title: Lost in transition or translation? Care philosophies and transitions between child and youth and adult mental health services: a systematic review.
abstract: Background: Differences in care philosophies may influence transitions from child and adolescent mental health services (CAMHS) to adult mental health services (AMHS).Aims: To review literature about CAMHS and AMHS care philosophies and their influence on transitions.Method: MEDLINE, PsycINFO, Embase and CINAHL databases were searched electronically using keywords related to transitions, youth and mental disorders. Content relating to philosophies of care was searched manually. Descriptive themes were extracted and the analysis suggested four hypotheses of how care philosophies influence transitions.Results: Of the 1897 identified articles, 12 met eligibility criteria. Findings reveal consistent differences in care philosophies between CAMHS (developmental approach, involving families and nurturing) and AMHS (clinical/diagnosis-focus, emphasis on client autonomy and individual responsibility).Conclusions: Better understanding of philosophical differences and collaborative planning and service delivery may foster shared approaches in CAMHS and AMHS to better meet the needs of transitioning youth.
authors.affiliation: a DeGroote School of Business and.
authors.forename: Gillian M
authors.initials: GM
authors.lastname: Mulvale
authors.affiliation: b Faculty of Health Sciences, McMaster University , Ontario , Canada.
authors.forename: Tram D
authors.initials: TD
authors.lastname: Nguyen
authors.affiliation: b Faculty of Health Sciences, McMaster University , Ontario , Canada.
authors.forename: Ashleigh M
authors.initials: AM
authors.lastname: Miatello
authors.affiliation: b Faculty of Health Sciences, McMaster University , Ontario , Canada.
authors.forename: Mark G
authors.initials: MG
authors.lastname: Embrett
authors.affiliation: a DeGroote School of Business and.
authors.forename: Patricia A
authors.initials: PA
authors.lastname: Wakefield
authors.affiliation: a DeGroote School of Business and.
authors.forename: Glen E
authors.initials: GE
authors.lastname: Randall
mesh_terms: D000293:Adolescent; D016497:Adolescent Health Services / Q000458:organization & administration*; D006801:Humans; D001523:Mental Disorders / Q000175:diagnosis / Q000628:therapy*; D008605:Mental Health Services / Q000458:organization & administration*; D060305:Transition to Adult Care / Q000458:organization & administration*
keywords: Adolescent; adult mental health services; care approach; care philosophy; child; child and adolescent mental health services; mental disorders; transition to adult care