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Mental Health in Young People approaching Transitional Care: Transfer of Care at 17 Project (TC-17) pilot phase Kelly Harris, Matt Owens, Valerie Dunn, Mischa Gwaspari, Megan Ryan, Sonya Tsancheva & Ian Goodyer Aim & Method The aim was to assess individual characteristics which may influence successful transition and to inform a planned longitudinal study. A cross sectional design was used to assess 16-17 year olds approaching transitional care: 27 YPiC, recruited via Cambridge County Council and Peterborough County Council Cambridge; 26 CAMHS recruited via Cambridge and Peterborough Foundation Trust (CPFT). Using a range of interviews, self-report instruments & cognitive ability tests, we assessed: Service use (CASA) Psychological Distress Cognitive ability (GHQ) (WASI) TC17 measures Perceptions of barriers to service Mental health (SCID-RV) (PBS) Personality (BFI) Psychotic like symptoms (PLIKS) Results Lifetime Psychiatric Disorder in YPiC and CAMHS % of cases Introduction TC17 focuses on specific transition periods in two groups of vulnerable adolescents: young people in care (YPiC) approaching independent living and Child and Adolescent Mental Health Service users (CAMHS) facing discharge or transfer to Adult Mental Health Services (AMHS). Previous research has demonstrated transitions can be problematic in terms of increased mental health and reduced use of services. 35 30 25 20 15 10 5 0 YPiC (27) CAMHS (26) •74% of YPiC reached lifetime criteria for a psychiatric diagnoses: 52% were still significantly impaired as they faced their transition • 100% of the CAMHS group reached lifetime criteria for a psychiatric diagnosis: 77% were still significantly impaired as they faced their transition • Comorbidity was high in both groups: over one third suffering 3-5 diagnoses • Groups were characterised by distinct diagnostic profiles: CAMHS were characterised predominantly by depression & anxiety, YPiC by behaviour & alcohol/substance. All were chronic and impairing. YPiC reported little anxiety • Current self-reported psychological distress (GHQ-12) was high in both groups and associated with more perceptions of barriers to service use • 42% of CAMHS and 46% of YPiC had experienced at least one psychotic like symptom • 46% YPiC and 62% of CAMHS reported non-suicidal self-injury; 35% YPiC and 23% CAMHS reported attempted suicide Conclusion • Transitions in both groups may be compromised by high rates psychopathology • Current psychiatric disorder at a time of transition should be considered for both young service users and young people in care Key paper: Akister J, Owens M, Goodyer IM (2010) Leaving care & mental health outcomes for children in out-of-home care during transition to adulthood. Health Research Policy & Systems, 8:10