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Article Dans Une Revue Depression and Anxiety Année : 2023

Transition from Child and Adolescent to Adult Mental Health Services in Young People with Depression: On What Do Clinicians Base their Recommendation?

Larissa S. van Bodegom
Mathilde M. Overbeek
  • Fonction : Auteur
Suzanne E. Gerritsen
  • Fonction : Auteur
Athanasios Maras
  • Fonction : Auteur
Manon H.J. Hillegers
Dieter Wolke
Dimitris Rizopoulos
Giovanni Allibrio
  • Fonction : Auteur
Rebecca Appleton
  • Fonction : Auteur
M. Armando
Tomislav Franić
Giovanni de Girolamo
Jason J. Madan
Lidia Manenti
  • Fonction : Auteur
Francesco Margari
Fiona Mcnicholas
  • Fonction : Auteur
Adriana Pastore
  • Fonction : Auteur
Moli Paul
  • Fonction : Auteur
Francesco Rinaldi
  • Fonction : Auteur
Melanie C. Saam
  • Fonction : Auteur
Paramala Janardhanan Santosh
Anne Sartor
  • Fonction : Auteur
Ulrike M.E. Schulze
  • Fonction : Auteur
Giulia Signorini
Swaran Preet Singh
  • Fonction : Auteur
Cathy Street
  • Fonction : Auteur
Priya Tah
  • Fonction : Auteur
Elena Tanase
  • Fonction : Auteur
Sabine Tremmery
  • Fonction : Auteur
Helena Tuomainen
Gwen C. Dieleman

Résumé

Background. Clinicians in Child and Adolescent Mental Healthcare Services (CAMHS) face the challenge to determine who is at risk of persistence of depressive problems into adulthood and requires continued treatment after reaching the CAMHS upper age limit of care-provision. We assessed whether risk factors for persistence were related to CAMHS clinicians' transition recommendations. Methods. Within the wider MILESTONE cohort study, 203 CAMHS users were classified with unipolar depressive disorder by their clinician, and 185 reported clinical levels of depressive problems on the DSM-oriented Depressive Problems scale of the Achenbach Youth Self Report. Logistic regression models were fitted to both subsamples to assess the relationship between clinicians' transition recommendations and risk factors for persistent depression. Results. Only clinician-rated severity of psychopathology was related to a recommendation to continue treatment for those classified with unipolar depressive disorder (N=203; OR=1.45, 95% CI (1.03-2.03), p=.044) and for those with self-reported depressive problems on the Achenbach DSM-oriented Depressive Problems scale (N=185; OR=1.62, 95% CI (1.12-2.34), p=.012). Conclusion. Transition recommendations and need for continued treatment are based on clinical expertise, rather than self-reported problems and needs.
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hal-04342424 , version 1 (21-12-2023)

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Larissa S. van Bodegom, Mathilde M. Overbeek, Suzanne E. Gerritsen, Athanasios Maras, Manon H.J. Hillegers, et al.. Transition from Child and Adolescent to Adult Mental Health Services in Young People with Depression: On What Do Clinicians Base their Recommendation?. Depression and Anxiety, 2023, 2023, ⟨10.1155/2023/8495521⟩. ⟨hal-04342424⟩
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