Psychiatry of Transition in a World in Transition (Transition_psy)

Queen Fabiola Children's University Hospital

Status

Completed

Conditions

Transitional Care

Mental Health

Mental Disorder in Adolescence

Treatments

Other: Risk and Protective Factors Assessment

Study type

Interventional

Funder types

Other

Identifiers

NCT04333797

P2020/PSY/Transition_psy

Details and patient eligibility

About

This clinical study evaluates risk and protective factor to develop psychopathology in transitional age youth. 300 patients will be recruited at the age of 17 years old and assessed at baseline and 2 years later.

Full description

Emerging adults are a particularly at-risk population in mental health. Transitional age youth have specific needs, not currently covered between child and adolescent mental health services (CAMHS) and adult mental health services (AMHS), mainly because of existing barriers. Movements from one to the other must be planned to achieve optimal patient care.

Our project aims to identify clinical dimensional characteristics contributing to the development of psychopathology during the transition period. Continuities, discontinuities and resilience factors will be explored. The final purpose is to develop a non-stigmatizing approach to reduce rejection from youths in psychopathological suffering and increase social inclusion.

The transversal and trans-diagnostic approach consists of a dimensional evaluation: 300 youth at the age of 17 will be included in a cohort of in-patients, out-patients and control group. Participants will be assessed at baseline and 2 years later. The primary outcome is based on Health of the Nation Outcome Scale for Children and Adolescents, measuring mental health care need, and WHO Quality of Life assessment.

The secondary outcomes include the assessment of dimensions representing risk or protective factors to develop psychopathology and evolution of mental health status during transition age. Baseline evaluation consists in internalizing/externalizing symptoms, impulsivity/compulsivity, emotion regulation, cognitive functioning, social and family functioning, developmental, medical and trauma history. At follow-up, mental health pathways and transition results will be described.

Enrollment

252 patients

Sex

All

Ages

17 to 17 years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

French-speaking and French-understanding
Subjects who accepted to participated to the study (signature of informed consent/assent document from subjects and parents or legal holder of parental authority)
Specific criteria for patients: inpatients and out-patients
Specific criteria for control group: youth from general population or placed in residential centres

Exclusion criteria

Impossibility to answer to the assessment tools
Medium intellectual disability (homogenous IQ < 75)
Presence of a grave somatic disease (cancer, cardiac failure, renal failure, central nervous system disorder), that is progressive or that affects the vital prognosis in the short term
Active participation to another study