Young people, mental health practitioners and researchers co-produce a Transition Preparation Programme to improve outcomes and experience for young people leaving Child and Adolescent Mental Health Services (CAMHS).
Young people, mental health practitioners and researchers co-produce a Transition Preparation Programme to improve outcomes and experience for young people leaving Child and Adolescent Mental Health Services (CAMHS).
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DOI：
10.1186/s12913-017-2221-4
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发表时间：
2017-04-20
影响因子：
2.8
通讯作者：
Dunn V
中科院分区：
文献类型：
--
作者：
Dunn V
在英国，参加儿童和青少年心理健康服务（CAMHS）的年轻人必须在17/18岁时继续前进，无论是通过出院还是转介到成人服务，这是一个发生心理健康问题和其他复杂的心理和身体变化的风险增加的时期。CAMHS过渡往往管理不善，对年轻人产生负面影响。更好的准备可以改善结果和体验。这项研究的目的是共同制作，与年轻人谁已经过渡或正面临从CAMHS过渡，CAMHS过渡准备计划（TPP），交付在常规NHS设置。18名年龄在17 - 22岁之间的年轻人，来自三个英国国家卫生服务（NHS）心理健康基金会信托基金，参加了创造性的，参与性的研究讲习班。七位家长完成了简短的问卷调查。来自两个信托基金的30名临床工作人员参加了讲习班，以确保青年人的想法能够得到传播。年轻人有机会参与共同研究。大多数年轻人在离开CAMHS时感到焦虑，恐惧和不确定，并认为心理健康服务漠不关心。与会者概述了过渡程序，并起草了一系列准备活动，围绕专门的过渡同行支持和过渡小册子，这应该提供给所有CAMHS离开者，无论出院或转移到成人服务。准备工作应旨在建立信心，帮助青年人对自己负责，并在成人世界中茁壮成长：应对或度过这一阶段是不够的。一些临床医生也感到焦虑的过渡，并认识到对年轻人的潜在影响，沟通不畅，缺乏了解之间的服务。父母希望在过渡时期得到帮助，以支持他们的子女。临床医生指出，缺乏资金和不灵活的NHS程序和政策是实施年轻人想法的潜在障碍。9名年轻人获得了共同研究的机会。心理健康服务低估了CAMHS毕业生的焦虑。年轻人有明确的想法，他们需要准备离开CAMHS的信心，以承担自己的医疗保健责任。NHS工作人员和研究人员的密切合作促进了研究结果的实施。
In the UK young people attending child and adolescent mental health services (CAMHS) are required to move on, either through discharge or referral to an adult service, at age 17/18, a period of increased risk for onset of mental health problems and other complex psychosocial and physical changes. CAMHS transitions are often poorly managed with negative outcomes for young people. Better preparation may improve outcomes and experience. This study aimed to co-produce, with young people who had transitioned or were facing transition from CAMHS, a CAMHS Transition Preparation Programme (TPP), deliverable in routine NHS settings. Eighteen young people, aged 17–22, from three UK National Health Service (NHS) mental health foundation trusts participated in creative, participatory research workshops. Seven parents completed short questionnaires. Thirty clinical staff from two trusts took part in workshops to ensure deliverability of young people’s ideas. Young people were offered co-research opportunities. Most young people felt anxious, fearful and uncertain on leaving CAMHS and perceived mental health services as uncaring. Participants outlined transition procedures and drafted a range of preparation activities, centred around dedicated Transition Peer Support and a transition booklet, which should be offered to all CAMHS leavers, irrespective of discharge or transfer to an adult service. Preparation should aim to build confidence to help young people take responsibility for themselves and flourish in the adult world: coping or getting through it was not enough. Some clinicians also felt anxious at transition and recognised the potential impact on young people of poor communication and lack of understanding between services. Parents would appreciate help to support their offspring during the transition period. Clinicians cited lack of funding and inflexible NHS procedures and policies as potential barriers to the implementation of young people’s ideas. Nine young people took up co-research opportunities. Mental health services underestimate the anxiety of CAMHS leavers. Young people have clear ideas about the preparation they require to leave CAMHS with the confidence to take responsibility for their own health care. Close collaboration of NHS staff and researchers facilitates the implementation of research findings.