Transition from Child and Adolescent to Adult Mental Health Services in Young People with Depression: On What Do Clinicians Base their Recommendation?

被引：0

作者：

van Bodegom, Larissa S. ^{[1
,2
]}

Overbeek, Mathilde M. ^{[1
,3
,4
]}

Gerritsen, Suzanne E. ^{[2
]}

Maras, Athanasios ^{[1
,3
]}

Hillegers, Manon H. J. ^{[2
]}

Wolke, Dieter ^{[5
]}

Rizopoulos, Dimitris ^{[6
,7
]}

Allibrio, Giovanni ^{[8
]}

van Amelsvoort, Therese A. M. J. ^{[9
,10
]}

Appleton, Rebecca ^{[11
]}

Armando, Marco ^{[12
]}

Franic, Tomislav ^{[13
,14
]}

de Girolamo, Giovanni ^{[15
]}

Madan, Jason ^{[16
]}

Manenti, Lidia ^{[8
]}

Margari, Francesco ^{[17
]}

McNicholas, Fiona ^{[18
,19
]}

Pastore, Adriana ^{[20
]}

Paul, Moli ^{[16
]}

Purper-Ouakil, Diane ^{[21
,22
]}

Rinaldi, Francesco ^{[23
]}

Saam, Melanie C. ^{[24
]}

Santosh, Paramala J. ^{[25
,26
,27
]}

Sartor, Anne ^{[28
]}

Schulze, Ulrike M. E. ^{[24
]}

Signorini, Giulia ^{[15
]}

Singh, Swaran P. ^{[16
]}

Street, Cathy ^{[16
]}

Tah, Priya ^{[16
,29
]}

Tanase, Elena ^{[24
]}

Tremmery, Sabine ^{[30
]}

Tuomainen, Helena ^{[15
]}

Dieleman, Gwendolyn C. ^{[2
]}

机构：

[1] Yulius Acad, Yulius Mental Hlth Org, NL-3300 BA Dordrecht, Netherlands

[2] Erasmus MC, Dept Child & Adolescent Psychiat & Psychol, NL-3000 CB Rotterdam, Netherlands

[3] ARQ Natl Pyschotrauma Ctr, Diemen, Netherlands

[4] Vrije Univ Amsterdam, Clin Child & Family Studies, NL-1081 BT Amsterdam, Netherlands

[5] Univ Warwick, Dept Psychol, Coventry CV4 7AL, England

[6] Erasmus MC, Dept Biostat, NL-3000 CB Rotterdam, Netherlands

[7] Erasmus MC, Dept Epidemiol, NL-3000 CB Rotterdam, Netherlands

[8] ASST Spedali Civili, Child & Adolescent Neuropsychiat Serv, Brescia, Italy

[9] Univ Maastricht, Dept Psychiat & Neuropsychol, Maastricht, Netherlands

[10] Mondriaan Mental Hlth Care, Heerlen, Netherlands

[11] UCL, Div Psychiat, NIHR Mental Hlth Policy Res Unit, London W1T 7NF, England

[12] Univ Lausanne, Univ Serv Child & Adolescent Psychiat, Dept Psychiat, Ctr Hosp Univ Vaudois, Lausanne, Switzerland

[13] Univ Hosp Split, Dept Psychiat, Split 21000, Croatia

[14] Univ Split, Sch Med, Split 21000, Croatia

[15] IRCCS Ist Ctr San Giovanni di Dio Fatebenefratelli, Psychiat Epidemiol & Evaluat Unit, I-25125 Brescia, Italy

[16] Univ Warwick, Warwick Med Sch, Coventry CV4 7AL, England

[17] Univ Bari, Child Neuropsychiat Unit, I-70121 Bari, Italy

[18] Univ Coll Dublin, Sch Med & Med Sci, Dublin D04 V1W8, Ireland

[19] SJOG, Lucena CAMHS, Dublin, Ireland

[20] Policlin Hosp, Unit Adolescent Psychiat Emergency, I-70121 Bari, Italy

[21] Ctr Hosp Univ Montpellier, St Eloi Hosp, F-34090 Montpellier, France

[22] Paris Saclay Univ, UVSQ, INSERM, CESP U1018,PsyDev, Versailles, France

[23] ASST Valcamonica, Child & Adolescent Neuropsychiat Serv, Esine, Italy

[24] Univ Ulm, Dept Child & Adolescent Psychiat & Psychotherapy, D-89075 Ulm, Germany

[25] Kings Coll London, Dept Child & Adolescent Psychiat, Inst Psychiat Psychol & Neurosci, London SE5 8AF, England

[26] South London & Maudsley NHS Fdn Trust, Ctr Intervent Paediat Psychopharmacol & Rare Dis, London SE5 8AZ, England

[27] HealthTracker Ltd, Gillingham ME7 1AY, Kent, England

[28] Josefinum Augsburg, Klin Kinder & Jugendpsychiat & Psychotherapie, D-86154 Augsburg, Germany

[29] Univ Oxford, Rees Ctr, Dept Educ, Oxford OX2 6PY, England

[30] Katholieke Univ Leuven, Dept Neurosci, BE-3000 Leuven, Belgium

来源：

DEPRESSION AND ANXIETY | 2023年 / 2023卷

关键词：

DISORDERS; ANXIETY; EXPERIENCE; OUTCOMES; SCALE; RISK; CARE;

D O I：

10.1155/2023/8495521

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

Background. Clinicians in Child and Adolescent Mental Healthcare Services (CAMHS) face the challenge to determine who is at risk of persistence of depressive problems into adulthood and requires continued treatment after reaching the CAMHS upper age limit of care-provision. We assessed whether risk factors for persistence were related to CAMHS clinicians' transition recommendations. Methods. Within the wider MILESTONE cohort study, 203 CAMHS users were classified with unipolar depressive disorder by their clinician, and 185 reported clinical levels of depressive problems on the DSM-oriented Depressive Problems scale of the Achenbach Youth Self Report. Logistic regression models were fitted to both subsamples to assess the relationship between clinicians' transition recommendations and risk factors for persistent depression. Results. Only clinician-rated severity of psychopathology was related to a recommendation to continue treatment for those classified with unipolar depressive disorder (N=203; OR=1.45, 95% CI (1.03-2.03), p=.044) and for those with self-reported depressive problems on the Achenbach DSM-oriented Depressive Problems scale (N=185; OR=1.62, 95% CI (1.12-2.34), p=.012). Conclusion. Transition recommendations and need for continued treatment are based on clinical expertise, rather than self-reported problems and needs.

引用

页数：11

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