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This page is an AI-assisted Turkish summary of the study presented at the 26th World Congress of Psychiatry. The study belongs to the presenting authors; please refer to the original source when citing it.

SO397

A systematic review of the use of transition tools in patients transitioning from child and adolescent mental health services to adult mental health services

A SYSTEMATIC REVIEW OF THE USE OF TRANSITION TOOLS FOR PATIENTS TRANSITIONING FROM CHILDREN’S MENTAL HEALTH SERVICES (CAMHS) TO ADULT MENTAL HEALTH SERVICES (AMHS).

Transition tools generally make a positive contribution to the transfer process from child and adolescent mental health services to adult services, but the evidence base remains limited to a small number of heterogeneous studies.

The aim was to systematically examine whether transition tools used in the transition from child and adolescent mental health services (CAMHS) to adult mental health services (AMHS) improve the transfer process. MEDLINE, Embase, APA PsycInfo, CINAHL, and Web of Science were searched in April 2024. Studies were included if they evaluated a named transition tool in patients diagnosed with a mental disorder in childhood who had transferred to adult services and reported qualitative or quantitative outcome measures. Study quality was assessed using a modified Newcastle–Ottawa Scale (out of 7). After duplicates were removed, 222 records were identified; 197 were excluded through title and abstract screening, and 25 full texts were reviewed. Of these, 20 were excluded, leaving 5 studies included in the review. The transition tools evaluated included specific transition pathways, joint CAMHS and AMHS outpatient clinics, and the use of a transition coordinator. In a randomized controlled trial (RCT) involving 748 patients, Singh and colleagues reported an 11.1-point reduction in illness severity scores (HoNOS) with managed transition. In Cappelli's study of 215 patients, 59.1% of those who used a transition tool successfully transferred to AMHS and had lower anxiety levels. In Majumder's evaluation of 127 patients, the use of a transition coordinator increased from 25% to 57.3%. In Winston's evaluation of 43 patients, 73.7% had a transition coordinator, but no pre-transition data were available for comparison. In Dunn's qualitative study involving 18 participants, patients reported satisfaction with being involved in the design of the transition tool. Because of the small number of studies and the considerable variation in outcome measures, subgroup analyses comparing different transition tools could not be performed. In conclusion, transition tools make a positive contribution to the transfer process at the local level, but more robustly designed research is needed to strengthen the evidence for this association.

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