Mapping Child and Adolescent Mental Health Services and the Interface During Transition to Adult Services in Six Swiss Cantons.

Détails

ID Serval
serval:BIB_A9D4D5C64A56
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Mapping Child and Adolescent Mental Health Services and the Interface During Transition to Adult Services in Six Swiss Cantons.
Périodique
Frontiers in psychiatry
Auteur⸱e⸱s
Kilicel D., De Crescenzo F., Barbe R., Edan A., Curtis L., Singh S., Micali N., Aubry J.M., Mégevand J., Eliez S., Plessen K.J., Armando M.
ISSN
1664-0640 (Print)
ISSN-L
1664-0640
Statut éditorial
Publié
Date de publication
2022
Peer-reviewed
Oui
Volume
13
Pages
814147
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: epublish
Résumé
Transition in psychiatry refers to the period where young people transit from Child and Adolescent Mental Health Services (CAMHS) to Adult Mental Health Services (AMHS). Discontinuity of care during this period is well-documented but little is known about provisions and transition characteristics and policies across Switzerland. The aim of this article is to describe the architecture of public mental health providers in Switzerland and compare it to EU countries.
Two mapping surveys, developed previously for European countries, were adapted and sent to cantonal experts: the adapted European CAMHS Mapping Questionnaire (ECM-Q) assessing the architecture and functioning of CAMHS and the adapted Standardized Assessment Tool for Mental Health Transition (SATMeHT) to map CAMHS-AMHS interface.
Data were gathered from six cantons. Activity data and transition policies were comparable between Swiss regions and European countries. The percentage of young people below 19 years who were in care was above 2% in every responding canton with a higher proportion of boys than girls for patients <12 years of age. The transition occurred at the age of 18 years, civil majority, in each canton, and between 0 and 24% (3/7) and 25% and 49% (4/7) of young people were expected to transition. One canton (1/7) benefitted from written guidelines, at the CAMHS level only, regarding transition but none had guidelines for mapping CAMHS/AMHS interface even at the regional level.
Despite the availability of resources and even if the possibilities of access to care are on average higher than in many European countries, issues regarding transition remain comparable in six Swiss cantons when compared to Europe. Meaning that beyond resources, it is the coordination between services that needs to be worked on. Importantly, implementing those changes would not require investing financial resources but rather working on the coordination between existing teams.
Mots-clé
AMHS, CAMHS, Switzerland, child and adolescent, psychiatry, transition, young adults
Pubmed
Web of science
Open Access
Oui
Création de la notice
17/06/2022 13:25
Dernière modification de la notice
02/11/2022 6:41
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