European Society of Child and Adolescent Psychiatry (ESCAP) practical guidance for clinicians and mental health services regarding child to adult mental health service transitions and managed discharge at the service boundary

The European Society for Child and Adolescent Psychiatry (ESCAP) clinical guidance on transition supports care across the child and adolescent mental health service (CAMHS) and adult mental health service (AMHS) boundary throughout Europe. It outlines practices, procedures, and service environments to promote appropriate, safe and timely transition of young people from child and adolescent to adult mental health services or alternative care settings. The guidance addresses planning, decision-making and discharge management at CAMHS and, where needed, continuity in AMHS. The development of the guidance followed established methodological standards for clinical guidance production, combining evidence review, patient and public involvement (PPI), and expert consensus through a structured four-stage process. The guidance is presented in two parts: Part 1 covers six key domains of transition practice, while Part 2 targets service improvement. Intended primarily for clinicians and service managers and providers, the guidance also offers useful information for young people and their families. To enhance local relevance, countries should adapt recommendations to national service and policy contexts.

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Publication Details

Journal
European Child & Adolescent Psychiatry
Published
2026-03-14
DOI
https://doi.org/10.1007/s00787-026-03006-6
Primary Topic
Adolescent and Pediatric Healthcare
Type
article
Field-Weighted Citation Impact
0.00
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article

European Society of Child and Adolescent Psychiatry (ESCAP) practical guidance for clinicians and mental health services regarding child to adult mental health service transitions and managed discharge at the service boundary

Athanasios Maras, Enikö Kiss, Fiona McNicholas, Anne Marie Råberg Christensen et al.
European Child & Adolescent Psychiatry
Adolescent and Pediatric Healthcare
article

European Society of Child and Adolescent Psychiatry (ESCAP) practical guidance for clinicians and mental health services regarding child to adult mental health service transitions and managed discharge at the service boundary

Athanasios Maras, Enikö Kiss, Fiona McNicholas, Anne Marie Råberg Christensen, Tomislav Franić, Dieter Wolke C, Simone Marchini, M.M.M. Overbeek, Gwendolyn C. Dieleman, Rebecca Appleton, Helena Tuomainen, Swaran P. Singh, Diane Purper-Ouakil, Ulrike Schulze, Paramala Santosh, Leanne Walker, Gail Asher, Cathy Street, Ellie Jackson, Giovanni de Girolamo
article en

Abstract

The European Society for Child and Adolescent Psychiatry (ESCAP) clinical guidance on transition supports care across the child and adolescent mental health service (CAMHS) and adult mental health service (AMHS) boundary throughout Europe. It outlines practices, procedures, and service environments to promote appropriate, safe and timely transition of young people from child and adolescent to adult mental health services or alternative care settings. The guidance addresses planning, decision-making and discharge management at CAMHS and, where needed, continuity in AMHS. The development of the guidance followed established methodological standards for clinical guidance production, combining evidence review, patient and public involvement (PPI), and expert consensus through a structured four-stage process. The guidance is presented in two parts: Part 1 covers six key domains of transition practice, while Part 2 targets service improvement. Intended primarily for clinicians and service managers and providers, the guidance also offers useful information for young people and their families. To enhance local relevance, countries should adapt recommendations to national service and policy contexts.

European Child & Adolescent Psychiatry
University College Dublin (IE), Université Libre de Bruxelles (BE), Inserm (FR), King's College London (GB), Universität Ulm (DE), University of Szeged (HU), Mental Health Research UK (GB), Mental Health Services (DK), University of Warwick (GB), Arq Psychotrauma Expert Group (NL), Centre Hospitalier Universitaire de Montpellier (FR), Centre Hospitalier Universitaire Brugmann (BE), Centre de recherche en Epidémiologie et Santé des Populations (FR), Centro San Giovanni di Dio Fatebenefratelli (IT), Healthcentric Advisors (US), Maudsley Hospital (GB), Yulius (NL), University College London (GB), Vrije Universiteit Amsterdam (NL), Erasmus University Rotterdam (NL), University of Split (HR)
Peace, Justice and strong institutions
Openalex Percentile: Top 20%
Adolescent and Pediatric Healthcare
DOIOpen Access PDFOpenAlex
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