RT Journal Article
T1 The black hole of the transition process: dropout of care before transition age in adolescents
A1 Reneses Prieto, Blanca María Asunción
A1 Escudero, Almudena
A1 Tur, Nuria
A1 Agüera Ortiz, Luis Fernando
A1 Moreno Pardillo, Dolores María
A1 Saiz Ruiz, Jerónimo
A1 Rey Bruguera, Mayelin
A1 Pando, María Fuencisla
A1 Bravo Ortiz, Maria Fe
A1 Moreno, Ana
A1 Del Rey Mejías, Ángel Luis
A1 Singh, Swaran P.
AB Recent evidence confirms the risks of discontinuity of care when young people make a transition from child and adolescent mental health services (CAMHS) to adult mental health services (AMHS), although robust data are still sparse. We aimed to identify when and how patients get lost to care during transition by tracking care pathways and identifying factors which influence dropping out of care during transition. This is a retrospective observational study of 760 patients who reached the transition age boundary within 12 months before transition time and being treated at CAMHS for at least during preceding 18 months. Data were collected at two time points: last visit to CAHMS and first visit to AHMS. Socio-demographic, clinical and service utilization variables on CAMHS treatment were collected. In the 12 months leading up to the transition boundary, 46.8% of subjects (n = 356) withdrew from CAHMS without further contact with AHMS, 9.3% withdrew from CAHMS but were referred to AHMS by other services, 29% were transferred from CAHMS to AHMS, 10% remained at CAHMS and 5% patients were transferred to alternative services. Fifty-six percent of subjects experience cessation of care before the transition age. The risk of dropout increases with shorter contact time in CAMHS, is greater in subjects without pharmacological treatment, and decreases in subjects with psychosis, bipolar disorder, eating disorders, mental retardation, and neurodevelopmental disorders. This study confirms that a large number of people drop out of care as they approach the CAMHS transition and experience discontinuity of care during this critical period.
PB Springer
SN 1018-8827
YR 2022
FD 2022-01-20
LK https://hdl.handle.net/20.500.14352/71470
UL https://hdl.handle.net/20.500.14352/71470
LA eng
NO Reneses Prieto, B., Escudero, A., Tur, N. et al. «The Black Hole of the Transition Process: Dropout of Care before Transition Age in Adolescents». European Child & Adolescent Psychiatry, vol. 32, n.o 7, julio de 2023, pp. 1285-95. DOI.org (Crossref), https://doi.org/10.1007/s00787-021-01939-8.
NO CRUE-CSIC (Acuerdos Transformativos 2022)
DS Docta Complutense
RD 5 abr 2025