Transition of Service Users from Child to Adult Mental Health Clinic in Lagos Nigeria
Journal Title: International Neuropsychiatric Disease Journal - Year 2017, Vol 10, Issue 1
Abstract
Adolescence is a potentially stressful period characterised by various developmental changes. Disruption in provision and utilisation of mental health services during the transition from adolescence to adulthood has dire implications on clinical outcomes. There is dearth of data on the transition of service users from child to adult mental health services in Africa. This study determined the rate and correlates of drop out from treatment during the transition from child and adolescent clinic to the adult out-patient clinic at a public mental health care facility in Nigeria. Using a retrospective cohort study design, clinical records of adolescent patients transferred to the adult clinic of a public psychiatric hospital after attaining adulthood were reviewed. Relevant clinical and socio-demographic data were documented in a pro-forma and analysed with SPSS 16. More than a third (37.1%) of the cohort dropped out of treatment during transition from the child and adolescent clinic to the adult clinic. Factors associated with disengagement from services during the transition period included male gender (p= 0.004), age <19 years at implementation of transfer (p<0.001) and previous traditional or spiritual treatment in the pathway to care (p= 0.015). On regression analysis, male gender (p=0.003), traditional or spiritual pathway to care (p=0.004) and transfer from child clinic before 19 years (p<0.001) were independently associated with drop-out from follow-up after transition to the adult clinic. The findings highlight the need for interventions targeted at minimising disruption in mental health service utilisation during transition from adolescence to adulthood. The transition process should be customised to address the specific and peculiar mental health needs of each adolescent.
Authors and Affiliations
Oluyemi Ogun, Increase Ibukun Adeosun, Grace Ijarogbe, Moshudat Bello-Mojeed
Keywords
Related Articles
- EP ID EP308511
- DOI 10.9734/INDJ/2017/36129
- Views 128
- Downloads 0
Hypovitaminosis D Showed Gender and Seasonal Variations in Saudi Patients with Multiple Sclerosis
Background: Multiple sclerosis (MS) is a chronic, inflammatory, autoimmune, demyelinating disease affecting the central nervous system. Vitamin D is an immunomodulating factor with potentiality to prevent and treat MS....
Comparison of Alexithymia and Quality of Life in Gifted and Non-gifted High School Students
Aim: With respect to the fact that students will undertake management in various areas of community in future, it seems necessary to recognize the issues influencing their emotions and expression. Therefore, the purpose...
A Case-control Study to Identify the Risk Factors of Dementia among Clinically Diagnosed Patients in Kerala
Context: Dementia is one of the most significant challenges of the 21st century because of its health, social and economic impact. In India over 4.1 million people are affected. Dementia still remains a largely hidden pr...
Assessment of Improvement in Feeding Behavior and Co Morbid Psychiatric Disorders in Morphine Addiction Period in Socialized Male Rats
Introduction: In previous studies, other function of adult hippocampal neurogenesis besides memory and learning has not been studied. The aim of this study is to discover other function of hippocampal neurogenesis, espec...
Cotard’s Syndrome: Clinical Case Presentation and Literature Review
In 1880 French neurologist Jules Cotard described a condition characterized by delusion of negation (nihilistic delusion) in a melancholia context. Recently, there has been a resurgence of interest in Cotard’s syndrome....