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Improving transitions for young people who move from child and adolescent mental health services to mental health services for adults: lessons from research and young people's and practitioners' experiences.

机译:改善从儿童和青少年心理健康服务向成人心理健康服务的年轻人的过渡:研究以及年轻人和从业者的经验教训。

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PURPOSE OF REVIEW: The importance of ensuring robust arrangements for young people's transitions from specialist child and adolescent mental health services to specialist mental health services for adults is well documented in the international literature. Nonetheless, according to young people, there remains great variation in the quality of services in respect of their transitions. Furthermore, the problems that we report are by no means confined to single continents. This review examines recent literature and explores the themes that emerge from it with a view to finding solutions. RECENT FINDINGS: Our findings from the literature suggest a clear strategic direction to improve the quality of the care of young people who need to move from specialist child and adolescent mental health services to specialist mental health services for adults. Our examination of the literature identifies a number of themes that have been recognized by practitioners and we have used them to define a model of care and aspects of good practice. We think they should be included within all evidence-based policies, protocols and care pathways for young people. There is little literature available that documents the personal experiences of young people in transition and their families, but consistent themes emerge from what is available. SUMMARY: There are a number of topics that require active consideration when preparing young people for transition between services. Despite the limited volume of research, and particularly that which has directly involved young people and families, we know from anecdote, experience and local audit and research that improvements in service design and practice are required. These matters inform the solutions that we suggest. We see as pivotal involving young people directly in planning their own care and setting quality standards for healthcare and other services.
机译:审查目的:确保为青年人从专职儿童和青少年心理健康服务到成人专职心理健康服务的过渡做出有力安排的重要性在国际文献中已得到充分证明。但是,根据年轻人的说法,在过渡过程中,服务质量仍然存在很大差异。此外,我们报告的问题绝不仅限于单一大洲。这篇评论检查了最近的文献,并探讨了从中发现的主题,以寻求解决方案。最近的发现:我们从文献中得出的结论为提高年轻人的护理质量提出了明确的战略方向,这些年轻人需要从专门的儿童和青少年心理健康服务转向成人的专门心理健康服务。我们对文献的检查确定了从业人员认可的许多主题,我们已使用它们来定义护理模型和良好实践的各个方面。我们认为,应将其纳入所有针对年轻人的循证政策,协议和护理途径。很少有文献记录过渡中的年轻人及其家庭的个人经历,但是从已有的话题中出现了一致的主题。简介:在让年轻人为服务之间的过渡做准备时,需要积极考虑许多主题。尽管研究的数量有限,尤其是与年轻人和家庭直接相关的研究,我们从轶事,经验和地方审计与研究中知道,仍需要改进服务设计和实践。这些事项为我们建议的解决方案提供了依据。我们认为,让年轻人直接参与计划自己的护理并设定医疗保健和其他服务的质量标准至关重要。

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