Background

Young people in secure services present with multiple vulnerabilities; therefore, transition periods are especially challenging for this group. In this study, we followed up young people discharged from adolescent medium secure services to adult and community settings with the aim to explore transition experiences and outcomes.

Methods

Participants were recruited from 15 child and adult mental health services in England. We conducted qualitative semi-structured interviews with 13 young people, aged 18–19 years, moving from adolescent medium secure units 2–6 months post-transition, and five carers 1–3 months pre-transition. Thematic analysis was performed to identify predetermined or data-driven themes elicited from face-to-face interviews.

Results

The findings indicated poor transition outcomes for young people with the most severe mental health symptoms and those who committed serious offences. Three overarching themes were identified: (1) unsettling environmental factors within adult services; (2) experiences of transition management and preparation and (3) parental experiences of transition process and engagement with adult services.

Conclusion

The findings of this study indicate that young people and carers value ongoing involvement in the transition process by well-informed parallel care. They also highlight the need for a national integrative care model that diverges from the traditional ‘one-size-fits-all’ approach.

中文翻译：

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英国青少年中等安全服务出院的年轻人的过渡结果：一项探索青少年和照顾者经历的定性研究

背景

安全服务中的年轻人存在多种漏洞；因此，过渡期对这一群体尤其具有挑战性。在这项研究中，我们跟踪了从青少年中等安全服务出院到成人和社区环境的年轻人，目的是探索过渡经验和结果。

方法

参与者来自英格兰的 15 个儿童和成人心理健康服务机构。我们对 13 名年龄在 18-19 岁之间的年轻人进行了定性半结构化访谈，他们在过渡后 2-6 个月从青少年中等安全单位搬来，并在过渡前 1-3 个月内对五名照顾者进行了访谈。进行主题分析以确定从面对面访谈中引出的预先确定的或数据驱动的主题。

结果

调查结果表明，心理健康症状最严重的年轻人和犯下严重罪行的年轻人的过渡结果很差。确定了三个总体主题：(1) 成人服务中令人不安的环境因素；(2) 过渡管理和准备的经验，以及 (3) 过渡过程和参与成人服务的父母经验。

结论

这项研究的结果表明，年轻人和照料者重视通过消息灵通的平行照料持续参与过渡过程。他们还强调需要一种不同于传统的“一刀切”方法的全国综合护理模式。