Transition from Child and Adolescent to Adult Mental Health Services in Young People with Depression: On What Do Clinicians Base their Recommendation?

Larissa S. Van Bodegom; Mathilde M. Overbeek; Suzanne E. Gerritsen; Athanasios Maras; Manon H.J. Hillegers; Dieter Wolke; Dimitris Rizopoulos; Giovanni Allibrio; Therese A.M.J. Van Amelsvoort; Rebecca Appleton; Marco Armando; Tomislav Franic; Giovanni De Girolamo; Jason Madan; Lidia Manenti; Francesco Margari; Fiona McNicholas; Adriana Pastore; Moli Paul; Diane Purper-Ouakil; Francesco Rinaldi; Melanie C. Saam; Paramala J. Santosh; Anne Sartor; Ulrike M.E. Schulze; Giulia Signorini; Swaran P. Singh; Cathy Street; Priya Tah; Elena Tanase; Sabine Tremmery; Helena Tuomainen; Gwendolyn C. Dieleman

doi:10.1155/2023/8495521

Transition from Child and Adolescent to Adult Mental Health Services in Young People with Depression: On What Do Clinicians Base their Recommendation?

Larissa S. Van Bodegom, Mathilde M. Overbeek, Suzanne E. Gerritsen, Athanasios Maras, Manon H.J. Hillegers, Dieter Wolke, Dimitris Rizopoulos, Giovanni Allibrio, Therese A.M.J. Van Amelsvoort, Rebecca Appleton, Marco Armando, Tomislav Franic, Giovanni De Girolamo, Jason Madan, Lidia Manenti, Francesco Margari, Fiona McNicholas, Adriana Pastore, Moli Paul, Diane Purper-OuakilFrancesco Rinaldi, Melanie C. Saam, Paramala J. Santosh, Anne Sartor, Ulrike M.E. Schulze, Giulia Signorini, Swaran P. Singh, Cathy Street, Priya Tah, Elena Tanase, Sabine Tremmery, Helena Tuomainen, Gwendolyn C. Dieleman^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Background. Clinicians in Child and Adolescent Mental Healthcare Services (CAMHS) face the challenge to determine who is at risk of persistence of depressive problems into adulthood and requires continued treatment after reaching the CAMHS upper age limit of care-provision. We assessed whether risk factors for persistence were related to CAMHS clinicians' transition recommendations. Methods. Within the wider MILESTONE cohort study, 203 CAMHS users were classified with unipolar depressive disorder by their clinician, and 185 reported clinical levels of depressive problems on the DSM-oriented Depressive Problems scale of the Achenbach Youth Self Report. Logistic regression models were fitted to both subsamples to assess the relationship between clinicians' transition recommendations and risk factors for persistent depression. Results. Only clinician-rated severity of psychopathology was related to a recommendation to continue treatment for those classified with unipolar depressive disorder (N=203; OR=1.45, 95% CI (1.03-2.03), p=.044) and for those with self-reported depressive problems on the Achenbach DSM-oriented Depressive Problems scale (N=185; OR=1.62, 95% CI (1.12-2.34), p=.012). Conclusion. Transition recommendations and need for continued treatment are based on clinical expertise, rather than self-reported problems and needs.

Original language	English
Article number	8495521
Number of pages	11
Journal	Depression and Anxiety
Volume	2023
Issue number	12
DOIs	https://doi.org/10.1155/2023/8495521
Publication status	Published - 31 Oct 2023

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Van Bodegom, L. S., Overbeek, M. M., Gerritsen, S. E., Maras, A., Hillegers, M. H. J., Wolke, D., Rizopoulos, D., Allibrio, G., Van Amelsvoort, T. A. M. J., Appleton, R., Armando, M., Franic, T., De Girolamo, G., Madan, J., Manenti, L., Margari, F., McNicholas, F., Pastore, A., Paul, M., ... Dieleman, G. C. (2023). Transition from Child and Adolescent to Adult Mental Health Services in Young People with Depression: On What Do Clinicians Base their Recommendation? Depression and Anxiety, 2023(12), Article 8495521. https://doi.org/10.1155/2023/8495521

@article{e50073edd057485a8b3f1620f1d57bb3,

title = "Transition from Child and Adolescent to Adult Mental Health Services in Young People with Depression: On What Do Clinicians Base their Recommendation?",

abstract = "Background. Clinicians in Child and Adolescent Mental Healthcare Services (CAMHS) face the challenge to determine who is at risk of persistence of depressive problems into adulthood and requires continued treatment after reaching the CAMHS upper age limit of care-provision. We assessed whether risk factors for persistence were related to CAMHS clinicians' transition recommendations. Methods. Within the wider MILESTONE cohort study, 203 CAMHS users were classified with unipolar depressive disorder by their clinician, and 185 reported clinical levels of depressive problems on the DSM-oriented Depressive Problems scale of the Achenbach Youth Self Report. Logistic regression models were fitted to both subsamples to assess the relationship between clinicians' transition recommendations and risk factors for persistent depression. Results. Only clinician-rated severity of psychopathology was related to a recommendation to continue treatment for those classified with unipolar depressive disorder (N=203; OR=1.45, 95% CI (1.03-2.03), p=.044) and for those with self-reported depressive problems on the Achenbach DSM-oriented Depressive Problems scale (N=185; OR=1.62, 95% CI (1.12-2.34), p=.012). Conclusion. Transition recommendations and need for continued treatment are based on clinical expertise, rather than self-reported problems and needs.",

author = "{Van Bodegom}, {Larissa S.} and Overbeek, {Mathilde M.} and Gerritsen, {Suzanne E.} and Athanasios Maras and Hillegers, {Manon H.J.} and Dieter Wolke and Dimitris Rizopoulos and Giovanni Allibrio and {Van Amelsvoort}, {Therese A.M.J.} and Rebecca Appleton and Marco Armando and Tomislav Franic and {De Girolamo}, Giovanni and Jason Madan and Lidia Manenti and Francesco Margari and Fiona McNicholas and Adriana Pastore and Moli Paul and Diane Purper-Ouakil and Francesco Rinaldi and Saam, {Melanie C.} and Santosh, {Paramala J.} and Anne Sartor and Schulze, {Ulrike M.E.} and Giulia Signorini and Singh, {Swaran P.} and Cathy Street and Priya Tah and Elena Tanase and Sabine Tremmery and Helena Tuomainen and Dieleman, {Gwendolyn C.}",

note = "Publisher Copyright: {\textcopyright} 2023 Larissa S. van Bodegom et al.",

year = "2023",

month = oct,

day = "31",

doi = "10.1155/2023/8495521",

language = "English",

volume = "2023",

journal = "Depression and Anxiety",

issn = "1091-4269",

publisher = "John Wiley & Sons Inc.",

number = "12",

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Van Bodegom, LS, Overbeek, MM, Gerritsen, SE, Maras, A, Hillegers, MHJ, Wolke, D, Rizopoulos, D, Allibrio, G, Van Amelsvoort, TAMJ, Appleton, R, Armando, M, Franic, T, De Girolamo, G, Madan, J, Manenti, L, Margari, F, McNicholas, F, Pastore, A, Paul, M, Purper-Ouakil, D, Rinaldi, F, Saam, MC, Santosh, PJ, Sartor, A, Schulze, UME, Signorini, G, Singh, SP, Street, C, Tah, P, Tanase, E, Tremmery, S, Tuomainen, H & Dieleman, GC 2023, 'Transition from Child and Adolescent to Adult Mental Health Services in Young People with Depression: On What Do Clinicians Base their Recommendation?', Depression and Anxiety, vol. 2023, no. 12, 8495521. https://doi.org/10.1155/2023/8495521

Transition from Child and Adolescent to Adult Mental Health Services in Young People with Depression: On What Do Clinicians Base their Recommendation? / Van Bodegom, Larissa S.; Overbeek, Mathilde M.; Gerritsen, Suzanne E. et al.
In: Depression and Anxiety, Vol. 2023, No. 12, 8495521, 31.10.2023.

Research output: Contribution to journal › Article › Academic › peer-review

TY - JOUR

T1 - Transition from Child and Adolescent to Adult Mental Health Services in Young People with Depression

T2 - On What Do Clinicians Base their Recommendation?

AU - Van Bodegom, Larissa S.

AU - Overbeek, Mathilde M.

AU - Gerritsen, Suzanne E.

AU - Maras, Athanasios

AU - Hillegers, Manon H.J.

AU - Wolke, Dieter

AU - Rizopoulos, Dimitris

AU - Allibrio, Giovanni

AU - Van Amelsvoort, Therese A.M.J.

AU - Appleton, Rebecca

AU - Armando, Marco

AU - Franic, Tomislav

AU - De Girolamo, Giovanni

AU - Madan, Jason

AU - Manenti, Lidia

AU - Margari, Francesco

AU - McNicholas, Fiona

AU - Pastore, Adriana

AU - Paul, Moli

AU - Purper-Ouakil, Diane

AU - Rinaldi, Francesco

AU - Saam, Melanie C.

AU - Santosh, Paramala J.

AU - Sartor, Anne

AU - Schulze, Ulrike M.E.

AU - Signorini, Giulia

AU - Singh, Swaran P.

AU - Street, Cathy

AU - Tah, Priya

AU - Tanase, Elena

AU - Tremmery, Sabine

AU - Tuomainen, Helena

AU - Dieleman, Gwendolyn C.

PY - 2023/10/31

Y1 - 2023/10/31

N2 - Background. Clinicians in Child and Adolescent Mental Healthcare Services (CAMHS) face the challenge to determine who is at risk of persistence of depressive problems into adulthood and requires continued treatment after reaching the CAMHS upper age limit of care-provision. We assessed whether risk factors for persistence were related to CAMHS clinicians' transition recommendations. Methods. Within the wider MILESTONE cohort study, 203 CAMHS users were classified with unipolar depressive disorder by their clinician, and 185 reported clinical levels of depressive problems on the DSM-oriented Depressive Problems scale of the Achenbach Youth Self Report. Logistic regression models were fitted to both subsamples to assess the relationship between clinicians' transition recommendations and risk factors for persistent depression. Results. Only clinician-rated severity of psychopathology was related to a recommendation to continue treatment for those classified with unipolar depressive disorder (N=203; OR=1.45, 95% CI (1.03-2.03), p=.044) and for those with self-reported depressive problems on the Achenbach DSM-oriented Depressive Problems scale (N=185; OR=1.62, 95% CI (1.12-2.34), p=.012). Conclusion. Transition recommendations and need for continued treatment are based on clinical expertise, rather than self-reported problems and needs.

AB - Background. Clinicians in Child and Adolescent Mental Healthcare Services (CAMHS) face the challenge to determine who is at risk of persistence of depressive problems into adulthood and requires continued treatment after reaching the CAMHS upper age limit of care-provision. We assessed whether risk factors for persistence were related to CAMHS clinicians' transition recommendations. Methods. Within the wider MILESTONE cohort study, 203 CAMHS users were classified with unipolar depressive disorder by their clinician, and 185 reported clinical levels of depressive problems on the DSM-oriented Depressive Problems scale of the Achenbach Youth Self Report. Logistic regression models were fitted to both subsamples to assess the relationship between clinicians' transition recommendations and risk factors for persistent depression. Results. Only clinician-rated severity of psychopathology was related to a recommendation to continue treatment for those classified with unipolar depressive disorder (N=203; OR=1.45, 95% CI (1.03-2.03), p=.044) and for those with self-reported depressive problems on the Achenbach DSM-oriented Depressive Problems scale (N=185; OR=1.62, 95% CI (1.12-2.34), p=.012). Conclusion. Transition recommendations and need for continued treatment are based on clinical expertise, rather than self-reported problems and needs.

U2 - 10.1155/2023/8495521

DO - 10.1155/2023/8495521

M3 - Article

SN - 1091-4269

VL - 2023

JO - Depression and Anxiety

JF - Depression and Anxiety

IS - 12

M1 - 8495521

ER -

Transition from Child and Adolescent to Adult Mental Health Services in Young People with Depression: On What Do Clinicians Base their Recommendation?

Abstract

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