Transitions of care from Child and Adolescent Mental Health Services to Adult Mental Health Services (TRACK Study): a study of protocols in Greater London.
Transitions of care from Child and Adolescent Mental Health Services to Adult Mental Health Services (TRACK Study): a study of protocols in Greater London.
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从儿童和青少年心理健康服务到成人心理健康服务的护理过渡（田径研究）：大伦敦的方案研究。
DOI：
10.1186/1472-6963-8-135
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发表时间：
2008-06-23
影响因子：
2.8
通讯作者：
Weaver, Tim
中科院分区：
文献类型：
--
作者：
Singh, Swaran P.;Paul, Moli;Ford, Tamsin;Kramer, Tami;Weaver, Tim
虽然年轻人的过渡，从儿童和青少年心理健康服务（CAMHS）成人心理健康服务（AMHS）在英格兰是一个重要的健康问题，服务用户，专员和供应商，有很少的证据来指导服务的发展。TRACK研究旨在确定促进或阻碍CAHMS向AMHS有效过渡的因素。本文介绍了从大伦敦的过渡协议的调查结果。大伦敦CAMHS的问卷调查（2005年1月至4月），以确定过渡协议，并收集有关团队规模，结构，过渡协议，人口服务和转诊率AMHS的数据。识别的过渡协议进行内容分析。在所联系的65个小组中，有42个（65%）对调查作出了答复。团队的类型（通用/目标/住院患者），覆盖区域（基于本地，更广泛或国家）和AMHS的过渡边界各不相同。每个CAMHS团队认为适合转移到AMHS的估计年平均病例数（平均值12.3，范围0-70，SD 14.5，n = 37）大于AMHS实际接受的年平均病例数（平均值8.3，范围0-50，SD 9.5，n = 33）。2005年4月，大伦敦有13项现行议定书和2项议定书草案。协议在规定的目标和政策方面基本相似，但在关键的程序细节上有所不同，例如CAHMS和AMHS之间的联合工作以及协议是否在信托或地方一级共享。虽然确定了服务用户参与过渡进程的中心地位，但没有任何协议具体规定用户应如何为过渡做好准备。方案中的一个主要遗漏是确保AMHS不接受的患者护理连续性的程序。2005年4月，大伦敦至少有13项过渡议定书在运作。并非所有协议都符合政府政策规定的所有要求。协议共享组织单位和过渡过程的变化表明，实践可能会有所不同。对于一些从CAMHS服务“毕业”但不被成人服务接受的患者，护理服务是不连续的。
Although young people's transition from Child and Adolescent Mental Health Services (CAMHS) to Adult Mental Health Services (AMHS) in England is a significant health issue for service users, commissioners and providers, there is little evidence available to guide service development. The TRACK study aims to identify factors which facilitate or impede effective transition from CAHMS to AMHS. This paper presents findings from a survey of transition protocols in Greater London. A questionnaire survey (Jan-April 2005) of Greater London CAMHS to identify transition protocols and collect data on team size, structure, transition protocols, population served and referral rates to AMHS. Identified transition protocols were subjected to content analysis. Forty two of the 65 teams contacted (65%) responded to the survey. Teams varied in type (generic/targeted/in-patient), catchment area (locality-based, wider or national) and transition boundaries with AMHS. Estimated annual average number of cases considered suitable for transfer to AMHS, per CAMHS team (mean 12.3, range 0–70, SD 14.5, n = 37) was greater than the annual average number of cases actually accepted by AMHS (mean 8.3, range 0–50, SD 9.5, n = 33). In April 2005, there were 13 active and 2 draft protocols in Greater London. Protocols were largely similar in stated aims and policies, but differed in key procedural details, such as joint working between CAHMS and AMHS and whether protocols were shared at Trust or locality level. While the centrality of service users' involvement in the transition process was identified, no protocol specified how users should be prepared for transition. A major omission from protocols was procedures to ensure continuity of care for patients not accepted by AMHS. At least 13 transition protocols were in operation in Greater London in April 2005. Not all protocols meet all requirements set by government policy. Variation in protocol-sharing organisational units and transition process suggest that practice may vary. There is discontinuity of care provision for some patients who 'graduate' from CAMHS services but are not accepted by adult services.
影响因子：
1.9
作者：
Davis, M;Sondheimer, DL
通讯作者：
Sondheimer, DL
影响因子：
6.1
作者：
Bradley, Sally;Kramer, Tami;Harrington, Richard
通讯作者：
Harrington, Richard