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Effect of managed transition on mental health outcomes for young people at the child-adult mental health service boundary: A randomised clinical trial

  • S. P. Singh*
  • , H. Tuomainen
  • , the Milestone Consortium
  • , G. Bouliotis
  • , A. Canaway
  • , G. De Girolamo
  • , G. C. Dieleman
  • , T. Franić
  • , J. Madan
  • , A. Maras
  • , F. McNicholas
  • , M. Paul
  • , D. Purper-Ouakil
  • , P. Santosh
  • , U. M.E. Schulze
  • , C. Street
  • , S. Tremmery
  • , F. C. Verhulst
  • , P. Wells
  • , D. Wolke
  • J. Warwick, Priya Tah, James Griffin, Rebecca Appleton, Natalie Heaney, Kate Lievesley, Mathilde Mastroianni, Jatinder Singh, Laura Adams, Giulia Signorini, Alessandro Ferrari, Elisa Gheza, Cecilia Ferrari, Laura Rivolta, Flavia Levi, Maria Cataldo, Lidia Manenti, Giorgia Morini, Adriana Pastore, Pamela Stagni, Cecilia Toselli, Pamela Varvara, Frédérick Russet, Virginie Maurice, Véronique Humbertclaude, Larissa S.Van Bodegom, Mathilde M. Overbeek, Suzanne E. Gerritsen, Melanie Saam, Ulrike Breuninger, Gaëlle Hendrickx
*Corresponding author for this work
  • University of Warwick
  • Coventry and Warwickshire Partnership NHS Trust
  • Warwick Medical School
  • IRCCS Centro San Giovanni di Dio Fatebenefratelli - Brescia
  • Split University Hospital
  • Yulius Academy and Yulius Autism
  • University College Dublin
  • Our Lady's Hospital for Sick Children
  • Lucena Clinic Sjog
  • CHU Montpellier
  • King's College London
  • South London and Maudsley NHS Foundation Trust
  • HealthTracker Ltd.
  • Ulm University
  • KU Leuven
  • University of Copenhagen
  • University of Plymouth
  • MACVIA-France and CHU
  • University of Ulm Belgium

Research output: Contribution to journalArticleAcademicpeer-review

32 Citations (Scopus)
92 Downloads (Pure)

Abstract

Background Poor transition planning contributes to discontinuity of care at the child-adult mental health service boundary (SB), adversely affecting mental health outcomes in young people (YP). The aim of the study was to determine whether managed transition (MT) improves mental health outcomes of YP reaching the child/adolescent mental health service (CAMHS) boundary compared with usual care (UC). Methods A two-arm cluster-randomised trial (ISRCTN83240263 and NCT03013595) with clusters allocated 1:2 between MT and UC. Recruitment took place in 40 CAMHS (eight European countries) between October 2015 and December 2016.

Original languageEnglish
Pages (from-to)2193-2204
Number of pages12
JournalPsychological Medicine
Volume53
Issue number6
Early online date29 Oct 2021
DOIs
Publication statusPublished - Apr 2023

Bibliographical note

Financial support:
MILESTONE received funding from the European
Union’s Seventh Framework Programme for research, technological development and demonstration under grant agreement no. 602442. Swaran Singh
was supported by the National Institute for Health Research (NIHR)
Applied Research Centre (ARC) West Midlands. MILESTONE was sponsored
by the University of Warwick.

Publisher Copyright:
Copyright © The Author(s), 2021. Published by Cambridge University Press.

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

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