Author:
Roberti Elisa,Scarpellini Francesca,Campi Rita,Giardino Michele,Clavenna Antonio,Bonati Maurizio,Stoppa Patrizia,Martinelli Ottaviano,Morosini Paola,Capovilla Giuseppe,Costantino Maria Antonella,Raviglione Federico,Conti Patrizia,Rossi Giorgio,Giarelli Maria Teresa,Fazzi Elisa Maria,Carpanelli Marialuisa,Canevini Maria Paola,Rinaldi Francesco,Molteni Massimo,Vignoli Aglaia,Borgatti Renato,Farinotti Laura,Arcangeli Donatella,Bona Paola,Giovannoni Franco,Pincherle Maurizio,Canitano Roberto,Gennaro Elena,Caucci Chiara,Bravaccio Carmela,Sotgiu Stefano,Costanza Giancarlo,Briatore Eleonora,Vitiello Benedetto,Zappulla Giuseppe,Colombi Elisa,Ferrario Mariarosa,Franzoi Malida,Martinez Federica,Obino Laure,Carrozzi Marco,Durbano Federico,Grignani Marco,Grignani Marco,Antonucci Alessandro,Rella Angelo,Di Paolo Pietro,Fiore Germano,Piemontese Gianluca,De Nicola Giulio,Conca Andres,Cucciniello Angelo,Rosa Moro Anna,Francobandiera Giorgio,Moraca Maria Carla,Corsini Paola,Antonucci Alessandro,Bondi Emi,Aroasio Luisa,Imperadore Giuseppe,Malagamba Daniela,Callegari Camilla,Toscano Marco,Di Cesare Gialuigi,Cappa Corrado,Gardellin Francesco,Laudani Elio,Raschitelli Nicoletta,Zanetti Michele,Cartabia Massimo,Graziani Vanna,Marchetti Federico,Suprani Tosca,Di Bartolo Paolo,Viganò Ilaria,Costantino Ilaria,Tessarollo Valeria,Ruffoni Giampaolo,
Abstract
Abstract
Background
Supporting young ADHD patients in transition to adult services is essential. Yet, the low percentages of successful referrals and the issues reported by patients and clinicians stress the need for further attention to transitioning practices. The present study assessed the transitioning process of Attention-Deficit/Hyperactivity Disorder (ADHD) patients in Child and Adolescent Mental Health Services (CAMHS) and Adult Mental Health Services (AMHS) in the Italian territory. We asked child and adult psychiatrists to report the current state of services and their observations on limitations and possible future matters that must be addressed.
Method
Seventy-seven centers (42 CAMHS, 35 AMHS) filled in a web-based survey in which they reported the number of ADHD patients, how many transitioning patients they had within the past year, and how they structured transition.
Results
A fragmented picture emerged from the survey. Lack of resources, training, and communication between services hinder the transition process, and many adult patients remain under CAMHS’ care. While some services have a protocol, there is no structured guidance that can help improve integration and continuity of treatment.
Conclusion
The observed situation reflects a need for improvement and standard guidelines to enable a successful transition process, considering clinicians' and patients’ necessities.
Funder
Italian Ministry of Health
Publisher
Springer Science and Business Media LLC
Subject
Psychiatry and Mental health,Pediatrics, Perinatology and Child Health