{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T13:47:10Z","timestamp":1790862430107,"version":"4.1.0"},"reference-count":42,"publisher":"Wiley","license":[{"start":{"date-parts":[[2023,10,31]],"date-time":"2023-10-31T00:00:00Z","timestamp":1698710400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000780","name":"European Commission","doi-asserted-by":"publisher","award":["602442"],"award-info":[{"award-number":["602442"]}],"id":[{"id":"10.13039\/501100000780","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Depression and Anxiety"],"published-print":{"date-parts":[[2023,10,31]]},"abstract":"Background. Clinicians in Child and Adolescent Mental Healthcare Services (CAMHS) face the challenge to determine who is at risk of persistence of depressive problems into adulthood and requires continued treatment after reaching the CAMHS upper age limit of care-provision. We assessed whether risk factors for persistence were related to CAMHS clinicians\u2019 transition recommendations. Methods. Within the wider MILESTONE cohort study, 203 CAMHS users were classified with unipolar depressive disorder by their clinician, and 185 reported clinical levels of depressive problems on the DSM-oriented Depressive Problems scale of the Achenbach Youth Self Report. Logistic regression models were fitted to both subsamples to assess the relationship between clinicians\u2019 transition recommendations and risk factors for persistent depression. Results. Only clinician-rated severity of psychopathology was related to a recommendation to continue treatment for those classified with unipolar depressive disorder (\n \n N<\/a:mi>\n =<\/a:mo>\n 203<\/a:mn>\n <\/a:math>\n <\/jats:inline-formula>; \n \n OR<\/c:mtext>\n =<\/c:mo>\n 1.45<\/c:mn>\n <\/c:math>\n <\/jats:inline-formula>, 95% CI (1.03\u20132.03), \n \n p<\/e:mi>\n =<\/e:mo>\n .044<\/e:mn>\n <\/e:math>\n <\/jats:inline-formula>) and for those with self-reported depressive problems on the Achenbach DSM-oriented Depressive Problems scale (\n \n N<\/g:mi>\n =<\/g:mo>\n 185<\/g:mn>\n <\/g:math>\n <\/jats:inline-formula>; \n \n OR<\/i:mtext>\n =<\/i:mo>\n 1.62<\/i:mn>\n <\/i:math>\n <\/jats:inline-formula>, 95% CI (1.12\u20132.34), \n \n p<\/k:mi>\n =<\/k:mo>\n .012<\/k:mn>\n <\/k:math>\n <\/jats:inline-formula>). Conclusion. Transition recommendations and need for continued treatment are based on clinical expertise, rather than self-reported problems and needs.<\/jats:p>","DOI":"10.1155\/2023\/8495521","type":"journal-article","created":{"date-parts":[[2023,11,1]],"date-time":"2023-11-01T00:35:09Z","timestamp":1698798909000},"page":"1-11","source":"Crossref","is-referenced-by-count":2,"title":["Transition from Child and Adolescent to Adult Mental Health Services in Young People with Depression: On What Do Clinicians Base their Recommendation?"],"prefix":"10.1155","volume":"2023","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-3020-0751","authenticated-orcid":true,"given":"Larissa S.","family":"van Bodegom","sequence":"first","affiliation":[{"name":"Yulius Mental Health Organization, Yulius Academy, Dordrecht, 3300 BA, Netherlands"},{"name":"Department of Child and Adolescent Psychiatry and Psychology, Erasmus Medical Center, Rotterdam, 3000 CB, Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9090-8271","authenticated-orcid":true,"given":"Mathilde M.","family":"Overbeek","sequence":"additional","affiliation":[{"name":"Yulius Mental Health Organization, Yulius Academy, Dordrecht, 3300 BA, Netherlands"},{"name":"ARQ National Pyschotrauma Centre, Diemen, Netherlands"},{"name":"Clinical Child and Family Studies, Vrije Universiteit Amsterdam, Amsterdam, 1081 BT, Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8057-7501","authenticated-orcid":true,"given":"Suzanne E.","family":"Gerritsen","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry and Psychology, Erasmus Medical Center, Rotterdam, 3000 CB, Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9361-1414","authenticated-orcid":true,"given":"Athanasios","family":"Maras","sequence":"additional","affiliation":[{"name":"Yulius Mental Health Organization, Yulius Academy, Dordrecht, 3300 BA, Netherlands"},{"name":"ARQ National Pyschotrauma Centre, Diemen, Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4877-282X","authenticated-orcid":true,"given":"Manon H. J.","family":"Hillegers","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry and Psychology, Erasmus Medical Center, Rotterdam, 3000 CB, Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0304-268X","authenticated-orcid":true,"given":"Dieter","family":"Wolke","sequence":"additional","affiliation":[{"name":"Department of Psychology, University of Warwick, Coventry CV4 7AL, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9397-0900","authenticated-orcid":true,"given":"Dimitris","family":"Rizopoulos","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, Erasmus Medical Center, Rotterdam, 3000 CB, Netherlands"},{"name":"Department of Epidemiology, Erasmus Medical Center, Rotterdam, 3000 CB, Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni","family":"Allibrio","sequence":"additional","affiliation":[{"name":"Child And Adolescent Neuropsychiatric Service, ASST Spedali Civili, Brescia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Therese A. M. 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Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5240-7166","authenticated-orcid":true,"given":"Tomislav","family":"Frani\u0107","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University Hospital Split, Split 21000, Croatia"},{"name":"School of Medicine, University of Split, Split 21000, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1611-8324","authenticated-orcid":true,"given":"Giovanni","family":"de Girolamo","sequence":"additional","affiliation":[{"name":"Psychiatric Epidemiology and Evaluation Unit, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia 25125, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4316-1480","authenticated-orcid":true,"given":"Jason","family":"Madan","sequence":"additional","affiliation":[{"name":"Warwick Medical School, University of Warwick, 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UK"},{"name":"HealthTracker Ltd., Kent ME7 1AY, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Sartor","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Kinder- und Jugendpsychiatrie und Psychotherapie, Josefinum Augsburg, Augsburg 86154, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulrike M. 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