The British Journal of Psychiatry · 2013 · 160 citations · 19 references
Transfer of care between providers is often viewed as a suboptimal form of transition. The study aims to distinguish and evaluate transfer versus transition between child/adolescent and adult mental health services and to promote joint investigation of both. A retrospective case‑note survey of 154 young people at six English CAMHS used four criteria—continuity of care, parallel care, a transition planning meeting, and information transfer—to assess optimal transition. Of 154 cases, 76 transferred to AMHS; transfer was common but optimal transition was rare, with only four meeting all four criteria and 13 meeting none, and failures mainly due to non‑referral by CAMHS and patient refusal rather than AMHS refusal.
Background Transfer of care from one healthcare provider to another is often understood as a suboptimal version of the process of transition. Aims To separate and evaluate concepts of transfer and transition between child and adolescent mental health services (CAMHS) and adult mental health services (AMHS). Method In a retrospective case-note survey of young people reaching the upper age boundary at six English CAMHS, optimal transition was evaluated using four criteria: continuity of care, parallel care, a transition planning meeting and information transfer. Results Of 154 cases, 76 transferred to AMHS. Failure to transfer resulted mainly from non-referral by CAMHS ( n = 12) and refusal by service users ( n = 12) rather than refusal by AMHS ( n = 7). Four cases met all criteria for optimal transition, 13 met none; continuity of care in( n = 63) was met most often. Conclusions Transfer was common but good transition rare. Reasons for failure to transfer differ from barriers to transition. Transfer should be investigated alongside transition in research and service development.
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New Horizons: A shared vision for mental health
Jerome Billeter · 2009 · 231 citations
Mental Health Monitoring, Community Mental Health, Psychiatry +9