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Transitioning to adult mental health services for young people with ADHD: an Italian-based survey on practices for pediatric and adult services
BACKGROUND: Supporting young ADHD patients in transition to adult services is essential. Yet, the low percentages of successful referrals and the issues reported by patients and clinicians stress the need for further attention to transitioning practices. The present study assessed the transitioning...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10685479/ https://www.ncbi.nlm.nih.gov/pubmed/38017552 http://dx.doi.org/10.1186/s13034-023-00678-9 |
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author | Roberti, Elisa Scarpellini, Francesca Campi, Rita Giardino, Michele Clavenna, Antonio Bonati, Maurizio |
author_facet | Roberti, Elisa Scarpellini, Francesca Campi, Rita Giardino, Michele Clavenna, Antonio Bonati, Maurizio |
author_sort | Roberti, Elisa |
collection | PubMed |
description | BACKGROUND: Supporting young ADHD patients in transition to adult services is essential. Yet, the low percentages of successful referrals and the issues reported by patients and clinicians stress the need for further attention to transitioning practices. The present study assessed the transitioning process of Attention-Deficit/Hyperactivity Disorder (ADHD) patients in Child and Adolescent Mental Health Services (CAMHS) and Adult Mental Health Services (AMHS) in the Italian territory. We asked child and adult psychiatrists to report the current state of services and their observations on limitations and possible future matters that must be addressed. METHOD: Seventy-seven centers (42 CAMHS, 35 AMHS) filled in a web-based survey in which they reported the number of ADHD patients, how many transitioning patients they had within the past year, and how they structured transition. RESULTS: A fragmented picture emerged from the survey. Lack of resources, training, and communication between services hinder the transition process, and many adult patients remain under CAMHS’ care. While some services have a protocol, there is no structured guidance that can help improve integration and continuity of treatment. CONCLUSION: The observed situation reflects a need for improvement and standard guidelines to enable a successful transition process, considering clinicians' and patients’ necessities. |
format | Online Article Text |
id | pubmed-10685479 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-106854792023-11-30 Transitioning to adult mental health services for young people with ADHD: an Italian-based survey on practices for pediatric and adult services Roberti, Elisa Scarpellini, Francesca Campi, Rita Giardino, Michele Clavenna, Antonio Bonati, Maurizio Child Adolesc Psychiatry Ment Health Research BACKGROUND: Supporting young ADHD patients in transition to adult services is essential. Yet, the low percentages of successful referrals and the issues reported by patients and clinicians stress the need for further attention to transitioning practices. The present study assessed the transitioning process of Attention-Deficit/Hyperactivity Disorder (ADHD) patients in Child and Adolescent Mental Health Services (CAMHS) and Adult Mental Health Services (AMHS) in the Italian territory. We asked child and adult psychiatrists to report the current state of services and their observations on limitations and possible future matters that must be addressed. METHOD: Seventy-seven centers (42 CAMHS, 35 AMHS) filled in a web-based survey in which they reported the number of ADHD patients, how many transitioning patients they had within the past year, and how they structured transition. RESULTS: A fragmented picture emerged from the survey. Lack of resources, training, and communication between services hinder the transition process, and many adult patients remain under CAMHS’ care. While some services have a protocol, there is no structured guidance that can help improve integration and continuity of treatment. CONCLUSION: The observed situation reflects a need for improvement and standard guidelines to enable a successful transition process, considering clinicians' and patients’ necessities. BioMed Central 2023-11-28 /pmc/articles/PMC10685479/ /pubmed/38017552 http://dx.doi.org/10.1186/s13034-023-00678-9 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Roberti, Elisa Scarpellini, Francesca Campi, Rita Giardino, Michele Clavenna, Antonio Bonati, Maurizio Transitioning to adult mental health services for young people with ADHD: an Italian-based survey on practices for pediatric and adult services |
title | Transitioning to adult mental health services for young people with ADHD: an Italian-based survey on practices for pediatric and adult services |
title_full | Transitioning to adult mental health services for young people with ADHD: an Italian-based survey on practices for pediatric and adult services |
title_fullStr | Transitioning to adult mental health services for young people with ADHD: an Italian-based survey on practices for pediatric and adult services |
title_full_unstemmed | Transitioning to adult mental health services for young people with ADHD: an Italian-based survey on practices for pediatric and adult services |
title_short | Transitioning to adult mental health services for young people with ADHD: an Italian-based survey on practices for pediatric and adult services |
title_sort | transitioning to adult mental health services for young people with adhd: an italian-based survey on practices for pediatric and adult services |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10685479/ https://www.ncbi.nlm.nih.gov/pubmed/38017552 http://dx.doi.org/10.1186/s13034-023-00678-9 |
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