Identifying Process And Outcome Indicators Of Successful Transitions From Child To Adult Mental Health Services: Protocol For A Scoping Review
Authors: Kristin Cleverley, Kathryn Bennett, Lianne Jeffs
Abstract:
Introduction
A significant proportion of youth need to transition from child and adolescent mental health services (CAMHS) to adult mental health services (AMHS); however, the transition process is not well understood and often experienced poorly by youth. In the effort to design and evaluate standards of practice for transitions, there is a need to identify key elements of a successful transition. The objectives of this scoping review are to: (1) identify definitions of successful transitions from CAMHS to AMHS; and (2) identify indicators that have been used to measure CAMHS–AMHS transition care processes and quality, and outcomes.
Methods
We will search 8 electronic bibliographic databases from 1980 to 2016 (eg, Medline, EMBASE, PsycINFO), professional associations, policy documents, and other grey literature to identify relevant material. We will include experimental, quasi-experimental, observational studies, and non-research studies (guidelines, narrative reviews, policy documents) examining the transition from CAMHS to AMHS. 2 raters will independently screen each retrieved title and abstract for eligibility using the study inclusion criteria (level 1), and then will independently assess full-text articles to determine if these meet the inclusion criteria (level 2). Data extraction will be completed and results will be synthesised both quantitatively and qualitatively.
Ethics and dissemination
The results of the scoping review will be used to develop a set of indicators that will be prioritised and evaluated in a Delphi consensus study. This will serve as a foundation for the development of the first instrument to assess the quality and success of CAMHS–AMHS transitions. Ethics approval is not required for this scoping study.
Citation: Kristin Cleverley, Kathryn Bennett, Lianne Jeffs Identifying Process And Outcome Indicators Of Successful Transitions From Child To Adult Mental Health Services: Protocol For A Scoping Review BMJ Open 2016;6:e012376 doi:10.1136/bmjopen-2016-012376
Received: 20 April 2016 Revised: 7 June 2016 Accepted: 9 June 2016 Published: 5 July 2016
Copyright: This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Acknowledgments
The authors thank Katye Stevens and Alexis Siren for their help with formatting the protocol and manuscript. KC held the CAMH Chair in Mental Health Nursing Research at the University of Toronto Lawrence S. Bloomberg Faculty of Nursing and the Centre for Addiction and Mental Health during the preparation of this protocol.
Contributors
KC, KB and LJ contributed to the concept and design of the study, and edited the protocol. KC obtained pilot study funding for the study. KC drafted the protocol, and all the authors read and approved the final protocol.
Competing interests: None
Provenance and peer review
Not commissioned; externally peer reviewed.
Data sharing statement:
The search strategies are available on request to the corresponding author.
