Background The transition between the Child and Adolescent Mental Health Services (CAMHS) and the Adult Mental Health Services (AMHS) is identified as an especially critical time for the continuity of care for patients with anorexia nervosa (AN). However, research on this topic is scarce. In the present study, we explore the patients’ experiences of the transition between CAMHS and AMHS. Methods A qualitative explorative study was carried out based on recorded interviews from one multi-step focus group and six individual interviews with patients who experienced the transition from CAMHS to AHMS in Norway. This study is service user-initiated, meaning service users were involved in all steps of the research process. Results The adolescents’ experiences are characterized by four overall themes regarding the transition process between CAMHS and AMHS: (1) “Being unprepared and alone in the transition process” describes how a lack of preparation for the transition between CAMHS and AMHS makes them feel alone and increases stress. (2) “It takes time to create a trusting relationship” describes how time influences patients’ trust in therapists and motivation for treatment. (3) “We are not all the same” describes how adolescents develop differently but are not treated differently despite their diverse ability to be self-sufficient. (4) “How they see me and treat me affects my hope for the future” describes the interaction between adolescents and therapists. Conclusions Acknowledging the patients’ needs during the transition period and considering their readiness for the transition is important. Taking into account the four dimensions described in the present study might improve the transition process and enhance the patients’ self-sufficiency and maturity.

中文翻译：

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神经性厌食症患者从儿童和青少年心理健康服务向成人心理健康服务过渡的经历

背景 儿童和青少年心理健康服务 (CAMHS) 与成人心理健康服务 (AMHS) 之间的过渡被认为是神经性厌食症 (AN) 患者持续护理的关键时期。然而，关于这个主题的研究很少。在本研究中，我们探讨了患者在 CAMHS 和 AMHS 之间过渡的经历。方法 基于一个多步骤焦点小组的记录访谈和对挪威经历从 CAMHS 过渡到 AHMS 的患者的六次个人访谈，进行了一项定性探索性研究。这项研究是服务用户发起的，这意味着服务用户参与了研究过程的所有步骤。结果 青少年经历的特点是关于 CAMHS 和 AMHS 之间的过渡过程的四个总体主题：(1) “在过渡过程中毫无准备和孤独”描述了在 CAMHS 和 AMHS 之间的过渡缺乏准备如何使他们感到孤独并增加压力。(2) “建立信任关系需要时间”描述了时间如何影响患者对治疗师的信任和治疗动机。（3）“我们不一样”描述了青少年如何以不同的方式发展，但尽管他们自给自足的能力不同，但他们并没有受到不同的对待。(4) “他们如何看待我和对待我会影响我对未来的希望”描述了青少年和治疗师之间的互动。结论 承认患者在过渡期间的需求并考虑他们对过渡的准备情况很重要。