Prioritizing core components of successful transitions from child to adult mental health care: a national Delphi survey with youth, caregivers, and health professionals

Kristin Cleverley^{1

2

3}, Emma McCann⁴, David O'Brien⁵, Julia Davies^{4

6}, Kathryn Bennett⁷, Sarah Brennenstuhl⁴, Lynn Courey⁸, Joanna Henderson^{6

9}, Lianne Jeffs^{4

10

11

12}, Joshua Miller^{6

13}, Tony Pignatiello^{9

14}, Jessica Rong⁶, Emily Rowland⁴, Katye Stevens⁶, Peter Szatmari^{6

9

15

16}

Affiliations

¹ Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, 155 College Street, Suite 130, Toronto, ON, M5T 1P8, Canada. k.cleverley@utoronto.ca.
² 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. k.cleverley@utoronto.ca.
³ Department of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, Canada. k.cleverley@utoronto.ca.
⁴ Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, 155 College Street, Suite 130, Toronto, ON, M5T 1P8, Canada.
⁵ Yorktown Family Services, Toronto, Canada.
⁶ 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.
⁷ Department of Health Research Methods, Evidence, and Impact, Faculty of Health Sciences, McMaster University, Hamilton, Canada.
⁸ Sashbear Foundation, Toronto, Canada.
⁹ Department of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, Canada.
¹⁰ Lunenfeld-Tanenbaum Research Institute, Sinai Health, System, Toronto, Canada.
¹¹ Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Canada.
¹² Li Ka Shing Knowledge Institute, St Michael's Hospital, Toronto, Canada.
¹³ Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Canada.
¹⁴ Department of Psychiatry, The Hospital for Sick Children, Toronto, Canada.
¹⁵ Centre for Brain and Mental Health and Department of Psychiatry, The Hospital for Sick Children, Toronto, Canada.
¹⁶ The Cundill Centre for Child and Youth Depression, Centre for Addiction and Mental Health, Toronto, Canada.

PMID: 34089382
PMCID: PMC9666300
DOI: 10.1007/s00787-021-01806-6

Prioritizing core components of successful transitions from child to adult mental health care: a national Delphi survey with youth, caregivers, and health professionals

Kristin Cleverley et al. Eur Child Adolesc Psychiatry. 2022 Nov.

. 2022 Nov;31(11):1739-1752.

doi: 10.1007/s00787-021-01806-6. Epub 2021 Jun 5.

Authors

Affiliations

¹ Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, 155 College Street, Suite 130, Toronto, ON, M5T 1P8, Canada. k.cleverley@utoronto.ca.
² 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. k.cleverley@utoronto.ca.
³ Department of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, Canada. k.cleverley@utoronto.ca.
⁴ Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, 155 College Street, Suite 130, Toronto, ON, M5T 1P8, Canada.
⁵ Yorktown Family Services, Toronto, Canada.
⁶ 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.
⁷ Department of Health Research Methods, Evidence, and Impact, Faculty of Health Sciences, McMaster University, Hamilton, Canada.
⁸ Sashbear Foundation, Toronto, Canada.
⁹ Department of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, Canada.
¹⁰ Lunenfeld-Tanenbaum Research Institute, Sinai Health, System, Toronto, Canada.
¹¹ Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Canada.
¹² Li Ka Shing Knowledge Institute, St Michael's Hospital, Toronto, Canada.
¹³ Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Canada.
¹⁴ Department of Psychiatry, The Hospital for Sick Children, Toronto, Canada.
¹⁵ Centre for Brain and Mental Health and Department of Psychiatry, The Hospital for Sick Children, Toronto, Canada.
¹⁶ The Cundill Centre for Child and Youth Depression, Centre for Addiction and Mental Health, Toronto, Canada.

PMID: 34089382
PMCID: PMC9666300
DOI: 10.1007/s00787-021-01806-6

Abstract

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.

Keywords: Consensus; Continuity of care; Delphi study; Mental health; Patient-oriented research; Transition; Youth.

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Conflict of interest statement

The authors declare that they have no competing interests.

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Prioritizing core components of successful transitions from child to adult mental health care: a national Delphi survey with youth, caregivers, and health professionals

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Prioritizing core components of successful transitions from child to adult mental health care: a national Delphi survey with youth, caregivers, and health professionals

Authors

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Abstract

Conflict of interest statement

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