Year-end Sale % OFF 
Abstract
BackgroundThe transition period between child and adolescent mental health services (CAMHS) and adult mental health services (AMHS) has been identified as an especially critical time for patients with anorexia nervosa. In the present study, to better facilitate patients’ recovery process, we explored the experiences of professionals concerning the transition from CAMHS to AMHS.MethodA qualitative explorative study was carried out based on recorded interviews from one multi-step focus group and two individual interviews with eight experienced health care professionals. Together they had experience with treating patients with AN and the transition from CAMHS to AMHS, both from specialized eating disorder units, specialized mental health care units, and from a school nurse context. Service users with parents` perspectives and patients’ perspectives were involved in all steps of the research process.ResultsBarriers experienced during the transition process were classified into four categories: (1) different treatment cultures that describe differences in how parents are included in CAMHS and AMHS; (2) mistrust between CAMHS and AMHS that can create a lack of collaboration and predictability for the patients’ transition; (3) Clinicians` factors such as lack of professional self-confidence can influence continuity of care for patients; and (4) lack of trust between services and not enough focus on building a new alliance in AMHS negatively influences the transition.ConclusionsThe present study revealed four important categories that professionals needs to consider when participating in the transition for patients with AN from CAMHS to AMHS. Awareness of these challenges might improve the transition process for patients with AN.
Highlights
The transition period between child and adolescent mental health services (CAMHS) and adult mental health services (AMHS) has been identified as an especially critical time for patients with anorexia nervosa
The present study revealed four important categories that professionals needs to consider when participating in the transition for patients with Anorexia nervosa (AN) from CAMHS to AMHS
In the present study, we identified four themes from the interviews with professionals in relation to the barriers experienced in the transition process by patients with AN and by the varied professionals: (1) Different treatment cultures describe how mental health professionals experienced differences in how to involve parents and expectations for patients’ with AN’s autonomy and responsibility; (2) mistrust between CAMHS and AMHS describes the attitudes between CAMHS and AMHS; (3) cliniciansfactors describe the level of competence, security, and confidence experienced by the professionals; and (4) lack of trust between services and not enough focus on building a new alliance in AMHS negatively influences the transition
Summary
The transition period between child and adolescent mental health services (CAMHS) and adult mental health services (AMHS) has been identified as an especially critical time for patients with anorexia nervosa. Adolescents with mental health disorders who receive care in child and adolescent mental health services (CAMHS) often need further treatment in adult mental health services (AMHS). After studying a cohort of service users, in six mental health trusts in England, during a 12 month period, Singh et al, Paul [2] described a successful transition as one that is well planned, with a mutual exchange of information and continuity of treatment. A planned transition is optimized by including family members, and caring for patients’ psychosocial and medical needs in an inclusive and individualized process. Based therapy for eating disorders as described in the Maudsley model
Sign-in/Register to view highlights & summary 
Published Version (
Free)
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
