Mapping Child and Adolescent Mental Health Services and the Interface During Transition to Adult Services in Six Swiss Cantons
RationaleTransition in psychiatry refers to the period where young people transit from Child and Adolescent Mental Health Services (CAMHS) to Adult Mental Health Services (AMHS). Discontinuity of care during this period is well-documented but little is known about provisions and transition character...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-05-01
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| Series: | Frontiers in Psychiatry |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2022.814147/full |
| _version_ | 1797860961836597248 |
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| author | Deniz Kilicel Franco De Crescenzo Remy Barbe Anne Edan Logos Curtis Logos Curtis Swaran Singh Nadia Micali Nadia Micali Jean-Michel Aubry Jean-Michel Aubry Jacqueline Mégevand Stephan Eliez Stephan Eliez Kerstin Jessica Plessen Marco Armando |
| author_facet | Deniz Kilicel Franco De Crescenzo Remy Barbe Anne Edan Logos Curtis Logos Curtis Swaran Singh Nadia Micali Nadia Micali Jean-Michel Aubry Jean-Michel Aubry Jacqueline Mégevand Stephan Eliez Stephan Eliez Kerstin Jessica Plessen Marco Armando |
| author_sort | Deniz Kilicel |
| collection | DOAJ |
| description | RationaleTransition in psychiatry refers to the period where young people transit from Child and Adolescent Mental Health Services (CAMHS) to Adult Mental Health Services (AMHS). Discontinuity of care during this period is well-documented but little is known about provisions and transition characteristics and policies across Switzerland. The aim of this article is to describe the architecture of public mental health providers in Switzerland and compare it to EU countries.MethodTwo mapping surveys, developed previously for European countries, were adapted and sent to cantonal experts: the adapted European CAMHS Mapping Questionnaire (ECM-Q) assessing the architecture and functioning of CAMHS and the adapted Standardized Assessment Tool for Mental Health Transition (SATMeHT) to map CAMHS-AMHS interface.ResultsData were gathered from six cantons. Activity data and transition policies were comparable between Swiss regions and European countries. The percentage of young people below 19 years who were in care was above 2% in every responding canton with a higher proportion of boys than girls for patients <12 years of age. The transition occurred at the age of 18 years, civil majority, in each canton, and between 0 and 24% (3/7) and 25% and 49% (4/7) of young people were expected to transition. One canton (1/7) benefitted from written guidelines, at the CAMHS level only, regarding transition but none had guidelines for mapping CAMHS/AMHS interface even at the regional level.ConclusionDespite the availability of resources and even if the possibilities of access to care are on average higher than in many European countries, issues regarding transition remain comparable in six Swiss cantons when compared to Europe. Meaning that beyond resources, it is the coordination between services that needs to be worked on. Importantly, implementing those changes would not require investing financial resources but rather working on the coordination between existing teams. |
| first_indexed | 2024-04-09T21:54:22Z |
| format | Article |
| id | doaj.art-8babef4eab2a4ef59d8b1f84bbb55343 |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-04-09T21:54:22Z |
| publishDate | 2022-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-8babef4eab2a4ef59d8b1f84bbb553432023-03-24T07:57:14ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402022-05-011310.3389/fpsyt.2022.814147814147Mapping Child and Adolescent Mental Health Services and the Interface During Transition to Adult Services in Six Swiss CantonsDeniz Kilicel0Franco De Crescenzo1Remy Barbe2Anne Edan3Logos Curtis4Logos Curtis5Swaran Singh6Nadia Micali7Nadia Micali8Jean-Michel Aubry9Jean-Michel Aubry10Jacqueline Mégevand11Stephan Eliez12Stephan Eliez13Kerstin Jessica Plessen14Marco Armando15Department of Psychiatry, School of Medicine, University of Geneva, Geneva, SwitzerlandDepartment of Psychiatry, University of Oxford, Oxford, United KingdomChild and Adolescent Psychiatry Clinical Services, Geneva University Hospital, Geneva, SwitzerlandChild and Adolescent Psychiatry Clinical Services, Geneva University Hospital, Geneva, SwitzerlandDepartment of Psychiatry, School of Medicine, University of Geneva, Geneva, SwitzerlandDivision of Psychiatric Specialties, Department of Psychiatry, Geneva University Hospitals, Geneva, SwitzerlandWarwick Medical School, University of Warwick, Coventry, United KingdomDepartment of Psychiatry, School of Medicine, University of Geneva, Geneva, SwitzerlandChild and Adolescent Psychiatry Clinical Services, Geneva University Hospital, Geneva, SwitzerlandDepartment of Psychiatry, School of Medicine, University of Geneva, Geneva, SwitzerlandDivision of Psychiatric Specialties, Department of Psychiatry, Geneva University Hospitals, Geneva, SwitzerlandOffice Médico-Pédagogique, Department of Public Instruction, Geneva, SwitzerlandDepartment of Psychiatry, School of Medicine, University of Geneva, Geneva, SwitzerlandPole Autism Foundation, Geneva, SwitzerlandUniversity Service for Child and Adolescent Psychiatry, Department of Psychiatry, Centre Hospitalier Universitaire Vaudois, University of Lausanne, Lausanne, SwitzerlandUniversity Service for Child and Adolescent Psychiatry, Department of Psychiatry, Centre Hospitalier Universitaire Vaudois, University of Lausanne, Lausanne, SwitzerlandRationaleTransition in psychiatry refers to the period where young people transit from Child and Adolescent Mental Health Services (CAMHS) to Adult Mental Health Services (AMHS). Discontinuity of care during this period is well-documented but little is known about provisions and transition characteristics and policies across Switzerland. The aim of this article is to describe the architecture of public mental health providers in Switzerland and compare it to EU countries.MethodTwo mapping surveys, developed previously for European countries, were adapted and sent to cantonal experts: the adapted European CAMHS Mapping Questionnaire (ECM-Q) assessing the architecture and functioning of CAMHS and the adapted Standardized Assessment Tool for Mental Health Transition (SATMeHT) to map CAMHS-AMHS interface.ResultsData were gathered from six cantons. Activity data and transition policies were comparable between Swiss regions and European countries. The percentage of young people below 19 years who were in care was above 2% in every responding canton with a higher proportion of boys than girls for patients <12 years of age. The transition occurred at the age of 18 years, civil majority, in each canton, and between 0 and 24% (3/7) and 25% and 49% (4/7) of young people were expected to transition. One canton (1/7) benefitted from written guidelines, at the CAMHS level only, regarding transition but none had guidelines for mapping CAMHS/AMHS interface even at the regional level.ConclusionDespite the availability of resources and even if the possibilities of access to care are on average higher than in many European countries, issues regarding transition remain comparable in six Swiss cantons when compared to Europe. Meaning that beyond resources, it is the coordination between services that needs to be worked on. Importantly, implementing those changes would not require investing financial resources but rather working on the coordination between existing teams.https://www.frontiersin.org/articles/10.3389/fpsyt.2022.814147/fulltransitionCAMHSAMHSpsychiatrychild and adolescentyoung adults |
| spellingShingle | Deniz Kilicel Franco De Crescenzo Remy Barbe Anne Edan Logos Curtis Logos Curtis Swaran Singh Nadia Micali Nadia Micali Jean-Michel Aubry Jean-Michel Aubry Jacqueline Mégevand Stephan Eliez Stephan Eliez Kerstin Jessica Plessen Marco Armando Mapping Child and Adolescent Mental Health Services and the Interface During Transition to Adult Services in Six Swiss Cantons Frontiers in Psychiatry transition CAMHS AMHS psychiatry child and adolescent young adults |
| title | Mapping Child and Adolescent Mental Health Services and the Interface During Transition to Adult Services in Six Swiss Cantons |
| title_full | Mapping Child and Adolescent Mental Health Services and the Interface During Transition to Adult Services in Six Swiss Cantons |
| title_fullStr | Mapping Child and Adolescent Mental Health Services and the Interface During Transition to Adult Services in Six Swiss Cantons |
| title_full_unstemmed | Mapping Child and Adolescent Mental Health Services and the Interface During Transition to Adult Services in Six Swiss Cantons |
| title_short | Mapping Child and Adolescent Mental Health Services and the Interface During Transition to Adult Services in Six Swiss Cantons |
| title_sort | mapping child and adolescent mental health services and the interface during transition to adult services in six swiss cantons |
| topic | transition CAMHS AMHS psychiatry child and adolescent young adults |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2022.814147/full |
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