1. CAMHS transition panel & transition passport
Dr Emma Medford, Clinical Psychologist
Dr Anthea Prosser, Consultant Psychiatrist

2. What do we mean by transition?
Transfer of young people out of Child & Young People Mental Health Services to other services or to discharge
CAMHS transition point is at 18 years

3. Why are we concerned about transition?
Can be anxiety-provoking for young people & families
Poor transition can lead to:
reduced engagement with adult services
emergency admissions and crises
unnecessary repeat assessments
gaps in care
TRACK study (Singh, 2008) – only 4% of young people received an ‘ideal transition’
25-50% of under 25s disengaged from mental health services (Birchwood, 2010)

4. What does good transition look like?
Person-centred, involve the young person
Involve families and carers when appropriate
Joint working between child and adult services
Uninterrupted
Involve young people and their carers in service design, delivery and evaluation
Named and contactable transition key worker

5. CAMHS transition process
Transition planning starts at 17years, 3months
Discussed in transition panel, transition passport
Consider: background, other agencies involved, current mental health needs, risk, resilience, input receiving from CAMHS, engagement in services, goals
Complete transition plan at least 6 months prior to transitioning
Transition meeting in CAMHS and in adult services
Named and contactable transition key worker – lead professional/care co-ordinator
Transition plan shared with GP and other relevant services

6. Transition passport Completed with young person Includes:
Strengths and difficulties
Hopes and aspirations for the future
Triggers
Emergency/crisis plan
What support I need from my new service
Preferences about my care
History of care interventions
Contact details for local services

7. Transition panel Discussed at 17 years, 3 months
Information provided by lead professional/care co-ordinator
Panel attended by:
CAMHS
Adult Secondary Care Mental Health Services
Improving Access to Psychological Therapies (IAPT)
Adult Learning Disability services
Early Intervention in Psychosis service
Multi-agency case discussion and planning
Fed-back to lead professional/care co-ordinator, young people & families
Liaison with local organisations e.g. Converge, Mind

8. Resources & references
NICE guidance (2016) Transition from children’s to adult’s services for young people using health or social care services
CQC. From the Pond Into The Sea. Children’s transition to adult health services (2014)
Singh et al (2008) Transitions of Care from Child and Adolescent Mental Health Services to Adult Mental Health Services (TRACK Study): A study of protocols in Greater London. BMC Health Services Research 8:135