The effect of organisational resources and eligibility issues on transition from child and adolescent to adult mental health services.

Abstract:

OBJECTIVES:To investigate the organisational factors that impede or facilitate transition of young people from child and adolescent (CAMHS) to adult mental health services (AMHS). METHODS:Thirty-four semi-structured interviews were conducted with health and social care professionals working in child and adult services in four English NHS Mental Health Trusts and voluntary organisations. Data were analysed thematically using a structured framework. RESULTS:Findings revealed a lack of clarity on service availability and the operation of different eligibility criteria between child and adult mental health services, with variable service provision for young people with attention deficit hyperactivity disorder, autism spectrum disorders and learning disabilities. High workloads and staff shortages were perceived to influence service thresholds and eligibility criteria. CONCLUSIONS:A mutual lack of understanding of services and structures together with restrictive eligibility criteria exacerbated by perceived lack of resources can impact negatively on the transition between CAMHS and AMHS, disrupting continuity of care for young people.

authors

Belling R,McLaren S,Paul M,Ford T,Kramer T,Weaver T,Hovish K,Islam Z,White S,Singh SP

doi

10.1177/1355819614527439

subject

Has Abstract

pub_date

2014-07-01 00:00:00

pages

169-176

issue

3

eissn

1355-8196

issn

1758-1060

pii

1355819614527439

journal_volume

19

pub_type

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