{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T18:53:49Z","timestamp":1783018429932,"version":"3.54.6"},"reference-count":33,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2020,9,21]],"date-time":"2020-09-21T00:00:00Z","timestamp":1600646400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,9,21]],"date-time":"2020-09-21T00:00:00Z","timestamp":1600646400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Dam Foundation"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Health Serv Res"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n<jats:title>Background<\/jats:title>\n<jats:p>The transition period between child and adolescent mental health services (CAMHS) and adult mental health services (AMHS) has been identified as an especially critical time for patients with anorexia nervosa. In the present study, to better facilitate patients\u2019 recovery process, we explored the experiences of professionals concerning the transition from CAMHS to AMHS.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Method<\/jats:title>\n<jats:p>A qualitative explorative study was carried out based on recorded interviews from one multi-step focus group and two individual interviews with eight experienced health care professionals. Together they had experience with treating patients with AN and the transition from CAMHS to AMHS, both from specialized eating disorder units, specialized mental health care units, and from a school nurse context. Service users with parents` perspectives and patients\u2019 perspectives were involved in all steps of the research process.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Results<\/jats:title>\n<jats:p>Barriers experienced during the transition process were classified into four categories: (1) different treatment cultures that describe differences in how parents are included in CAMHS and AMHS; (2) mistrust between CAMHS and AMHS that can create a lack of collaboration and predictability for the patients\u2019 transition; (3) Clinicians` factors such as lack of professional self-confidence can influence continuity of care for patients; and (4) lack of trust between services and not enough focus on building a new alliance in AMHS negatively influences the transition.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Conclusions<\/jats:title>\n<jats:p>The present study revealed four important categories that professionals needs to consider when participating in the transition for patients with AN from CAMHS to AMHS. Awareness of these challenges might improve the transition process for patients with AN.<\/jats:p>\n<\/jats:sec>","DOI":"10.1186\/s12913-020-05740-2","type":"journal-article","created":{"date-parts":[[2020,9,21]],"date-time":"2020-09-21T13:03:52Z","timestamp":1600693432000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Mental health professionals\u2019 experiences transitioning patients with anorexia nervosa from child\/adolescent to adult mental health services: a qualitative study"],"prefix":"10.1186","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2336-0194","authenticated-orcid":false,"given":"Veronica","family":"Lockertsen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liv","family":"Nilsen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lill Ann Wellhaven","family":"Holm","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00d8yvind","family":"R\u00f8","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linn May","family":"Burger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan Ivar","family":"R\u00f8ssberg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,9,21]]},"reference":[{"key":"5740_CR1","doi-asserted-by":"publisher","first-page":"570","DOI":"10.1016\/1054-139X(93)90143-D","volume":"14","author":"RG Blum","year":"1993","unstructured":"Blum RG, Hodgman D, et al. Transition from childcentered to adult health-care systems for adolescents with chronic conditions. J Adolesc Health. 1993;14:570\u20136.","journal-title":"J Adolesc Health"},{"issue":"4","key":"5740_CR2","doi-asserted-by":"publisher","first-page":"305","DOI":"10.1192\/bjp.bp.109.075135","volume":"197","author":"SP Singh","year":"2010","unstructured":"Singh SP, Paul M, Ford T, Kramer T, Weaver T, McLaren S, et al. Process, outcome and experience of transition from child to adult mental healthcare: multiperspective study. Br J Psychiatry. 2010;197(4):305\u201312.","journal-title":"Br J Psychiatry"},{"key":"5740_CR3","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596","volume-title":"Diagnostic and statistical manual of mental disorders (DSM-5\u00ae)","author":"American Psychiatric Association AP","year":"2013","unstructured":"American Psychiatric Association AP. Diagnostic and statistical manual of mental disorders (DSM-5\u00ae). Washington, DC: American Psychiatric Pub; 2013. Report No.: 0890425574."},{"key":"5740_CR4","doi-asserted-by":"publisher","first-page":"67","DOI":"10.1186\/1471-244X-9-67","volume":"9","author":"S Fassino","year":"2009","unstructured":"Fassino S, Piero A, Tomba E, Abbate-Daga G. Factors associated with dropout from treatment for eating disorders: a comprehensive literature review. BMC psychiatry. 2009;9:67.","journal-title":"BMC psychiatry"},{"key":"5740_CR5","unstructured":"Eating disorders: Recognition and treatment. Full guideline [Internet]. 2017. Available from: https:\/\/www.nice.org.uk\/guidance\/ng69\/evidence\/full-guideline-pdf-161214767896."},{"issue":"8","key":"5740_CR6","doi-asserted-by":"publisher","first-page":"917","DOI":"10.1176\/appi.ajp.2013.12070868","volume":"170","author":"DL Franko","year":"2013","unstructured":"Franko DL, Keshaviah A, Eddy KT, Krishna M, Davis MC, Keel PK, et al. A longitudinal investigation of mortality in anorexia nervosa and bulimia nervosa. Am J Psychiatr. 2013;170(8):917\u201325.","journal-title":"Am J Psychiatr"},{"key":"5740_CR7","doi-asserted-by":"crossref","unstructured":"Garland BH, Caldwell KL, Acosta AB, Wiemann CM, Gonzales SA, Wolfe RS. Clinical considerations for emerging adults with eating disorders and transition to adult-based care. Evid Based Pract Child Adolesc Ment Health. 2018(4):1\u201315.","DOI":"10.1080\/23794925.2018.1504637"},{"key":"5740_CR8","doi-asserted-by":"publisher","unstructured":"Micali\u00a0N,\u00a0Hagberg\u00a0KW,\u00a0Petersen\u00a0I, et al. The incidence of eating disorders in the UK in 2000\u20132009: findings from the General Practice Research Database\u00a0BMJ open\u00a02013;3:e002646.\u00a0https:\/\/doi.org\/10.1136\/bmjopen-2013-002646.","DOI":"10.1136\/bmjopen-2013-002646"},{"issue":"6","key":"5740_CR9","doi-asserted-by":"publisher","first-page":"759","DOI":"10.1002\/eat.22017","volume":"45","author":"G Dimitropoulos","year":"2012","unstructured":"Dimitropoulos G, Tran AF, Agarwal P, Sheffield B, Woodside B. Navigating the transition from pediatric to adult eating disorder programs: perspectives of service providers. Int J Eat Disord. 2012;45(6):759\u201367.","journal-title":"Int J Eat Disord"},{"issue":"5","key":"5740_CR10","doi-asserted-by":"publisher","first-page":"635","DOI":"10.1002\/eat.20956","volume":"45","author":"H DeJong","year":"2012","unstructured":"DeJong H, Broadbent H, Schmidt U. A systematic review of dropout from treatment in outpatients with anorexia nervosa. Int J Eat Disord. 2012;45(5):635\u201347.","journal-title":"Int J Eat Disord"},{"key":"5740_CR11","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1192\/bjp.bp.112.119206","volume":"54","author":"C Lamb","year":"2013","unstructured":"Lamb C, Murphy M. The divide between child and adult mental health services: points for debate. Br J Psychiatry. 2013;54:41\u20134.","journal-title":"Br J Psychiatry"},{"issue":"7 Suppl","key":"5740_CR12","first-page":"S53","volume":"187","author":"PD McGorry","year":"2007","unstructured":"McGorry PD. The specialist youth mental health model: strengthening the weakest link in the public mental health system. Med J Aust. 2007;187(7 Suppl):S53\u20136.","journal-title":"Med J Aust"},{"issue":"8","key":"5740_CR13","doi-asserted-by":"publisher","first-page":"292","DOI":"10.1192\/pb.29.8.292","volume":"29","author":"SP Singh","year":"2005","unstructured":"Singh SP, Evans N, Sireling L, Stuart H. Mind the gap: the interface between child and adult mental health services. Psychiatr Bull. 2005;29(8):292\u20134.","journal-title":"Psychiatr Bull"},{"issue":"11","key":"5740_CR14","doi-asserted-by":"publisher","first-page":"614","DOI":"10.1055\/s-0033-1355843","volume":"81","author":"M Lambert","year":"2013","unstructured":"Lambert M, Bock T, Naber D, Lowe B, Schulte-Markwort M, Schafer I, et al. Die psychische Gesundheit von Kindern, Jugendlichen und jungen Erwachsenen--Teil 1: Haufigkeit, Storungspersistenz, Belastungsfaktoren, Service-Inanspruchnahme und Behandlungsverzogerung mit Konsequenzen. [Mental health of children, adolescents and young adults--part 1: prevalence, illness persistence, adversities, service use, treatment delay and consequences]. Fortschr Neurol Psychiatr. 2013;81(11):614\u201327.","journal-title":"Fortschr Neurol Psychiatr"},{"issue":"1","key":"5740_CR15","doi-asserted-by":"publisher","first-page":"30","DOI":"10.1002\/erv.830","volume":"16","author":"J Arcelus","year":"2008","unstructured":"Arcelus J, Bouman WP, Morgan JF. Treating young people with eating disorders: transition from child mental health to specialist adult eating disorder services. Eur Eat Disord Rev. 2008;16(1):30\u20136.","journal-title":"Eur Eat Disord Rev"},{"key":"5740_CR16","volume-title":"HASCAS Tools for Transition A Literature Review for Informed Practice","author":"Y Anderson","year":"2006","unstructured":"Anderson Y. CAMHS to adult transition. In: HASCAS Tools for Transition A Literature Review for Informed Practice. London: Health and Social Care Advisory Service; 2006."},{"key":"5740_CR17","doi-asserted-by":"crossref","unstructured":"Mulvale GM, Nguyen TD, Miatello AM, Embrett MG, Wakefield PA, Randall GE. Lost in transition or translation? Care philosophies and transitions between child and youth and adult mental health services: a systematic review. J Ment Health. 2016(28):1\u201310.","DOI":"10.3109\/09638237.2015.1124389"},{"issue":"5","key":"5740_CR18","doi-asserted-by":"publisher","first-page":"439","DOI":"10.1111\/j.1365-2214.2004.00440.x","volume":"30","author":"A While","year":"2004","unstructured":"While A, Forbes A, Ullman R, Lewis S, Mathes L, Griffiths P. Good practices that address continuity during transition from child to adult care: synthesis of the evidence. Child Care Health Dev. 2004;30(5):439\u201352.","journal-title":"Child Care Health Dev"},{"issue":"8","key":"5740_CR19","doi-asserted-by":"publisher","first-page":"401","DOI":"10.1111\/j.1746-1561.1990.tb05959.x","volume":"60","author":"C Connolly","year":"1990","unstructured":"Connolly C, Corbett-Dick P. Eating disorders: a framework for school nursing initiatives. J Sch Health. 1990;60(8):401\u20135.","journal-title":"J Sch Health"},{"key":"5740_CR20","unstructured":"Hummelvoll JK. Kunnskapsdannelse i praksis: handlingsorientert forskningssamarbeid i akuttpsykiatrien[developing knowledge in practice: Co-operative inquery in acut psychiatry units]. Oslo, Norway: Universitetsforl.; 2003. 286 s. fig. p."},{"issue":"8","key":"5740_CR21","doi-asserted-by":"publisher","first-page":"795","DOI":"10.1177\/1403494812465030","volume":"40","author":"K Malterud","year":"2012","unstructured":"Malterud K. Systematic text condensation: a strategy for qualitative analysis. Scand J Public Health. 2012;40(8):795\u2013805.","journal-title":"Scand J Public Health"},{"key":"5740_CR22","volume-title":"Kvalitative forskningsmetoder i praksis [qualitative research methods in practice]","author":"AH Tjora","year":"2017","unstructured":"Tjora AH. Kvalitative forskningsmetoder i praksis [qualitative research methods in practice]. 3rd. ed. Oslo, Norway: Gyldendal akademisk; 2017.","edition":"3rd. ed."},{"issue":"4","key":"5740_CR23","doi-asserted-by":"publisher","first-page":"449","DOI":"10.1097\/01.yco.0000172067.32014.91","volume":"18","author":"P Vostanis","year":"2005","unstructured":"Vostanis P. Patients as parents and young people approaching adulthood: how should we manage the interface between mental health services for young people and adults? Curr Opin Psychiatry. 2005;18(4):449\u201354.","journal-title":"Curr Opin Psychiatry"},{"issue":"8","key":"5740_CR24","doi-asserted-by":"publisher","first-page":"677","DOI":"10.1002\/eat.20303","volume":"39","author":"T Pereira","year":"2006","unstructured":"Pereira T, Lock J, Oggins J. Role of therapeutic alliance in family therapy for adolescent anorexia nervosa. Int J Eat Disord. 2006;39(8):677\u201384.","journal-title":"Int J Eat Disord"},{"issue":"1","key":"5740_CR25","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1093\/oxfordjournals.schbul.a033446","volume":"26","author":"L Dixon","year":"2000","unstructured":"Dixon L, Adams C, Lucksted A. Update on family psychoeducation for schizophrenia. Schizophr Bull. 2000;26(1):5\u201320.","journal-title":"Schizophr Bull"},{"issue":"5","key":"5740_CR26","doi-asserted-by":"publisher","first-page":"341","DOI":"10.1002\/erv.721","volume":"14","author":"W Vandereycken","year":"2006","unstructured":"Vandereycken W. Denial of illness in anorexia nervosa\u2014a conceptual review: part 1 diagnostic significance and assessment. Eur Eat Disord Rev. 2006;14(5):341\u201351.","journal-title":"Eur Eat Disord Rev"},{"key":"5740_CR27","unstructured":"Hoffman C, Heflinger CA, Athay M, Davis M. Policy, funding, and sustainability: issues and recommendations for promoting effective transition systems. 2009."},{"issue":"4","key":"5740_CR28","doi-asserted-by":"publisher","first-page":"501","DOI":"10.1007\/s00787-018-1112-5","volume":"27","author":"G Signorini","year":"2018","unstructured":"Signorini G, Singh SP, Marsanic VB, Dieleman G, Dodig-Curkovic K, Franic T, et al. The interface between child\/adolescent and adult mental health services: results from a European 28-country survey. Eur Child Adolesc Psychiatry. 2018;27(4):501\u201311.","journal-title":"Eur Child Adolesc Psychiatry"},{"key":"5740_CR29","doi-asserted-by":"publisher","first-page":"254","DOI":"10.1186\/1472-6963-13-254","volume":"13","author":"S McLaren","year":"2013","unstructured":"McLaren S, Belling R, Paul M, Ford T, Kramer T, Weaver T, et al. '\"Talking a different language\"': An exploration of the influence of organizational cultures and working practices on transition from child to adult mental health services. BMC Health Serv Res. 2013;13:254.","journal-title":"BMC Health Serv Res"},{"key":"5740_CR30","doi-asserted-by":"crossref","unstructured":"Appleton R, Connell C, Fairclough E, Tuomainen H, Singh SP. Outcomes of young people who reach the transition boundary of child and adolescent mental health services: a systematic review. Eur Child Adolesc Psychiatry. 2019 (28):1\u201316.","DOI":"10.1007\/s00787-019-01307-7"},{"issue":"8","key":"5740_CR31","doi-asserted-by":"publisher","first-page":"932","DOI":"10.1002\/eat.22033","volume":"45","author":"KS Gulliksen","year":"2012","unstructured":"Gulliksen KS, Espeset EM, Nordb\u00f8 RH, Sk\u00e5rderud F, Geller J, Holte A. Preferred therapist characteristics in treatment of anorexia nervosa: the patient's perspective. Int J Eat Disord. 2012;45(8):932\u201341.","journal-title":"Int J Eat Disord"},{"issue":"1","key":"5740_CR32","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1002\/erv.425","volume":"10","author":"G Pettersen","year":"2002","unstructured":"Pettersen G, Rosenvinge JH. Improvement and recovery from eating disorders: a patient perspective. Eat Disord. 2002;10(1):61\u201371.","journal-title":"Eat Disord"},{"key":"5740_CR33","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1186\/s13034-018-0249-9","volume":"12","author":"S Loos","year":"2018","unstructured":"Loos S, Walia N, Becker T, Puschner B. Lost in transition? Perceptions of health care among young people with mental health problems in Germany: a qualitative study. Child Adolesc Psychiatry Ment Health. 2018;12:41.","journal-title":"Child Adolesc Psychiatry Ment Health"}],"container-title":["BMC Health Services Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12913-020-05740-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12913-020-05740-2\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12913-020-05740-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,9,20]],"date-time":"2021-09-20T23:32:45Z","timestamp":1632180765000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmchealthservres.biomedcentral.com\/articles\/10.1186\/s12913-020-05740-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9,21]]},"references-count":33,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["5740"],"URL":"https:\/\/doi.org\/10.1186\/s12913-020-05740-2","relation":{},"ISSN":["1472-6963"],"issn-type":[{"value":"1472-6963","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,9,21]]},"assertion":[{"value":"5 February 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 September 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 September 2020","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The study was approved by the data protection authority at Oslo University Hospital (OUS; 2016\/19732). The study was performed in accordance with the Declaration of Helsinki and evaluated by the Regional Committee for Medical and Health Research Ethics for the Southeast Region of Norway (2016\/1259). The study is not viewed to be a medical or health related research project regulated by the law of health research and is thereby not subject to presentation (cf. HFL. \u00a7 2). Participants in the current study, were fully informed and have given their written consent to participate in the research.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"891"}}