Managing the link and strengthening transition from child to adult mental health Care in Europe (MILESTONE): background, rationale and methodology

Title: Managing the link and strengthening transition from child to adult mental health Care in Europe (MILESTONE): background, rationale and methodology
Authors: Tuomainen, HelenaSchulze, UlrikeWarwick, J.McNicholas, Fionaet al.
Permanent link: http://hdl.handle.net/10197/10894
Date: 4-Jun-2018
Online since: 2019-07-12T08:17:30Z
Abstract: Background: Transition from distinct Child and Adolescent Mental Health (CAMHS) to Adult Mental Health Services (AMHS) is beset with multitude of problems affecting continuity of care for young people with mental health needs. Transition-related discontinuity of care is a major health, socioeconomic and societal challenge globally. The overall aim of the Managing the Link and Strengthening Transition from Child to Adult Mental Health Care in Europe (MILESTONE) project (2014-19) is to improve transition from CAMHS to AMHS in diverse healthcare settings across Europe. MILESTONE focuses on current service provision in Europe, new transition-related measures, long term outcomes of young people leaving CAMHS, improving transitional care through 'managed transition', ethics of transitioning and the training of health care professionals. Methods: Data will be collected via systematic literature reviews, pan-European surveys, and focus groups with service providers, users and carers, and members of youth advocacy and mental health advocacy groups. A prospective cohort study will be conducted with a nested cluster randomised controlled trial in eight European Union (EU) countries (Belgium, Croatia, France, Germany, Ireland, Italy, Netherlands, UK) involving over 1000 CAMHS users, their carers, and clinicians. Discussion: Improving transitional care can facilitate not only recovery but also mental health promotion and mental illness prevention for young people. MILESTONE will provide evidence of the organisational structures and processes influencing transition at the service interface across differing healthcare models in Europe and longitudinal outcomes for young people leaving CAMHS, solutions for improving transitional care in a cost-effective manner, training modules for clinicians, and commissioning and policy guidelines for service providers and policy makers.
Funding Details: European Commission - Seventh Framework Programme (FP7)
Type of material: Journal Article
Publisher: Springer Science and Business Media LLC
Journal: BMC Psychiatry
Volume: 18
Start page: 1
End page: 11
Copyright (published version): 2018 the Authors
Keywords: MILESTONE consortiumMental healthChild and adolescent mental health servicesTransitionHealth services researchCluster randomised controlled trialLongitudinal cohort studyYouth mental healthPolicyProfessional trainingEurope
DOI: 10.1186/s12888-018-1758-z
Language: en
Status of Item: Peer reviewed
Appears in Collections:Geary Institute Research Collection
Medicine Research Collection

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