| Title: |
Transition from Child and Adolescent to Adult Mental Health Services in Young People with Depression: On What Do Clinicians Base their Recommendation? |
| Authors: |
van Bodegom, Larissa S.; Overbeek, Mathilde M.; Gerritsen, Suzanne E.; Maras, Athanasios; Hillegers, Manon H.J.; Wolke, Dieter; Rizopoulos, Dimitris; Allibrio, Giovanni; van Amelsvoort, Thérèse A.M.J.; Appleton, Rebecca; Armando, M.; Franić, Tomislav; de Girolamo, Giovanni; Madan, Jason J.; Manenti, Lidia; Margari, Francesco; Mcnicholas, Fiona; Pastore, Adriana; Paul, Moli; Purper-Ouakil, Diane O.; Rinaldi, Francesco; Saam, Melanie C.; Santosh, Paramala Janardhanan; Sartor, Anne; Schulze, Ulrike M.E.; Signorini, Giulia; Singh, Swaran Preet; Street, Cathy; Tah, Priya; Tanase, Elena; Tremmery, Sabine; Tuomainen, Helena; Dieleman, Gwen C. |
| Contributors: |
Centre de recherche en épidémiologie et santé des populations (CESP); Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Paul Brousse; AP-HP. Université Paris Saclay-AP-HP. Université Paris Saclay-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris-Saclay; European Project: 602442,FP7-HEALTH-2013-INNOVATION-1,FP7-HEALTH-2013-INNOVATION-1,MILESTONE(2014) |
| Source: |
ISSN: 1091-4269. |
| Publisher Information: |
CCSD; Wiley |
| Publication Year: |
2023 |
| Collection: |
Université de Versailles Saint-Quentin-en-Yvelines: HAL-UVSQ |
| Subject Terms: |
[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie |
| Description: |
International audience ; 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. |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| Relation: |
info:eu-repo/grantAgreement//602442/EU/THE MILESTONE PROJECT: Managing the Link and Strengthening Transition from Child to Adult Mental Health Care/MILESTONE |
| DOI: |
10.1155/2023/8495521 |
| Availability: |
https://hal.science/hal-04342424; https://hal.science/hal-04342424v1/document; https://hal.science/hal-04342424v1/file/8495521.pdf; https://doi.org/10.1155/2023/8495521 |
| Rights: |
http://creativecommons.org/licenses/by/ ; info:eu-repo/semantics/OpenAccess |
| Accession Number: |
edsbas.5C5024C4 |
| Database: |
BASE |