Transition of service users from child to adult mental health clinic in Lagos Nigeria.

Transition of service users from child to adult mental health clinic in Lagos Nigeria.

Author by Dr. Increase Adeosun

Journal/Publisher: International Neuropsychiatric Disease Journal

Volume/Edition: 10

Language: English

Pages: 1 - 7

Abstract

Adolescence is a potentially stressful period characterised by various developmental changes.

Disruption in provision and utilisation of mental health services during the transition from

adolescence to adulthood has dire implications on clinical outcomes. There is dearth of data on the

transition of service users from child to adult mental health services in Africa. This study

determined the rate and correlates of drop out from treatment during the transition from child and

adolescent clinic to the adult out-patient clinic at a public mental health care facility in Nigeria.

Using a retrospective cohort study design, clinical records of adolescent patients transferred to the

adult clinic of a public psychiatric hospital after attaining adulthood were reviewed. Relevant clinical

and socio-demographic data were documented in a pro-forma and analysed with SPSS 16. More

than a third (37.1%) of the cohort dropped out of treatment during transition from the child and

adolescent clinic to the adult clinic. Factors associated with disengagement from services during

the transition period included male gender (p= 0.004), age <19>

(p<0 xss=removed>

regression analysis, male gender (p=0.003), traditional or spiritual pathway to care (p=0.004) and
transfer from child clinic before 19 years (p<0> from follow-up after transition to the adult clinic. The findings highlight the need for interventions
targeted at minimising disruption in mental health service utilisation during transition from
adolescence to adulthood. The transition process should be customised to address the specific and
peculiar mental health needs of each adolescent


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