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Table 1 Identified differences between transition protocols across Greater London

From: Transitions of Care from Child and Adolescent Mental Health Services to Adult Mental Health Services (TRACK Study): A study of protocols in 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