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首页> 外文期刊>European child & adolescent psychiatry >Continuity of care from child and adolescent to adult mental health services: evidence from a regional survey in Northern Italy
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Continuity of care from child and adolescent to adult mental health services: evidence from a regional survey in Northern Italy

机译：从儿童和青少年到成人心理健康服务的连续性：来自意大利北部地区调查的证据

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摘要

To examine clinical and demographic factors associated with continuity of care from child-adolescent (CAMHS) to adult mental health services (AMHS), we undertook a record-linkage study to the Adult Mental Health Information System including all those 16 years old and over who were listed between 2010 and 2013 in the Child and Adolescent Neuropsychiatry Information System in Emilia-Romagna, an Italian region of nearly 4.5 million residents. From a cohort of 8239 adolescents attending CAMHS (population at risk about 144,000), 821 (19.4 %) moved to AMHS, excluding cases with specific developmental disorders, whose conditions were not managed by adult psychiatrists, and those with mental retardation who attended usually social services. Young people referred for treatment to AMHS were more likely to receive a discharge diagnosis of schizophrenia and related disorders (Odds Ratio [OR] 3.92; 95 % confidence interval [CI] 2.17-7.08), personality disorders (OR 2.69; 95 % CI 1.89-3.83), and pervasive developmental disorders (OR 2.13; 95 % CI 1.51-2.99). Further factors predicting transfer to AMHS were not living with parents, inpatient psychiatric admission, and being on medication in the previous 24 months. These findings suggest that a relatively small number of adolescents moved to AMHS and are likely to reflect the configuration of local mental health services and alternative care available, mainly for those with less-severe mental disorders.
机译：为了研究与从儿童青少年（CAMHS）到成人心理健康服务（AMHS）的持续护理相关的临床和人口统计学因素，我们对成人心理健康信息系统进行了一项记录关联研究，包括所有16岁及以上的人在2010年至2013年之间，艾米利亚-罗马涅的儿童和青少年神经精神病学信息系统中列出了这些信息，该地区的意大利人口接近450万。在参加CAMHS的8239名青少年中（有大约144,000的高危人群），有821名（19.4％）转移到了AMHS，其中不包括那些由成人精神病医生无法控制的特殊发育障碍病例以及通常参加社交活动的弱智人群服务。接受过AMHS治疗的年轻人更有可能接受精神分裂症及相关疾病的出院诊断（几率[OR] 3.92; 95％置信区间[CI] 2.17-7.08），人格障碍（OR 2.69; 95％CI 1.89） -3.83）和普遍的发育障碍（OR 2.13; 95％CI 1.51-2.99）。预测转移到AMHS的其他因素还没有与父母同住，住院的精神病患者以及过去24个月内正在接受药物治疗。这些发现表明，相对较少的青少年转向了AMHS，并且很可能反映了当地精神卫生服务和其他替代护理的配置，主要是针对那些精神疾病较轻的人。

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