Evidence map›Paper›PMID 41940539›Full record

Trial reportPsychological medicine2026

The effect of managed transition on the proportion of young people transitioning from CAMHS to AMHS: Analysis of the Milestone Cluster Randomised Clinical Trial.

Tobias Rowland, Catherine Winsper, Dafne Morroni, Rebecca Appleton, Helena Tuomainen, Gwen C Dieleman, Tomislav Franić, Giovanni de Girolamo, Jason Madan, Athanasios Maras and 11 more

Abstract readRandomized Controlled TrialMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Psychological medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Tobias RowlandMental Health and Wellbeing, Warwick Medical School, University of Warwick, Coventry, UK.ORCID https://orcid.org/0000-0003-0977-0362
Catherine WinsperHealth Sciences, Warwick Medical School, University of Warwick, UK.ORCID https://orcid.org/0000-0002-0045-7524
Dafne MorroniMental Health and Wellbeing, Warwick Medical School, University of Warwick, Coventry, UK.ORCID https://orcid.org/0009-0008-0921-4941
Rebecca AppletonNIHR Policy Research Unit in Mental Health, Division of Psychiatry, University College London, London, UK.ORCID https://orcid.org/0000-0003-4097-3512
Helena TuomainenMental Health and Wellbeing, Warwick Medical School, University of Warwick, Coventry, UK.ORCID https://orcid.org/0000-0003-1636-8187
Gwen C DielemanDepartment of Child and Adolescent Psychiatry/Psychology, Erasmus MC-Sophia, Rotterdam, Netherlands.
Tomislav FranićUniversity Hospital Split, School of Medicine University of Split, Croatia.
Giovanni de GirolamoUnit of Epidemiological and Evaluation Psychiatry - UOPEV, IRCCS Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy.
Jason MadanCentre for Health Economics at Warwick, Warwick Medical School, University of Warwick, Coventry, UK.
Athanasios MarasARQ National Psychotrauma Centre, Diemen, Netherlands.
Fiona McNicholasChildren's Health Ireland at Crumlin, SJOG Lucena CAMHS, UCD, Dublin, Ireland.ORCID https://orcid.org/0000-0001-9428-6908
Moli PaulMental Health and Wellbeing, Warwick Medical School, University of Warwick, Coventry, UK.
Diane Purper-OuakilMédecine Psychologique de l'Enfant et de l'Adolescent (MPEA1), Hôpital Saint Eloi, Centre Hospitalier Universitaire de Montpellier, France.ORCID https://orcid.org/0000-0003-0454-1579
Paramala SantoshInstitute of Psychiatry Psychology & Neuroscience, King's College London, London, UK.
Ulrike Me SchulzeDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital of Ulm, Germany.
Cathy StreetMental Health and Wellbeing, Warwick Medical School, University of Warwick, Coventry, UK.
Sabine TremmeryKU Leuven: Katholieke UniversiteitLeuven, Belgium.
Frank VerhulstErasmus Medical Centre, Netherlands.
Dieter WolkeDepartment of Psychology, Warwick Medical School, University of Warwick, Coventry, UK.ORCID https://orcid.org/0000-0003-0304-268X
Swaran P SinghMental Health and Wellbeing, Warwick Medical School, University of Warwick, Coventry, UK.ORCID https://orcid.org/0000-0003-3454-2089
MILESTONE Transition Consortium

Funding

Seventh Framework Programme 602442
6 · The paper itself

Abstract

backgroundTransition from Child and Adolescent Mental Health Services (CAMHS) to Adult Mental Health Services (AMHS) is poorly managed, with discontinuity of care commonplace, leading to poorer outcomes, while evidence-based interventions to improve transition are scarce. This study is a secondary analysis of the MILESTONE trial, aiming to determine whether managed transition increases the proportion of young people who appropriately transition from CAMHS to AMHS.

methodsThe MILESTONE trial was a multicenter, two-arm, cluster-randomized controlled trial across eight countries at 40 CAMHS sites to compare usual care (UC) to managed transition (MT). MT consisted of training, identification, and assessment of transition readiness and appropriateness. Eligible participants were receiving CAMHS care, IQ ⩾ 70 and within 1 year of their service transition boundary. CAMHS sites were randomized 2:1 between UC and MT. The main outcome was whether participants were receiving care from AMHS at 15 months follow up.

resultsThe MILESTONE study included 793 participants, 552 receiving UC and 241 receiving MT. In the MT group, 24.9% transitioned to AMHS at 15 months compared to 14.2% in the UC group (

conclusionsA higher proportion of the MT group transitioned to AMHS at 15 months, and there was a higher proportion of appropriate transitions compared to UC. Clinicians and services should consider the incorporation of MT into routine clinical care.

Indexed as

Adolescent Health ServicesMental Health ServicesTransition to Adult CareAdolescentChildFemaleHumansMaleYoung Adult

Identifiers

PMID41940539
PMCPMC13079206

What OpenQuestion holds

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LicenceCC BY
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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.