Lessons Learnt From Running a Transition-Age Youth Mental Health Outpatient Clinic in Italy: The PRecocity of Intervention in Adolescent Medicine (PRIMA) Experience.

Autor: Colizzi M; Unit of Psychiatry, Department of Medicine (DMED), University of Udine, Udine, Italy.; Department of Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK., Basaldella M; Unit of Psychiatry, Department of Medicine (DMED), University of Udine, Udine, Italy., Candolo A; Unit of Psychiatry, Department of Medicine (DMED), University of Udine, Udine, Italy., Garzitto M; Unit of Psychiatry, Department of Medicine (DMED), University of Udine, Udine, Italy., Palermo A; Unit of Psychiatry, Department of Medicine (DMED), University of Udine, Udine, Italy., Scipioni C; Unit of Psychiatry, Department of Medicine (DMED), University of Udine, Udine, Italy., Tavian G; Unit of Psychiatry, Department of Medicine (DMED), University of Udine, Udine, Italy., Balestrieri M; Unit of Psychiatry, Department of Medicine (DMED), University of Udine, Udine, Italy., Bortoletto R; Unit of Psychiatry, Department of Medicine (DMED), University of Udine, Udine, Italy., Comacchio C; Unit of Psychiatry, Department of Medicine (DMED), University of Udine, Udine, Italy.
Jazyk: angličtina
Zdroj: Early intervention in psychiatry [Early Interv Psychiatry] 2024 Aug 20. Date of Electronic Publication: 2024 Aug 20.
DOI: 10.1111/eip.13604
Abstrakt: Aim: This study assessed whether transition age between adolescence and young adulthood poses a challenge for both patients and mental health services.
Methods: We retrospectively examined the baseline characteristics, diagnoses and treatments of 99 individuals aged 16-35 presenting to the PRecocity of Intervention in Adolescent Medicine (PRIMA) transition-age mental health outpatient clinic, Italy, over a 24-month period.
Results and Discussion: Most patients were female, aged 20 or younger, employed and did not experience impairment in daily autonomies. About half patients were referred by general practitioners or self-referred, often as initial contact with any adult mental health services, complaining with multiple symptoms (88%), mainly including anxiety, affective disturbances and insomnia. Most of them received a single diagnosis (68%), one out of three being diagnosed with a neurodevelopmental disorder. Patients presenting with anxiety (63% vs. 32%; OR = 3.55, p = 0.01) and affective symptoms (56% vs .23%; OR = 4.26, p = 0.01) and receiving multiple diagnoses (30% vs. 9%; χ 2 (2) = 19.7, p < 0.01) were more likely to be prescribed with psychopharmacological medication at the first visit. At a 6-month follow-up, one in two patients remained in PRIMA, while the others required different services tailored to their specific conditions, especially neurodevelopmental disorders.
Conclusion: Findings from this study warrant the need for specialised mental healthcare facilities ensuring timely and high-quality interventions for adolescents transitioning into young adulthood.
(© 2024 The Author(s). Early Intervention in Psychiatry published by John Wiley & Sons Australia, Ltd.)
Databáze: MEDLINE
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