A cross‐cultural qualitative study of the ethical aspects in the transition from child mental health services to adult mental health services

for the Milestone Consortium

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Abstract

Background: Transitioning from Child and Adolescent Mental Health Services (CAMHS) to Adult Mental Health Services (AMHS) raises novel ethical aspects for healthcare professionals, as well as for young people, their parents and carers. Method: Focus groups were conducted in Croatia, Ireland and the United Kingdom with youth mental health groups and youth representatives with no mental health (MH) remit. One hundred and eleven participants, aged from 16 to 60 years, contributed to discussions.
Results: Perpetuation of stigma, autonomy and decision-making were central themes as both enablers and deterrents of successful transition. The tension between professional (and at times parental) paternalism and young persons’ growing autonomy was well captured in the themes; (a) desired practice, (b) who should decide, (c) the process of decision-making and (d) potential harm(s). Conclusions: This study provides insight into the ethical values, particularly autonomy and collaboratively working, which people expect to underpin the transition between CAMHS and AMHS
Original languageEnglish
Pages (from-to)143-149
Number of pages7
JournalChild and Adolescent Mental Health
Volume25
Issue number3
Early online date23 Mar 2020
DOIs
Publication statusPublished - Sept 2020

Funding

The research leading to these results has received funding from the European Union's Seventh Framework Programme for research, technological development and demonstration under grant agreement no 602442. This paper reflects only the authors' views, and the European Union is not liable for any use that may be made of the information contained therein. The authors have declared that they have no competing or potential conflicts of interest. The research leading to these results has received funding from the European Union's Seventh Framework Programme for research, technological development and demonstration under grant agreement no 602442. This paper reflects only the authors' views, and the European Union is not liable for any use that may be made of the information contained therein.

FundersFunder number
European Commission
Seventh Framework Programme602442

    Keywords

    • Transition
    • ethics
    • child and adolescent mental health services; adult mental health services
    • qualitative research
    • decision-making

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