Roberti Elisa, Scarpellini Francesca, Campi Rita, Giardino Michele, Clavenna Antonio, Bonati Maurizio
Laboratory of Epidemiology of Developing Age, Department of Medical Epidemiology, Istituto Di Ricerche Farmacologiche Mario Negri IRCCS, Via Mario Negri 2, 20156, Milan, Italy.
Information Science for Clinical Knowledge Sharing Unit, Department of Medical Epidemiology, Istituto Di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.
Child Adolesc Psychiatry Ment Health. 2023 Nov 28;17(1):131. doi: 10.1186/s13034-023-00678-9.
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.
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.
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.
The observed situation reflects a need for improvement and standard guidelines to enable a successful transition process, considering clinicians' and patients' necessities.
支持患有注意力缺陷多动障碍（ADHD）的青少年患者向成人服务过渡至关重要。然而，成功转诊的比例较低，以及患者和临床医生报告的问题凸显了进一步关注过渡实践的必要性。本研究评估了意大利境内儿童和青少年心理健康服务（CAMHS）及成人心理健康服务（AMHS）中ADHD患者的过渡过程。我们要求儿童和成人精神科医生报告服务的现状以及他们对必须解决的局限性和未来可能问题的观察结果。
77个中心（42个CAMHS，35个AMHS）填写了一项基于网络的调查，其中报告了ADHD患者的数量、过去一年中他们有多少转诊患者以及他们如何构建过渡流程。
调查呈现出一幅碎片化的图景。资源匮乏、培训不足以及服务之间缺乏沟通阻碍了过渡过程，许多成年患者仍由CAMHS照料。虽然一些服务有协议，但缺乏有助于改善治疗整合与连续性的结构化指导。
考虑到临床医生和患者的需求，观察到的情况反映出需要改进并制定标准指南，以实现成功的过渡过程。
