{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T13:47:01Z","timestamp":1790862421577,"version":"4.1.0"},"reference-count":34,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,9,2]],"date-time":"2024-09-02T00:00:00Z","timestamp":1725235200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100006282","name":"Koning Boudewijnstichting","doi-asserted-by":"publisher","award":["2021\u2010J5151410\u2010223868"],"award-info":[{"award-number":["2021\u2010J5151410\u2010223868"]}],"id":[{"id":"10.13039\/501100006282","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Early Intervention Psych"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Psychiatric disorders often emerge during adolescence or young adulthood, leading to significant disability among youth. The transition from Child and Adolescent Mental Health Services (CAMHS) to Adult Mental Health Services (AMHS) is critical for individuals experiencing emerging psychopathology, with delayed access to care negatively impacting long\u2010term outcomes. Accessing mental health services for adolescents and young adults is often complex and delayed due to challenges in service visibility, accessibility and appropriateness.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study examines the care trajectories of individuals consecutively accessing the early detection and intervention (EDI) centre C'JAAD (Evaluation Centre for Young Adults and Adolescents) in Paris (France) over the year 2021. The main goal was to clarify the role of this EDI centre in the continuity of care and transition to AMHS. Data about their history of care, hospitalisations and referral sources were collected retrospectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The sample comprised 194 individuals, with 57.2% males and a median age of 20\u2009years. Most patients (67.5%) were \u226518\u2009years old upon arrival, with 31% in a situation of not being in education, employment, or training (NEET). Over one\u2010third (35.2%) had prior psychiatric hospitalisations. Patients were mainly referred to our EDI centre from other hospital departments (42.3%). Regarding care in CAMHS, 50.3% of the total sample had medical follow\u2010up during childhood, of whom 41.9% had discontinued care upon arrival at the EDI centre. The median onset age of care in CAMHS was 14, with a median duration of 12\u2009months. Adult patients experienced an approximately 3\u2010year gap between the end of CAMHS care and assessment at the EDI centre.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>The sample's characteristics resemble those of other EDI centres, but concerns persist regarding referral timing and the NEET status of many youths. Lack of prior medical follow\u2010up and challenges in transitioning to AMHS underscore the need to enhance care continuity and address difficulties in accessing care during the transition to adulthood.<\/jats:p><\/jats:sec>","DOI":"10.1111\/eip.13605","type":"journal-article","created":{"date-parts":[[2024,9,3]],"date-time":"2024-09-03T05:29:07Z","timestamp":1725341347000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["From Adolescence to Adulthood: Understanding Care Trajectories in an Early Detection and Intervention Centre in France"],"prefix":"10.1111","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0432-5705","authenticated-orcid":false,"given":"Simone","family":"Marchini","sequence":"first","affiliation":[{"name":"GHU Paris Psychiatrie et Neurosciences, H\u00f4pital Sainte Anne P\u00f4le PEPIT, C'JAAD (Centre d'\u00e9valuation pour adolescents et jeunes adultes)  Paris France"},{"name":"Service de Psychiatrie du B\u00e9b\u00e9, de l'Enfant, de l'Adolescent et du Jeune Adulte H\u00f4pital Universitaire de Bruxelles (H.U.B.)  Brussels Belgium"},{"name":"Facult\u00e9 de M\u00e9decine Universit\u00e9 Libre de Bruxelles (ULB)  Brussels Belgium"},{"name":"Institut de psychiatrie \u2010 R\u00e9seau transition, GDR3557  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie\u2010Alix","family":"Laroche","sequence":"additional","affiliation":[{"name":"GHU Paris Psychiatrie et Neurosciences, H\u00f4pital Sainte Anne P\u00f4le PEPIT, C'JAAD (Centre d'\u00e9valuation pour adolescents et jeunes adultes)  Paris France"},{"name":"Institut de psychiatrie \u2010 R\u00e9seau transition, GDR3557  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harmony","family":"Nemorin","sequence":"additional","affiliation":[{"name":"GHU Paris Psychiatrie et Neurosciences, H\u00f4pital Sainte Anne P\u00f4le PEPIT, C'JAAD (Centre d'\u00e9valuation pour adolescents et jeunes adultes)  Paris France"},{"name":"Institut de psychiatrie \u2010 R\u00e9seau transition, GDR3557  Paris 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