Predictors of transitioning to adult mental health services and associated costs : a cross-country comparison
© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. Published by BMJ..
BACKGROUND: Young people are at risk of falling through the care gap after leaving child and adolescent mental health services (CAMHS) despite an ongoing need for mental health support. Currently, little is known about the predictors of transitioning to adult mental health services (AMHS), and associated healthcare and societal costs as young people cross the transition boundary.
OBJECTIVE: To conduct a secondary data analysis exploring predictors of transitioning or falling through the gap and associated costs.
METHODS: Data were used from a longitudinal study, which followed young people from seven European countries for 2 years after reaching their CAMHS boundary. Predictors of transitioning (including sociodemographic and clinical variables) and longitudinal resource use were compared for 488 young people who transitioned to AMHS versus those who fell through the gap.
FINDINGS: Young people were more likely to transition to AMHS if they were severely ill. Those from Italy, the Netherlands and the UK were more likely to fall through the gap than transition to AMHS. Healthcare costs fell for all young people over the study, with a sharper decrease for those who fell through the gap.
CONCLUSIONS: Total healthcare costs fell for all participants, indicating that the intensity of mental health support reduces for all young people as they cross the CAMHS boundary, regardless of clinical need.
CLINICAL IMPLICATIONS: It is important that alternative forms of mental health support are available for young people who do not meet the AMHS care threshold but still have mental health needs after leaving CAMHS.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2023 |
|---|---|
| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:26 |
|---|---|
| Enthalten in: |
BMJ mental health - 26(2023), 1 vom: 25. Okt. |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Appleton, Rebecca [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
|---|
| Anmerkungen: |
Date Completed 27.10.2023 Date Revised 29.10.2023 published: Print Citation Status MEDLINE |
|---|
| doi: |
10.1136/bmjment-2023-300814 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM363718877 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM363718877 | ||
| 003 | DE-627 | ||
| 005 | 20231226093940.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231226s2023 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1136/bmjment-2023-300814 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1212.xml |
| 035 | |a (DE-627)NLM363718877 | ||
| 035 | |a (NLM)37879676 | ||
| 035 | |a (PII)e300814 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Appleton, Rebecca |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Predictors of transitioning to adult mental health services and associated costs |b a cross-country comparison |
| 264 | 1 | |c 2023 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 27.10.2023 | ||
| 500 | |a Date Revised 29.10.2023 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. Published by BMJ. | ||
| 520 | |a BACKGROUND: Young people are at risk of falling through the care gap after leaving child and adolescent mental health services (CAMHS) despite an ongoing need for mental health support. Currently, little is known about the predictors of transitioning to adult mental health services (AMHS), and associated healthcare and societal costs as young people cross the transition boundary | ||
| 520 | |a OBJECTIVE: To conduct a secondary data analysis exploring predictors of transitioning or falling through the gap and associated costs | ||
| 520 | |a METHODS: Data were used from a longitudinal study, which followed young people from seven European countries for 2 years after reaching their CAMHS boundary. Predictors of transitioning (including sociodemographic and clinical variables) and longitudinal resource use were compared for 488 young people who transitioned to AMHS versus those who fell through the gap | ||
| 520 | |a FINDINGS: Young people were more likely to transition to AMHS if they were severely ill. Those from Italy, the Netherlands and the UK were more likely to fall through the gap than transition to AMHS. Healthcare costs fell for all young people over the study, with a sharper decrease for those who fell through the gap | ||
| 520 | |a CONCLUSIONS: Total healthcare costs fell for all participants, indicating that the intensity of mental health support reduces for all young people as they cross the CAMHS boundary, regardless of clinical need | ||
| 520 | |a CLINICAL IMPLICATIONS: It is important that alternative forms of mental health support are available for young people who do not meet the AMHS care threshold but still have mental health needs after leaving CAMHS | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a child & adolescent psychiatry | |
| 700 | 1 | |a Canaway, Alastair |e verfasserin |4 aut | |
| 700 | 1 | |a Tuomainen, Helena |e verfasserin |4 aut | |
| 700 | 1 | |a Dieleman, Gwen |e verfasserin |4 aut | |
| 700 | 1 | |a Gerritsen, Suzanne |e verfasserin |4 aut | |
| 700 | 1 | |a Overbeek, Mathilde |e verfasserin |4 aut | |
| 700 | 1 | |a Maras, Athanasios |e verfasserin |4 aut | |
| 700 | 1 | |a van Bodegom, Larissa |e verfasserin |4 aut | |
| 700 | 1 | |a Franić, Tomislav |e verfasserin |4 aut | |
| 700 | 1 | |a de Girolamo, Giovanni |e verfasserin |4 aut | |
| 700 | 1 | |a Madan, Jason |e verfasserin |4 aut | |
| 700 | 1 | |a McNicholas, Fiona |e verfasserin |4 aut | |
| 700 | 1 | |a Purper-Ouakil, Diane |e verfasserin |4 aut | |
| 700 | 1 | |a Schulze, Ulrike M E |e verfasserin |4 aut | |
| 700 | 1 | |a Tremmery, Sabine |e verfasserin |4 aut | |
| 700 | 1 | |a Singh, Swaran P |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t BMJ mental health |d 2023 |g 26(2023), 1 vom: 25. Okt. |w (DE-627)NLM35296488X |x 2755-9734 |7 nnns |
| 773 | 1 | 8 | |g volume:26 |g year:2023 |g number:1 |g day:25 |g month:10 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1136/bmjment-2023-300814 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 26 |j 2023 |e 1 |b 25 |c 10 | ||