RQIA Independent Review of Child and Adolescent Mental Health ...

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RQIA Independent Review of Child and Adolescent Mental Health ...

Chapter 8

Arrangements in place to transfer service users from CAMHS to adult mental health

services

8.1 Term of Reference 3

Theme 1 - Transition to Adult Mental Health

A significant finding in the McCartan report highlighted the risks involved in poor communication and poor transitional

arrangements for young people moving into adult mental health services. It also highlighted that patients were not always

engaged in the process or involved in the decisions surrounding transfer.

The Bamford Review recommended that care pathways and protocols should be developed to ensure optimal patient care

between CAMHS and adult services. In addition, the review identified that transfer to adult services will usually occur around the

eighteenth birthday, however flexibility is required to ensure the best interest of the young person is considered. The review also

indicated that effective collaboration between adult and CAMHS will also ensure that the mental health and any other relevant

family circumstance will be considered. This has recently been taken forward through the SCIE initiative "Think Parent, Think

Child, Think Family" which provides a guide to parental mental health and child well being. All trusts reported they have engaged

with this initiative.

All trusts are aware of the importance of ensuring smooth transitions for young people into adult services. Three of the trusts

identified within a policy or draft policy that consideration of a transfer is made in advance of the young person's 18th birthday.

The Western Trust did not refer to this directly in its transfer policy. All of the trusts indicated that the need for transfer would be

agreed and discussed with the young person and their parents or carers and highlighted that there would be face to face contact

with the young person and adult services prior to transfer. The Northern and the Southern Trust highlighted arrangements to cowork

to provide a seamless service. The Belfast Trust indicated plans to arrange regular meetings with adult colleagues to

improve transitional arrangements.

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