Official websites use. Share sensitive information only on official, secure websites. Correspondence to Gaelle Hendrickx gaelle. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work. The transition from child and adolescent to adult mental health services for young people with mental health problems is of international concern.
Despite the high prevalence of mental disorders during adolescence and their tendency to continue during adulthood, the majority of young people do not experience continuity of care.
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The aim of this review paper is to unravel the complexity of transitional mental healthcare to clinicians, policy makers and mental health service managers, and to address challenges to a smooth transition process at all levels. Young people's transition from child and adolescent mental health services CAMHS to adult mental health services AMHS has gained increasing international interest in recent years. At around the age of 16β18 years, young people with chronic mental health problems are confronted with two simultaneous transitions: a situational transition from CAMHS to AMHS and a developmental transition to adulthood.
The transition age refers to the age at which the care of the young person in CAMHS is continued in AMHS, and in most cases, concerns young people in the 16β18 year age range. The following findings linked with psychopathology are relevant for transitional care at this time point: first, psychopathology has a high persistence from an early age into adulthood 5 ; second, the onset of many psychopathologies has been shown to coincide with the transition age.
The care gap affects not only the young people, but also their families, communities and society as a whole. Mental health problems are associated with poorer physical health and poorer functioning in the social, educational and economic life domains. The aim of this paper is to summarise the new insights and developments investigated since the review of Singh in Continuation of care is a complex process, with important players at the policy and organisational level, service level and at the level of individuals: patients, their families and healthcare providers.
