Table 1 Identified differences between transition protocols across Greater London
Protocol theme n = 13 | n (%) | Further details n (%) |
|---|---|---|
Agencies involved in developing protocol | not specified: 8 (62%) | specified: 5 (38%), from 2 (CAHMS and adult services) to 6 agencies (CAHMS, AMHS, PCT, Social Services, Information technology and Voluntary sector) |
CPA used as transition criterion | No: 10 (77%) | Yes: 3 (23%): patients on Enhanced CPA considered appropriate; those on Standard CPA would "be considered" |
Transition boundary: 18th birthday | Yes: 9 (69%) | No: 4 (31%): 3 (23%): 16th (n = 2) or 17th (n = 1) birthday if patient not in full time education (FTE), and 18th birthday if in FTE; 1 (8%): transition boundary 21st birthday |
Transition boundary flexible | Yes: 10 (77%) | No: 3 (23%) |
Specified duration of transition planning | No: 1 (8%) | Yes: 12 (92%): 6 (46%) at least 6 months; 2 (15%) at least 3 months; 4 (31%) at CAMHS review prior to transition |
Joint planning meeting | at least one: 11 (85%) | Joint work mentioned in 2 (15%), no details specified |
Formal transition plan to be drawn up | Not specified: 5 (38%) | Specified: 8 (62%): 5 (38%) before first appointment with AMHS; 2 (15%) following assessment by AMHS; 1(8%) basic plan before and final plan after assessment by AMHS |
Multi-agency involvement in transition planning | Not specified: 5 (38%) | Yes: 8 (62%): 6 (46%) a general remark; 2 (15%) specified inclusion in decision-making and information sharing |
Joint working during transition | Not specified: 9 (69%) | Yes: 4 (31%) |
Information to be transferred | Risk assessment and management plan: 6 (46%) | Other: 1 (8%) all case notes; 1 (8%) specifically not individual session notes, except where directly relevant e.g. because of high risk levels; 1 (8%) nothing specified; 2 (15%): "significant" reports, e.g. Occupational/Speech anguage Therapy, Psychology; 3 (23%): details of interventions & multi-agency working; 2 (15%): Framework for the assessment of children in need and their families [25] |
Procedures for patients not accepted by AMHS | Nothing mentioned: 10 (77%) | 2(15%) joint discussion between CAHMS and AMHS on further management; 1 (8%) find 'alternate' AMHS |