Transition Psychiatry – Bridging the Gap Between Child/Adolescent and Adult Mental Health Care

Transition Psychiatry – Bridging the Gap Between Child/Adolescent and Adult Mental Health Care
 
Wolfgang Gaebel
 
Adult mental health care in many countries across Europe and beyond is still organized around institution-based  instead of community-based services (1, 2) – not integrated but fragmented on various levels from service provision to organization and funding. These are obstacles for implementing patient-oriented and evidence-based treatment and care.
This situation is most prevalent in the field of child- and adolescent psychiatry and its separation from adult services (3, 4). Many severe mental disorders are beginning early in life expanding into adulthood and later ages. A service border between age groups is arbitrary  and adverse to fulfil the needs of either group of patients across the lifespan to allow for a smooth transition along personal developmental needs and course of illness from early recognition to prevention and intervention.
Ongoing mental health care reforms across countries are aiming to bridge the gap between child/adolescent and adult mental health services by restructuring and connecting services to meet age- and illness-specific needs for young people at risk for or with manifest mental illness. Even information on health care coverage in the early age ranges is still lacking in many countries and needs to be made available for planning and monitoring health care reforms  (5). Early recognition and intervention services for young people with psychosis proneness are examples of successful youth mental health reforms transforming mental health services for this age group  (6).
In conclusion, policies, action planning, guidelines and guidance are needed to be jointly implemented across disciplinary borders and diagnostic categories including relevant stakeholders to bridge service gaps for better mental health of future generations (7, 8, 9). 
References: 
1 WHO European Mental Health Action Plan, 2013
2 European Joint Action on Mental Health and Well-being, 2013
3 Signorini et al., 2017
4 Signorini et al., 2018
5 Gaebel et al., submitted (2019)
6 Malla et al., 2016
7 Banaschewski et al, 2019
8 DGPPN, 2016
9 DGPPN, 2019

Address for correspondence:

Univ.-Prof. Dr. med. Wolfgang Gaebel
Past President EPA
WHO Collaborating Centre on Quality Assurance and Empowerment in Mental Health
LVR-Klinikum Düsseldorf
Heinrich-Heine-University Düsseldorf
Bergische Landstraße 2
D-40629 Düsseldorf
Tel. 0211/922-2752
Fax 0211/922-2031

Related posts

25 November 2019

Russian sports team of people with intellectual disabilities at the INAS 2019 World Games Brisbane (Australia)

In the period from October 12 to 19, 2019, the INAS Global Games 2019 (INAS 2019 World Games) were held...

25 November 2020

All-Russian Interuniversity Scientific Conference "Mental Health: Current Trends and Prospects"

On 10 December 2020 the All-Russian Interuniversity Scientific Conference "Mental Health: Current Trends and Prospects" will be held. The Conference...

7 December 2021

VII All-Russian Interuniversity Scientific Conference«MENTAL HEALTH: MODERN TRENDS & PROSPECTS»

VII ALL-RUSSIAN ONLINE CONFERENCE «MENTAL HEALTH: MODERN TRENDS & PROSPECTS» The Union for Mental Health (Moscow) in cooperation with the...

7 November 2017

AN OPPORTUNITY TO GET ACQUAINTED WITH ALL MHGAP FORUM 2017 PRESENTATIONS/WHO ON DEPRESSION

Source: http://www.who.int/mental_health/en/ The Organizers of the mhGAP Forum, held in Geneva on 9-10 Octobe, have shared a link with all the presentations...

12 October 2021

CHILDREN, SOCIETY AND THE FUTURE III Congress on Mental Health: Meeting the Needs of the XXI Century

The III Congress on Mental Health: Meeting the Needs of the XXI Century was held, online, on 8-9 October 2021 in Moscow...

26 July 2016

Prof. Mohammad Khodayarifard, Vice-president of the World Council for Psychotherapy, delivers a report at the Congress

Prof. Mohammad Khodayarifard, Vice-president of the World Council for Psychotherapy, Ph.D., Professor of Child Clinical Psychology and Dean of the...

6 April 2016

We are part of the International Day of Sport for Development and Peace!

International Day for Development and Peace. Peace and Sport Initiative The WhiteCard Campaign dedicated to celebration of the International Day for...

25 December 2017

DR. JUDY KURIANSKY, THE MAIN REPRESENTATIVE OF THE INTERNATIONAL ASSOCIATION OF APPLIED PSYCHOLOGY AND THE WORLD COUNCIL OF PSYCHOTHERAPY TO THE UNITED NATIONS WILL GIVE A REPORT WITHIN THE FRAMEWORK OF THE II CONGRESS

Dr. Judy Kuriansky, the Main representative of the International Association of Applied Psychology and the World Council of Psychotherapy to the...

13 December 2019

Dr Afzal Javed President-Elect World Psychiatric Association Welcome Address

Dear Colleagues and Friends It is a great pleasure to invite you all to the III Congress on Mental Health:...

10 January 2018

THE WPA THEMATIC CONGRESS "INNOVATION IN PSYCHIATRY: EFFECTIVE INTERVENTIONS FOR HEALTH AND SOCIETY", 25-28 FEBRUARY 2018

The World Psychiatric Association's Thematic Congress, Innovation in Psychiatry: Effective Interventions for Health and Society will take place in Melbourne (Australia), 25-28 February 2018....