Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, 155 College Street, Suite 130, Toronto, ON, M5T 1P8, Canada.
Margaret and Wallace McCain Centre for Child, Youth and Family Mental Health and Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, Canada.
Eur Child Adolesc Psychiatry. 2022 Nov;31(11):1739-1752. doi: 10.1007/s00787-021-01806-6. Epub 2021 Jun 5.
Youth accessing mental health care often experience a disruption in care as they attempt to transition between child and adolescent mental health services (CAMHS) and adult mental health services (AMHS). Few studies have evaluated interventions seeking to improve the experience and outcomes of CAMHS-AMHS transitions, in part due to lack of consensus on what constitutes best practices in intervention success. As such, the aim of this study was to engage patients, caregivers, and clinicians to prioritize core components of successful CAMHS-AMHS transitions which can be used in the design or evaluation of transition interventions. As such, a Delphi study was conducted to determine core components of successful CAMHS-AMHS transitions. Guided by the principles of patient-oriented research, three balanced expert panels consisting of youth, caregivers, and clinicians ranked and provided feedback on the importance and feasibility of core components of CAMHS-AMHS transitions. Components endorsed as feasible or important with ≥ 70% agreement from any panel moved to the next round. As a result, a list of 26 core components of CAMHS-AMHS transitions has been refined which can be used in the design, implementation, or evaluation of interventions intended to improve transition experiences and outcomes for youth in mental health care. Youth and families were engaged in an expert advisory role throughout the research process, contributing their important perspectives to the design and implementation of this study, as well as interpretation of the findings.
年轻人在尝试从儿童和青少年心理健康服务（CAMHS）过渡到成人心理健康服务（AMHS）时，经常会经历护理中断。很少有研究评估旨在改善 CAMHS-AMHS 过渡体验和结果的干预措施，部分原因是缺乏对干预成功最佳实践的共识。因此，本研究旨在让患者、照顾者和临床医生优先考虑成功的 CAMHS-AMHS 过渡的核心要素，这些要素可用于过渡干预的设计或评估。为此，进行了一项 Delphi 研究，以确定成功的 CAMHS-AMHS 过渡的核心要素。在以患者为中心的研究原则的指导下，由年轻人、照顾者和临床医生组成的三个平衡的专家小组对 CAMHS-AMHS 过渡的核心要素的重要性和可行性进行了排名并提供了反馈。任何小组以≥70%的共识认可的可行或重要的组件进入下一轮。结果，已经完善了 26 个 CAMHS-AMHS 过渡的核心要素列表，可用于旨在改善心理健康护理中的年轻人过渡体验和结果的干预措施的设计、实施或评估。在整个研究过程中，年轻人及其家庭都以专家咨询的角色参与其中，为研究的设计和实施以及研究结果的解释贡献了他们的重要观点。
