescent Psychiatry, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
U M E SchulzeDepartment of Child and Adolescent Psychiatry/Psychotherapy, University of Ulm, Ulm, Germany.
C StreetMental Health and Wellbeing, Warwick Medical School, University of Warwick, Coventry, UK.
S TremmeryDepartment of Neurosciences, Child & Adolescent Psychiatry, University of Leuven, Leuven, Belgium.
F C VerhulstDepartment of Child and Adolescent Psychiatry and Psychology, Erasmus Medical Center, Rotterdam, the Netherlands.
P WellsWarwick Clinical Trials Unit, Warwick Medical School, University of Warwick, Coventry, UK.
D WolkeMental Health and Wellbeing, Warwick Medical School, University of Warwick, Coventry, UK.
J WarwickWarwick Clinical Trials Unit, Warwick Medical School, University of Warwick, Coventry, UK.
MILESTONE Consortium

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPoor transition planning contributes to discontinuity of care at the child-adult mental health service boundary (SB), adversely affecting mental health outcomes in young people (YP). The aim of the study was to determine whether managed transition (MT) improves mental health outcomes of YP reaching the child/adolescent mental health service (CAMHS) boundary compared with usual care (UC).

methodsA two-arm cluster-randomised trial (ISRCTN83240263 and NCT03013595) with clusters allocated 1:2 between MT and UC. Recruitment took place in 40 CAMHS (eight European countries) between October 2015 and December 2016. Eligible participants were CAMHS service users who were receiving treatment or had a diagnosed mental disorder, had an IQ ⩾ 70 and were within 1 year of reaching the SB. MT was a multi-component intervention that included CAMHS training, systematic identification of YP approaching SB, a structured assessment (Transition Readiness and Appropriateness Measure) and sharing of information between CAMHS and adult mental health services. The primary outcome was HoNOSCA (Health of the Nation Outcome Scale for Children and Adolescents) score 15-months post-entry to the trial.

resultsThe mean difference in HoNOSCA scores between the MT and UC arms at 15 months was -1.11 points (95% confidence interval -2.07 to -0.14,

conclusionsMT led to improved mental health of YP after the SB but the magnitude of the effect was small. The intervention can be implemented at low cost and form part of planned and purposeful transitional care.

Indexed as

Mental Health ServicesPsychotic DisordersAdolescentAdultEuropeHumansMental HealthOutcome Assessment, Health Careadolescentcluster randomised controlled trialHoNOSCAmental disordersmental health servicesstructured assessmentTransition

Identifiers

PMID37310306
PMCPMC10123823

What OpenQuestion holds

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Registered trials

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.