Naslov
Managing the link and strengthening transition from child to adult mental health Care in Europe (MILESTONE): background, rationale and methodology

Autori
Tuomainen, H. ; for the MILESTONE consortium ; Schulze, U. ; Warwick, J. ; Paul, M. ; Dieleman, G.C. ; Franić, T. ; Madan, J. ; Maras, A. ; McNicholas, F. ; Purper-Ouakil, D. ; Santosh, P. ; Signorini, G. ; Street, C. ; Tremmery, S. ; Verhulst, F.C. ; Wolke, D. ; Singh, S. P.

Kolaboracija
MILESTONE Consortium

Izvornik
BMC Psychiatry (1471-244X) 18 (2018), 1; 167, 11

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
Mental health ; Child and adolescent mental health services ; Transition ; Health services research ; Cluster randomised controlled trial ; Longitucdinal cohort study ; Youth mental hedlth ; Policy ; Professional training ; Europe

Sažetak
Background: Transition from distinct Child and Adolescent Mental Health (CAMHS) to Adult Mental Health Services (AMHS) is beset with multitude of problems affecting continuity of care for young people with mental health needs. Transition- related discontinuity of care is a major health, socioeconomic and societal challenge globally. The overall aim of the Managing the Link and Strengthening Transition from Child to Adult Mental Health Care in Europe (MILESTONE) project (2014-19) is to improve transition from CAMHS to AMHS in diverse healthcare settings across Europe. MILESTONE focuses on current service provision in Europe, new transition-related measures, long term outcomes of young people leaving CAMHS, improving transitional care through 'managed transition', ethics of transitioning and the training of health care professionals. Methods: Data will be collected via systematic literature reviews, pan- European surveys, and focus groups with service providers, users and carers, and members of youth advocacy and mental health advocacy groups. A prospective cohort study will be conducted with a nested cluster randomised controlled trial in eight European Union (EU) countries (Belgium, Croatia, France, Germany, Ireland, Italy, Netherlands, UK) involving over 1000 CAMHS users, their carers, and clinicians. Discussion: Improving transitional care can facilitate not only recovery but also mental health promotion and mental illness prevention for young people. MILESTONE will provide evidence of the organisational structures and processes influencing transition at the service interface across differing healthcare models in Europe and longitudinal outcomes for young people leaving CAMHS, solutions for improving transitional care in a cost-effective manner, training modules for clinicians, and commissioning and policy guidelines for service providers and policy makers.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA