Lost in Transition? Experiences from young people with mental illness and care providers concerning transfer from child to adult care

导言：有精神健康问题的过渡年龄青年在年满18岁后利用精神卫生保健的可能性较小。从儿童和青少年到成人心理健康服务的转移是不可避免的。目的:本研究的目的是调查和分析：a)考虑到影响健康行为的内部、人际和环境因素，过渡年龄青年对计划或已经进行的成人精神卫生保健系统转移的看法和经验；b)护理提供者对促进或阻碍护理连续性的结构和组织因素的看法和经验；c)发展和干预以改善有心理健康问题的青少年和青年的过渡过程。方法：采用探索性质的研究设计，对6组16 ~ 25岁的过渡年龄青年进行成人心理健康服务过渡，并对3组护理提供者进行重点研究。小组讨论将逐字记录下来，分析将遵循Bohnsack的文献方法的重建方法。展望：通过让患者和护理提供者参与发展阶段，该项目旨在通过有针对性的干预的专家知识提高护理的连续性。

Introduction: Transition-age youth with mental health problems are less likely to utilise mental health care after attaining the age of 18 years. A transfer from child and adolescent to adult mental health service becomes inevitable. Aims: The aims of the study are to investigate and analyse a) views and experiences of transition-age youth regarding a planned or already performed transfer to adult mental health care system considering intra-, interpersonal and contextual factors which influence health behaviour b) views and experiences of care providers concerning structural and organisational factors which promote or hinder continuity of care, and c) to develop and intervention to improve the transition process of adolescents and young adults with mental health problems.Methods: With an exploratory qualitative study design six focus groups with transition-age youth between 16 and 25 years in transition to adult mental health service and three focus groups with providers of care will be conducted. Group discussions will be transcribed verbatim and analysis will follow a reconstructive approach of the documentary method by Bohnsack. Outlook: By involving patients and care providers in the developmental phase the project seeks to improve continuity of care with expert knowledge for a targeted intervention.