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Mapping Child and Adolescent Mental Health Services and the Interface During Transition to Adult Services in Six Swiss Cantons

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Kilicel, D, De Crescenzo, F, Barbe, R, Edan, A, Curtis, L, Singh, S, Micali, N, Aubry, JM, Mégevand, J, Eliez, S, Plessen, KJ & Armando, M 2022, 'Mapping Child and Adolescent Mental Health Services and the Interface During Transition to Adult Services in Six Swiss Cantons', Frontiers in Psychiatry, bind 13, 814147. https://doi.org/10.3389/fpsyt.2022.814147

APA

Kilicel, D., De Crescenzo, F., Barbe, R., Edan, A., Curtis, L., Singh, S., Micali, N., Aubry, J. M., Mégevand, J., Eliez, S., Plessen, K. J., & Armando, M. (2022). Mapping Child and Adolescent Mental Health Services and the Interface During Transition to Adult Services in Six Swiss Cantons. Frontiers in Psychiatry, 13, [814147]. https://doi.org/10.3389/fpsyt.2022.814147

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MLA

Vancouver

Author

Kilicel, Deniz ; De Crescenzo, Franco ; Barbe, Remy ; Edan, Anne ; Curtis, Logos ; Singh, Swaran ; Micali, Nadia ; Aubry, Jean Michel ; Mégevand, Jacqueline ; Eliez, Stephan ; Plessen, Kerstin Jessica ; Armando, Marco. / Mapping Child and Adolescent Mental Health Services and the Interface During Transition to Adult Services in Six Swiss Cantons. I: Frontiers in Psychiatry. 2022 ; Bind 13.

Bibtex

@article{975e46b2482b4ee596b31875e74e50b1,
title = "Mapping Child and Adolescent Mental Health Services and the Interface During Transition to Adult Services in Six Swiss Cantons",
abstract = "Rationale: Transition 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.Method: Two 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.Results: Data 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.Conclusion: Despite 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.",
keywords = "AMHS, CAMHS, child and adolescent, psychiatry, Switzerland, transition, young adults",
author = "Deniz Kilicel and {De Crescenzo}, Franco and Remy Barbe and Anne Edan and Logos Curtis and Swaran Singh and Nadia Micali and Aubry, {Jean Michel} and Jacqueline M{\'e}gevand and Stephan Eliez and Plessen, {Kerstin Jessica} and Marco Armando",
note = "Publisher Copyright: Copyright {\textcopyright} 2022 Kilicel, De Crescenzo, Barbe, Edan, Curtis, Singh, Micali, Aubry, M{\'e}gevand, Eliez, Plessen and Armando.",
year = "2022",
month = may,
day = "9",
doi = "10.3389/fpsyt.2022.814147",
language = "English",
volume = "13",
journal = "Frontiers in Psychiatry",
issn = "1664-0640",
publisher = "Frontiers Research Foundation",

}

RIS

TY - JOUR

T1 - Mapping Child and Adolescent Mental Health Services and the Interface During Transition to Adult Services in Six Swiss Cantons

AU - Kilicel, Deniz

AU - De Crescenzo, Franco

AU - Barbe, Remy

AU - Edan, Anne

AU - Curtis, Logos

AU - Singh, Swaran

AU - Micali, Nadia

AU - Aubry, Jean Michel

AU - Mégevand, Jacqueline

AU - Eliez, Stephan

AU - Plessen, Kerstin Jessica

AU - Armando, Marco

N1 - Publisher Copyright: Copyright © 2022 Kilicel, De Crescenzo, Barbe, Edan, Curtis, Singh, Micali, Aubry, Mégevand, Eliez, Plessen and Armando.

PY - 2022/5/9

Y1 - 2022/5/9

N2 - Rationale: Transition 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.Method: Two 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.Results: Data 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.Conclusion: Despite 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.

AB - Rationale: Transition 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.Method: Two 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.Results: Data 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.Conclusion: Despite 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.

KW - AMHS

KW - CAMHS

KW - child and adolescent

KW - psychiatry

KW - Switzerland

KW - transition

KW - young adults

UR - http://www.scopus.com/inward/record.url?scp=85130642169&partnerID=8YFLogxK

U2 - 10.3389/fpsyt.2022.814147

DO - 10.3389/fpsyt.2022.814147

M3 - Journal article

C2 - 35615456

AN - SCOPUS:85130642169

VL - 13

JO - Frontiers in Psychiatry

JF - Frontiers in Psychiatry

SN - 1664-0640

M1 - 814147

ER -

ID: 79468190