综述：从儿童及青少年心理健康服务（CAMHS）向成人心理健康服务（AMHS）的过渡：对家长和专业人士观点的元综合分析

Review: Transition from Child and Adolescent Mental Health Services (CAMHS) to Adult Mental Health Services (AMHS): a meta-synthesis of parental and professional perspectives.

作者信息

Hill Adam, Wilde Sarah, Tickle Anna

机构信息

Division of Psychiatry and Applied Psychology, School of Medicine, University of Nottingham, Nottingham, UK.

School of Psychology, College of Social Science, University of Lincoln, Lincoln, UK.

出版信息

Child Adolesc Ment Health. 2019 Nov;24(4):295-306. doi: 10.1111/camh.12339. Epub 2019 Jun 4.

DOI:10.1111/camh.12339

PMID:32677352

Abstract

BACKGROUND

Transition between Child and Adolescent Mental Health Services (CAMHS) and Adult Mental Health Services (AMHS) can be stressful for the young person and family alike. Previous reviews have focused on specific aspects of transition or perspectives of young people, or have not used systematic approaches to data identification and analysis. The objective of this review was to develop the understanding of the transition between CAMHS and AMHS by systematically identifying and synthesising evidence regarding professionals' and parents/carers' perspectives.

METHOD

A systematic search in July 2018 was conducted on Medline, PsycINFO and CINAHL. Google Scholar and references of selected articles were also searched. Papers were included if they presented empirical qualitative research in peer-reviewed journals with a primary focus on experiences of parents/carers and/or mental health professionals in relation to adolescents making the CAMHS-AMHS transition. Data were extracted from each full-text paper. The quality of included studies was appraised using an expanded Critical Appraisal Skills Programme (2018) tool, and studies' results were synthesised using meta-ethnography.

RESULTS

Fourteen studies of variable quality were identified. Four main third-order constructs were developed through synthesis: (a) Service cultures; (b) Service resources and gaps; (c) Working relationships between the services; and (d) Leaving secure relationships for new ones.

CONCLUSIONS

Professionals and parents experience adolescents' transition from nurturing and comprehensive CAMHS to more individualistic AMHS as having many barriers. There is desire for better preparation for transition between services and relationships, more joint working and better CAMHS-AMHS communication. AMHS service gaps exist, for example for those with neurodevelopmental conditions.

摘要

背景

儿童及青少年心理健康服务（CAMHS）与成人心理健康服务（AMHS）之间的过渡，对年轻人及其家庭而言都可能压力重重。以往的综述聚焦于过渡的特定方面或年轻人的观点，或者未采用系统的方法来识别和分析数据。本综述的目的是通过系统地识别和综合有关专业人员以及父母/照料者观点的证据，增进对CAMHS与AMHS之间过渡的理解。

方法

2018年7月在Medline、PsycINFO和CINAHL数据库进行了系统检索。还检索了谷歌学术以及所选文章的参考文献。如果论文发表在同行评审期刊上，且主要关注父母/照料者和/或心理健康专业人员在青少年从CAMHS过渡到AMHS方面的经验，则纳入该论文。从每篇全文论文中提取数据。使用扩展的批判性评估技能计划（2018）工具对纳入研究的质量进行评估，并使用元民族志方法综合研究结果。