Skip to main content
Erschienen in: The Journal of Behavioral Health Services & Research 4/2016

09.10.2014

Transitioning Youth into Adult Mental Health and Addiction Services: An Outcomes Evaluation of the Youth Transition Project

verfasst von: M. Cappelli, PhD(C), S. Davidson, MB, BCh, FRCP(C), J. Racek, MA, S. Leon, BS, M. Vloet, PhD(C), K. Tataryn, MSW, K. Gillis, MD, FRCP(C), A. Freeland, MD, FRCP(C), J. Carver, MSW, S. Thatte, MD, FRCP(C), J. Lowe, MSW

Erschienen in: The Journal of Behavioral Health Services & Research | Ausgabe 4/2016

Einloggen, um Zugang zu erhalten

Abstract

The Youth Transition Project was designed to provide youth with mental health and addiction issues with individualized transitional care plans as they transition from Child and Adolescent Mental Health Services (CAMHS) to Adult Mental Health Services (AMHS). Over an 18-month period, a total of 127 (59.1%) youth were transitioned and seen by an AMHS provider, 41 (19.1%) remained on a waitlist for services and 47 (21.8%) canceled services. The average time to transition was 110 days (SD = 100). Youth exhibited a wide range of diagnoses; 100% of the population was identified as having serious psychiatric problems. Findings demonstrate that the Youth Transition Project has been successful in promoting continuity of care by transitioning youth seamlessly from youth to adult services. Inconsistencies in wait times and service delivery suggest that further model development is needed to enhance the long-term sustainability of the Youth Transition Project.
Literatur
2.
Zurück zum Zitat U.S. Public Health Service. Report of the Surgeon General’s Conference on Children’s Mental Health: A National Action Agenda. Washington, DC: Department of Health and Human Services, 2000. U.S. Public Health Service. Report of the Surgeon General’s Conference on Children’s Mental Health: A National Action Agenda. Washington, DC: Department of Health and Human Services, 2000.
3.
Zurück zum Zitat Canadian Community Health Survey: Mental health and well-being. Ottawa, ON: Statistics Canada, 2002a. Canadian Community Health Survey: Mental health and well-being. Ottawa, ON: Statistics Canada, 2002a.
4.
Zurück zum Zitat Freeland A. We’ve got growing up to do: youth mental health transitions. Presented at An International Focus on Youth in Transition: Development and Evaluation of a Mental Health Transition Service Model, Ottawa, ON, October 15, 2012. Freeland A. We’ve got growing up to do: youth mental health transitions. Presented at An International Focus on Youth in Transition: Development and Evaluation of a Mental Health Transition Service Model, Ottawa, ON, October 15, 2012.
5.
Zurück zum Zitat Paul M, Ford T, Kramer T, et al. (2013). Transfers and transitions between child and adult mental health services. The British Journal of Psychiatry. 2013; 54: s36–40. Paul M, Ford T, Kramer T, et al. (2013). Transfers and transitions between child and adult mental health services. The British Journal of Psychiatry. 2013; 54: s36–40.
6.
Zurück zum Zitat Pottick KJ, Bilder S, Vander Stoep A, et al. US patterns of mental health service utilization for transition-age youth and young adults. The Journal of Behavioral Health Services and Research. 2008; 35(4): 373–389.CrossRefPubMed Pottick KJ, Bilder S, Vander Stoep A, et al. US patterns of mental health service utilization for transition-age youth and young adults. The Journal of Behavioral Health Services and Research. 2008; 35(4): 373–389.CrossRefPubMed
9.
Zurück zum Zitat McGorry PD. The specialist youth mental health model: strengthening the weakest link in the public mental health system. Medical Journal of Australia. 2007; 187(7): s53–s56.PubMed McGorry PD. The specialist youth mental health model: strengthening the weakest link in the public mental health system. Medical Journal of Australia. 2007; 187(7): s53–s56.PubMed
10.
Zurück zum Zitat Singh S, Evans N, Sirelin L, et al. Mind the gap: the interface between child and adult mental health services. Psychiatric Bulletin. 2005; (29): 292–294.CrossRef Singh S, Evans N, Sirelin L, et al. Mind the gap: the interface between child and adult mental health services. Psychiatric Bulletin. 2005; (29): 292–294.CrossRef
11.
Zurück zum Zitat McGorry P, Bates T, Birchwood M. Designing youth mental health services for the 21st century: examples from Australia, Ireland and the UK. The British Journal of Psychiatry. 2013; 54: s30–5.CrossRefPubMed McGorry P, Bates T, Birchwood M. Designing youth mental health services for the 21st century: examples from Australia, Ireland and the UK. The British Journal of Psychiatry. 2013; 54: s30–5.CrossRefPubMed
12.
Zurück zum Zitat Edlund MJ, Wang PS, Berglund PA, et al. Dropping out of mental health treatment: patterns and predictors among epidemiological survey respondents in the United States and Ontario. The American Journal of Psychiatry. 2002; 159(5): 845–51.CrossRefPubMed Edlund MJ, Wang PS, Berglund PA, et al. Dropping out of mental health treatment: patterns and predictors among epidemiological survey respondents in the United States and Ontario. The American Journal of Psychiatry. 2002; 159(5): 845–51.CrossRefPubMed
13.
Zurück zum Zitat Davis M, Banks S, Fisher W, et al. Longitudinal patterns of offending during the transition to adulthood in youth from the mental health system. The Journal of Behavioral Health Services & Research. 2004; 31(4): 351–366.CrossRef Davis M, Banks S, Fisher W, et al. Longitudinal patterns of offending during the transition to adulthood in youth from the mental health system. The Journal of Behavioral Health Services & Research. 2004; 31(4): 351–366.CrossRef
14.
Zurück zum Zitat O’Brien A, Fahmy R, Singh SP. Disengagement from mental health services: a literature review. Social Psychiatry and Psychiatric Epidemiology. 2009; 44(7): 558–68.CrossRefPubMed O’Brien A, Fahmy R, Singh SP. Disengagement from mental health services: a literature review. Social Psychiatry and Psychiatric Epidemiology. 2009; 44(7): 558–68.CrossRefPubMed
15.
Zurück zum Zitat Richards M, Vostanis P. Interprofessional perspectives on transitional mental health services for young people aged 16–19 years. Journal of Interprofessional Care. 2004a; 18(2): 115–128.CrossRefPubMed Richards M, Vostanis P. Interprofessional perspectives on transitional mental health services for young people aged 16–19 years. Journal of Interprofessional Care. 2004a; 18(2): 115–128.CrossRefPubMed
17.
Zurück zum Zitat Vostanis P. Patients as parents and young people approaching adulthood: how should we manage the interface between mental health services for young people and adults? Current Opinion in Psychiatry. 2005; 18: 449–454.CrossRefPubMed Vostanis P. Patients as parents and young people approaching adulthood: how should we manage the interface between mental health services for young people and adults? Current Opinion in Psychiatry. 2005; 18: 449–454.CrossRefPubMed
18.
Zurück zum Zitat Mallory BL. The role of social policy in life-cycle transitions. Exceptional Children. 1995; 62: 213–223. Mallory BL. The role of social policy in life-cycle transitions. Exceptional Children. 1995; 62: 213–223.
19.
Zurück zum Zitat Lee N. Childhood and society: growing up in the age of uncertainty. Buckingham: Open University Press, 2001. Lee N. Childhood and society: growing up in the age of uncertainty. Buckingham: Open University Press, 2001.
20.
Zurück zum Zitat Rolison MR, Scherman A. Factors influencing adolescents’ decisions to engage in risk-taking behaviour. Adolescence. 2002; 37: 585–596.PubMed Rolison MR, Scherman A. Factors influencing adolescents’ decisions to engage in risk-taking behaviour. Adolescence. 2002; 37: 585–596.PubMed
22.
Zurück zum Zitat Arnett JJ. Emerging adulthood: a theory of development from the late teens through the twenties. American Psychologist. 2000; 55: 469–480.CrossRefPubMed Arnett JJ. Emerging adulthood: a theory of development from the late teens through the twenties. American Psychologist. 2000; 55: 469–480.CrossRefPubMed
23.
Zurück zum Zitat Chisholm L, Hurrelmann K. Adolescence in modern Europe: pluralized transition patterns and their implications for personal and social risks. Journal of Adolescence. 1995; 18: 129–158.CrossRef Chisholm L, Hurrelmann K. Adolescence in modern Europe: pluralized transition patterns and their implications for personal and social risks. Journal of Adolescence. 1995; 18: 129–158.CrossRef
24.
Zurück zum Zitat O’Connor TG, Allen JP, Bell KL, et al. Adolescent-parent relationships and leaving home in young adulthood. New Directions in Child Development. 1996; 71: 39–52.CrossRef O’Connor TG, Allen JP, Bell KL, et al. Adolescent-parent relationships and leaving home in young adulthood. New Directions in Child Development. 1996; 71: 39–52.CrossRef
25.
26.
Zurück zum Zitat Harpaz-Rotem I, Leslie D, Rosenheck RA. Treatment retention among children entering a new episode of mental health care. Psychiatric Services. 2004; 55: 1022–1028.CrossRefPubMed Harpaz-Rotem I, Leslie D, Rosenheck RA. Treatment retention among children entering a new episode of mental health care. Psychiatric Services. 2004; 55: 1022–1028.CrossRefPubMed
27.
Zurück zum Zitat Laugharne R, Priebe S. Trust, choice and power in mental health: a literature review. Social Psychiatry and Psychiatric Epidemiology. 2006; 41: 843–852.CrossRefPubMed Laugharne R, Priebe S. Trust, choice and power in mental health: a literature review. Social Psychiatry and Psychiatric Epidemiology. 2006; 41: 843–852.CrossRefPubMed
28.
Zurück zum Zitat Hamdani YS, Kingsnorth, Healy H. Consensus on best practices for transition to adult service: summary of Pre-Conference Workshop. Presented at Transitions Conference 3: Growing Up Ready, Toronto, ON, May 13, 2006. Hamdani YS, Kingsnorth, Healy H. Consensus on best practices for transition to adult service: summary of Pre-Conference Workshop. Presented at Transitions Conference 3: Growing Up Ready, Toronto, ON, May 13, 2006.
29.
Zurück zum Zitat Kieckhefer GM, Trahms CM. Supporting development of children with chronic conditions: from compliance toward shared management. Pediatric Nursing. 2000; 26(4): 354–363.PubMed Kieckhefer GM, Trahms CM. Supporting development of children with chronic conditions: from compliance toward shared management. Pediatric Nursing. 2000; 26(4): 354–363.PubMed
30.
Zurück zum Zitat Cappelli M, Davidson S, Vloet M, et al. Evaluation of the Ottawa-Carleton transitional youth program: transitional program based on a shared care management model. Paper presented at the 26th Annual Children’s Mental Health Research and Policy Conference, Tampa, FL, March 4, 2013. Cappelli M, Davidson S, Vloet M, et al. Evaluation of the Ottawa-Carleton transitional youth program: transitional program based on a shared care management model. Paper presented at the 26th Annual Children’s Mental Health Research and Policy Conference, Tampa, FL, March 4, 2013.
33.
Zurück zum Zitat Issakidis C, Teesson M. Measurement of need for care: a trial of the Camberwell Assessment of Need and the Health of the National Outcome Scales. Australian and New Zealand Journal of Psychiatry. 1999; 33: 754–759.CrossRefPubMed Issakidis C, Teesson M. Measurement of need for care: a trial of the Camberwell Assessment of Need and the Health of the National Outcome Scales. Australian and New Zealand Journal of Psychiatry. 1999; 33: 754–759.CrossRefPubMed
34.
Zurück zum Zitat Dennis ML, Chan YF, Funk RR. Development and validation of the GAIN short screener (GSS) for internalizing, externalizing and substance use disorders and crime/violence problems among adolescents and adults. The American Journal of Addictions. 2006;15: s80–s91.CrossRef Dennis ML, Chan YF, Funk RR. Development and validation of the GAIN short screener (GSS) for internalizing, externalizing and substance use disorders and crime/violence problems among adolescents and adults. The American Journal of Addictions. 2006;15: s80–s91.CrossRef
35.
Zurück zum Zitat Lyons JS. Communimetrics: a communication theory for measurement in human services. New York: Springer, 2009.CrossRef Lyons JS. Communimetrics: a communication theory for measurement in human services. New York: Springer, 2009.CrossRef
Metadaten
Titel
Transitioning Youth into Adult Mental Health and Addiction Services: An Outcomes Evaluation of the Youth Transition Project
verfasst von
M. Cappelli, PhD(C)
S. Davidson, MB, BCh, FRCP(C)
J. Racek, MA
S. Leon, BS
M. Vloet, PhD(C)
K. Tataryn, MSW
K. Gillis, MD, FRCP(C)
A. Freeland, MD, FRCP(C)
J. Carver, MSW
S. Thatte, MD, FRCP(C)
J. Lowe, MSW
Publikationsdatum
09.10.2014
Verlag
Springer US
Erschienen in
The Journal of Behavioral Health Services & Research / Ausgabe 4/2016
Print ISSN: 1094-3412
Elektronische ISSN: 2168-6793
DOI
https://doi.org/10.1007/s11414-014-9440-9

Weitere Artikel der Ausgabe 4/2016

The Journal of Behavioral Health Services & Research 4/2016 Zur Ausgabe

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.