Transition from child and adolescent to adult mental health services in the Republic of Ireland: an investigation of process and operational practice

McNamara, N ORCID: 0000-0003-3123-3678, McNicholas, F, Ford, T, Paul, M, Gavin, B, Coyne, I, Cullen, W, O'Connor, K, Ramperti, N, Dooley, B, Barry, S and Singh, SP, 2014. Transition from child and adolescent to adult mental health services in the Republic of Ireland: an investigation of process and operational practice. Early Intervention in Psychiatry, 8 (3), pp. 291-297. ISSN 1751-7893


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Aim: Ensuring a seamless transition from child to adult mental health services poses challenges for services worldwide. This is an important process in the on-going care of young people with mental illness; therefore it is incumbent on all countries to probe their individual structures to asses s the quality of mental health service delivery to this vulnerable cohort. To date, there have been no published studies on the transition from Child to Adult Mental Health Services in the Republic of Ireland. To this end, a nationwide survey of transition policies of community mental health teams in both services was conducted in order to compare best practice guidelines for transition with current process and experience in clinical practice. Method: Structured interviews were conducted with 57 consultant psychiatrists (representing 32 CAMHS teams and 25 AMHS teams) to obtain information on annual transition numbers, existing transition policies, and operational practice from the professional perspective. Results: Numbers of young people considered suit able for transfer to adult services (M=7.73, SD=9.86, n=25) were slightly higher than numbers who actually transferred (M=4.50, SD=3.33, n=20). There is a lack of standardised practice nationwide regarding the service transition boundary, an absence of written transition policies and protocols, and minimal formal interaction between child and adult services. Conclusions: The findings suggest that there are critical gaps between current operational practice and best practice guidelines. Future studies will investigate the impact this has on the transition experiences of young people, their carers and healthcare professionals.

Item Type: Journal article
Publication Title: Early Intervention in Psychiatry
Creators: McNamara, N., McNicholas, F., Ford, T., Paul, M., Gavin, B., Coyne, I., Cullen, W., O'Connor, K., Ramperti, N., Dooley, B., Barry, S. and Singh, S.P.
Publisher: Wiley-Blackwell Publishing Asia
Place of Publication: Richmond, VIC, Australia
Date: 2014
Volume: 8
Number: 3
ISSN: 1751-7893
Divisions: Schools > School of Social Sciences
Depositing User: EPrints Services
Date Added: 28 Oct 2015 10:33
Last Modified: 09 Jun 2017 13:55

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