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Contribution title 3246 - Implementation of NICE guideline “Transition from children’s to adults’ services for young people using health or social care services” in clinical practice
Contribution code PS03-70 (P)
Authors
  1. Leontien Los Brijder Addiction Care Presenter
Form of presentation Poster
Topic
  • Policy / advocacy
Abstract Objective:
Continuity in care around this age from child and adolescent services (CAMHS) to adult mental health AMHS) could be a step forward in improving the mental health services for adolescents with a psychiatric disorder (1). In the Netherlands we want to investigate if the NICE guideline “Transition from children’s to adults’ services for young people using health or social care services” (Feb. 2016) (2).could be helpful in this process.
Method:
The Parnassia Group is a NGO in the Netherlands that offers mental health services for children, adolescents and adults in the Netherlands. The NICE guidelines were translated to Dutch and a protocol for implementation was produced. During this process adjustments for the Dutch situation had to be made in order to be able to make a start on implementation
Results:
We discovered that a great deal of effort had to be made to make a transition arrangement good enough for the patients involved. It took a different way of thinking by the professionals and managers involved, for both the CHAMHS and AMHS departments. Although they are both psychiatric services it took and still takes a lot of time to learn each others world language and approach.

On the other hand, by doing this project all people involved saw the necessity for this approach in order to keep in touch with these young adult patients.
We decided that implementation of the guideline could lead to a significant improvement. First we will start a pilot with a small number of patients to address all issues emerging in an adequate way before starting the final implementation.
Conclusion:
To optimize mental care for the young people between 15 and 23 years old the knowledge and willingness from CHAMS and AMHS service professionals is a necessity for patients and their families to make a good transition from one service to the other. The organizational and financial implications can’t be fixed on an individual level. There had to be a sense of urgency on all levels of the involved organizations, from the board to the individual professional involved to make this proces beneficial for patients and their family.
(1) Deining youth mental health services for the 21st century: examples from Australia, Ireland and the UK
P McGorry, T Bates, M Birchwood - The British Journal of Psychiatry, 2013 - RCP
(2)Transition from children’s to adults’ services for young people using health or social care services NICE guideline [NG43] Published date: February 2016