dc.contributor.author | Memarzia, J | |
dc.contributor.author | St Clair, MC | |
dc.contributor.author | Owens, M | |
dc.contributor.author | Goodyer, IM | |
dc.contributor.author | Dunn, VJ | |
dc.date.accessioned | 2018-09-27T10:31:31Z | |
dc.date.issued | 2015-05-02 | |
dc.description.abstract | BACKGROUND: UK service structure necessitates a transition out of youth services at a time of increased risk for the development and onset of mental disorders. Little is currently known about the mental health and psychosocial outcomes of leaving services at this time. The aim of this study was to determine predictors of mental health and social adjustment in adolescents leaving mental health or social care services. METHODS: A cohort (n = 53) of 17 year olds were interviewed and assessed when preparing to leave adolescent services and again 12 months later. Their mental health and psychosocial characteristics were compared to a same-age community sample group (n = 1074). RESULTS: At discharge 34 (64%) met DSM IV criteria for a current psychiatric diagnosis and only 3 (6%) participants met operational criteria for successful outcomes at follow-up. Impairments in mental health, lack of employment, education or training and low preparedness were associated with poor outcomes. CONCLUSIONS: The findings suggest the current organisation of mental health and care services may not be fit for purpose and even unwittingly contribute to persistent mental illness and poor psychosocial outcomes. A redesign of services should consider a model where the timing of transition does not fall at the most hazardous time for young people, but is sufficiently flexible to allow young people to move on when they are personally, socially and psychologically most able to succeed. Assessment of a young person's readiness to transition might also be useful. A youth focused service across the adolescent and early adult years may be better placed to avoid young people falling through the service gap created by poor transitional management. | en_GB |
dc.description.sponsorship | This work was completed within the NIHR Collaborations for Leadership in Applied Health Research and Care (CLAHRC) for Cambridgeshire and Peterborough (now CLAHRC East of England). The CLAHRC is hosted by the University of Cambridge and the Cambridge and Peterborough NHS Foundation Trust. This work was partially supported by a Wellcome Trust programme grant (grant no. 74296) for the ROOTS data collection awarded to Ian Goodyer. | en_GB |
dc.identifier.citation | Vol. 15, article 185 | en_GB |
dc.identifier.doi | 10.1186/s12913-015-0853-9 | |
dc.identifier.uri | http://hdl.handle.net/10871/34119 | |
dc.language.iso | en | en_GB |
dc.publisher | BMC | en_GB |
dc.relation.url | https://www.ncbi.nlm.nih.gov/pubmed/25934411 | en_GB |
dc.rights | © Memarzia et al.; licensee BioMed Central. 2015. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. | en_GB |
dc.subject | Adolescent | en_GB |
dc.subject | Adult | en_GB |
dc.subject | Cohort Studies | en_GB |
dc.subject | Community Mental Health Services | en_GB |
dc.subject | Employment | en_GB |
dc.subject | Female | en_GB |
dc.subject | Humans | en_GB |
dc.subject | Male | en_GB |
dc.subject | Mental Disorders | en_GB |
dc.subject | Mental Health | en_GB |
dc.subject | Mental Health Services | en_GB |
dc.subject | Patient Dropouts | en_GB |
dc.subject | Self Report | en_GB |
dc.subject | Social Adjustment | en_GB |
dc.subject | Social Work | en_GB |
dc.subject | Young Adult | en_GB |
dc.title | Adolescents leaving mental health or social care services: predictors of mental health and psychosocial outcomes one year later | en_GB |
dc.type | Article | en_GB |
dc.date.available | 2018-09-27T10:31:31Z | |
exeter.place-of-publication | England | en_GB |
dc.description | This is the final version of the article. Available from BMC via the DOI in this record | en_GB |
dc.identifier.journal | BMC Health Services Research | en_GB |