The consequence could be that they are not receiving the care offered. A clear plan based on individual needs required for the transfer to be successful. That shows new research at Luleå University of Technology.
– Child and Adolescent Psychiatry and Adult Psychiatry have totally different perspectives and it will be a big step for the young adults. They are expected to be adults and be able to make their own decisions about continuing care and treatment. Moreover, a mental illness makes it even more complicated, says Eva Lindgren, PhD in nursing at Health Sciences.
Child and adolescent psychiatry has a family focus, while Adult psychiatry focuses on the individual. Whithout the support from relatives at the transfer, the risk is that the young adults fall through the cracks and not get the care they need. It requires self-motivation and and a strong will, but also a confidence in the healthcare.
That the relatives may be involved is not obvious, because the young adults have to make decisions about participation.
– Is there a good relationship with the relatives it does not need to be a problem, but if they dont have anyone to help them, the chances are they will be without care, says Eva Lindgren.
In the studies, she has interviewed staff in focus groups at the Child and Adolescent Psychiatry and Adult Psychiatry and individual interviews with young adults and relatives. The result shows that a successful transfer needs to be planned in time, while the parents are involved, and that work is done parallel from both sides. For a collaboration to work, the staff has get to know each other and start from a shared consensus. They also need to allocate time and resources.
For a transfer to be successful, there must be some flexibility based on individual needs. Other studies show that there are the same problems in other areas of care, says Eva Lindgren.