Eva Lindgren, a researcher in Nursing at the Department of Health. Photo. Erica Long View original picture , opens in new tab/window

Risk of increased mental health problems when transferring to Adult Psychiatry

Published: 16 December 2014

Young adults who moved from Child and adolescent psychiatry at Adult psychiatry can get a worsening mood. The reason is that they have not had time to create trusting relationships with staff. The consequence could be that they are not receiving the care offered.

– To transfer to be successful, a clear joint planning based on individual needs. And that the young adults have their own internal motivation and desire to receive care. It makes the young adults by engaging trusting relationships with the staff of Adult Psychiatry, says Eva Lindgren, PhD in nursing at the Department of Health.

Expected to be adults

Child and adolescent psychiatry has a family focus, while the Adult Psychiatry focuses on the individual and there will be a big step for the young adults. The coming of age and are expected to make their own decisions about continuing care and treatment. Furthermore feel the mental ill which makes it even more complicated.

In the lack of opportunity to establish secure relationships with health professionals increases the risk that the interrupt care even though they are in need of help and support. Support from relatives is important in the transition, and there is no support is the risk that the young adults fall through the cracks and not getting the care they need.

Support for Informal Caregivers important

It is not obvious that the relatives may be involved, because the young adults have to decide on participation. The results also show that it is important to have an open and inclusive attitude towards relatives. In order to be able to continue to fight for their young adults' health needs of their support to cope with their own situation. An opportunity to be relieved is that they have a greater opportunity to be involved in health care, which could also lead to increased trust and confidence in the care offered to young adults.

Individual requirements governing the transfer

The studies have Eva Lindgren interviewed staff of BUP and Adult Psychiatry in focus groups and individual interviews done with young adults and families. The results show that if the transfer is to be successful, the process needs planned in time and start from the young adults' needs while their parents are involved. For a successful transfer needs work is going in parallel from both directions based on the young adult maturity. For cooperation to work, staff in child psychiatry and Adult psychiatry get to know each other and based on a common consensus.
– The need to set aside time and resources for the transfer to be successful, and some flexibility based on individual needs, says Eva Lindgren.


Eva Lindgren

Eva Lindgren, Senior Lecturer, Head of Division

Phone: +46 (0)920 492219
Organisation: Nursing, Division of Nursing and Medical Technology, Department of Health Sciences