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Practitioner Review: Continuity of mental health care from childhood to adulthood for youths with ADHD: who, how and when?

  • Nicoletta Adamo
  • , Swaran P. Singh
  • , Sven Bölte
  • , David Coghill
  • , Jeffrey H Newcorn
  • , Valeria Parlatini
  • , Diane Purper-Ouakil
  • , Juliane Rausch
  • , Luis Augusto Rohde
  • , Paramala J. Santosh
  • , Tobias Banaschewski
  • , Jan B. Buitelaar
  • University of Warwick
  • Karolinska Institute
  • Stockholm County Council
  • University of Dundee
  • University of Melbourne
  • Icahn School of Medicine at Mount Sinai
  • King's College London
  • CHRU Montpellier
  • St Eloi Hospital
  • Psychological Medicine for Children and Adolescents
  • Versailles St-Quentin University
  • Centre de Recherche en Épidemiologie et Sante des Populations (CESP)
  • Feinstein Institute for Medical Research
  • Lapeyronie Hospital
  • Université Paris-Saclay
  • 1] Department of Child and Adolescent Psychiatry, Central Institute of Mental Health, Mannheim, Germany [2] Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany.
  • Federal University of Rio Grande do Sul
  • National Institute of Developmental Psychiatry for Children and Adolescents
  • Hospital de Clínicas de Porto Alegre
  • National Institute of Developmental Psychiatry for Children and Adolescents (INCT-CNPq)
  • University of Mannheim
  • Donders Institute for Brain, Cognition and Behaviour
  • Karakter Child and Adolescent Psychiatry University Center

Research output: Contribution to journalReview articlepeer-review

10 Citations (Scopus)
40 Downloads (Pure)

Abstract

Many youths with attention-deficit/hyperactivity disorder (ADHD) experience significant long-term impairment and may develop concurrent mental and somatic health difficulties as adults. This is associated with burden and costs for the individual and society which could be prevented through continued support in youth. Yet, only few young people transition to adult mental health services for ongoing care in different countries worldwide. We provide an overview on current transition practices, highlighting the gaps in knowledge and the barriers to effective service transitioning, while considering the large geographical variation in available guidelines and service provision. For ease of use, this review is organized in a question-and-answer format covering different aspects of the transition process and considering both service users’ and clinicians’ perspectives. Consensus is needed to identify those that require continued care, the optimal timing to arrange transition, and the most suitable services. Finally, we discuss cost-effectiveness of transition practices, consider examples of best practice, and propose recommendations on how to improve transitional care, including the importance of service users’ input into transition planning.
Original languageEnglish
Pages (from-to)1526-1537
Number of pages12
JournalJournal of child psychology and psychiatry, and allied disciplines
Volume65
Issue number11
Early online date16 Jul 2024
DOIs
Publication statusPublished - 30 Nov 2024

Keywords

  • ADHD
  • service continuity
  • transition

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