No boundaries: a 2 year experience in a specialized youth mental health care program in the Netherlands
Open accessAbstract
Aim: Young people around the age of 18 receiving mental health care usually face the transition from child and adolescent (CAMHS) to adult mental health services (AMHS) bringing the risk of disruption in continuity of care. Recognizing the importance of early intervention in this vulnerable life‐period, this study aims to emphasize the importance of a client‐centred approach and continuity of care for this age group. For a deeper understanding of the specific needs of this group, the working method of a Dutch youth mental health (YMH) team working in a secondary mental health care setting is described, including some clinical characteristics and treatment results of patients who accessed this service. Methods: Data consist of a detailed description of the working method of the YMH team combined with clinical characteristics of all patients aged 15‐25 years accessing the services of the YMH team over a two‐year period. Results: The YMH team incorporated suggestions of earlier research into a client centred treatment. Key elements were multidisciplinary meetings, transcending diagnosis, flexibility and collaboration with other care providers. Clinical records showed a complex patient population and significant treatment effect. Conclusions: The group of emerging adults accessing the YMH team can be described as a patient group with a high diversity and complexity of disorders and problems. Continuity of care was met when patients turned 18, allowing treatments to be successfully performed by the same team of professionals using a client‐centred approach.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In @ease Netherlands, there was statistically significant improvement in symptoms and functioning post-treatment.
“statistically significant improvement in symptoms and functioning post-treatment”
From The Lancet Psychiatry Commission on youth mental health (2024) · cites this paper as [226]
The Results report statistically significant pre- to post-treatment improvements in symptoms (BSI) and functioning (GAF). But the Methods identify the patients as belonging to the specialized YMH team in Maastricht, while the Discussion describes @ease as a separate easy-access service. The paper does not attribute these outcomes to @ease. (LLM, conf=0.89)
Experimental — accuracy not yet measuredIn @ease Netherlands, there is high diversity and complexity of need at entry.
“High diversity and complexity of need at entry”
From The Lancet Psychiatry Commission on youth mental health (2024) · cites this paper as [226]
The Conclusions describe high diversity and complexity of disorders and problems among patients entering the specialized YMH team, not @ease. The Discussion (Working method) identifies @ease as a separate easy-access service but does not describe the needs of its users at entry. Page numbers are unavailable in our copy. (LLM, conf=0.84)
Experimental — accuracy not yet measuredIn @ease Netherlands, 33·3% of users improved clinically and 39·6% reliably improved (SOFAS); 43·2% improved to a better clinical category and 28·4% improved reliably (CORE-10).
“33·3% of users improved clinically and 39·6% reliably improved (SOFAS); 43·2% improved to a better clinical category and 28·4% improved reliably (CORE-10)”
From The Lancet Psychiatry Commission on youth mental health (2024) · cites this paper as [226]
The Methods and Results describe a specialized youth mental health care program using GAF and BSI scores, not SOFAS or CORE-10. The Results report improved mean scores but none of the four percentages attributed to @ease Netherlands; searches for the measures, improvement categories, and percentages found no supporting passage in our copy. (LLM, conf=0.78)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Understanding adolescence as a period of social–affective engagement and goal flexibility
Crone, E. A., & Dahl, R. E. (2012) · Nature Reviews Neuroscience · doi:10.1038/nrn3313 · Cited by 2,507 · see citing works
Correll, C. U., Galling, B., Pawar, A., Krivko, A., Bonetto, C., Ruggeri, M., Craig, T. J., Nordentoft, M., Srihari, V. H., Guloksuz, S., et al. (2018) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2018.0623 · Cited by 826 · see citing works
Decision-making in the adolescent brain
Blakemore, S.-J., & Robbins, T. W. (2012) · Nature Neuroscience · doi:10.1038/nn.3177 · Cited by 711 · see citing works
Adult mental health disorders and their age at onset
Jones, P. B. (2013) · British Journal of Psychiatry · doi:10.1192/bjp.bp.112.119164 · Cited by 701 · see citing works
Johnson, S. B., Blum, R. W., & Giedd, J. N. (2009) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2009.05.016 · Cited by 631 · see citing works
Integrated (one‐stop shop) youth health care: best available evidence and future directions
Hetrick, S. E., Bailey, A. P., Smith, K. E., Malla, A., Mathias, S., Singh, S. P., O'Reilly, A., Verma, S. K., Benoit, L., Fleming, T. M., et al. (2017) · Medical Journal of Australia · doi:10.5694/mja17.00694 · Cited by 288 · see citing works
Rickwood, D. J., Telford, N. R., Parker, A. G., Tanti, C. J., & McGorry, P. D. (2014) · Medical Journal of Australia · doi:10.5694/mja13.11235 · Cited by 207 · see citing works
Early Intervention—An Implementation Challenge for 21st Century Mental Health Care
McGorry, P. D., Ratheesh, A., & O'Donoghue, B. (2018) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2018.0621 · Cited by 109 · see citing works
Flagged first, then by citations
Research works printed but not linked: 23
- American Psychiatric Association (2000). Diagnostic and Statistical Manual of Mental Disorders (vol. 1, 4th ed.). Text Revision (DSM‐IV‐TR) Arlington, VA: American Psychiatric Association.
- Cooper, B., & Singh, B. (2000). Population research and mental health policy: Bridging the gap. The British Journal of Psychiatry, 176(5), 407– 411. 10.1192/bjp.176.5.407 10912213 · DOI
- Costello, E. J., Egger, H., & Angold, A. (2005). 10‐year research update review: The epidemiology of child and adolescent psychiatric disorders: I. methods and public health burden. Journal of the American Academy of Child and Adolescent Psychiatry, 44(10), 972– 986. 10.1097/01.chi.0000172552.41596.6f 16175102 · DOI · Paper page
- First, M. B., Benjamin, L. S., Gibbon, M., Spitzer, R. L., Williams, J. B. W., & Benjamin, L. S. (1997). Structured clinical interview for DSM‐IV axis II personality disorders. New York: American Psychiatric Press.
- First, M. B., Spitzer, R.L, Gibbon M., and Williams J. B. (2002). Structured clinical interview for DSM‐IV‐TR axis I disorders, research version, patient edition. SCID‐I/P.
- Hodapp, R. M., Kazemi, E., Rosner, B. A., & Dyker, E. M. (2006). Mental Retardation In Wolfe D. A. & Mash E. J. (Eds.), Behavioral and emotional disorders in adolescents. Nature, assessment, and treatment (pp. 383– 409). New York, NY: Guilford Publications.
- Kessler, R. C., Amminger, G. P., Aguilar‐Gaxiola, S., Alonso, J., Lee, S., & Ustun, T. B. (2007). Age of onset of mental disorders: A review of recent literature. Current Opinion in Psychiatry, 20(4), 359 10.1097/YCO.0b013e32816ebc8c 17551351 PMC1925038 · DOI · Paper page
- Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005). Lifetime prevalence and age‐of‐onset distributions of DSM‐IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 593– 602. 10.1001/archpsyc.62.6.593 15939837 · DOI · Paper page
- Kwan, B., & Rickwood, D. J. (2015). A systematic review of mental health outcome measures for young people aged 12 to 25 years. BMC Psychiatry, 15(1), 279– 219. 10.1186/s12888-015-0664-x 26573269 PMC4647516 · DOI
- Lord, C., Rutter, M., DiLavore, P., Risi, S., Gotham, K., & Bishop, S. (2012). Autism diagnostic observation schedule (second ed.). Torrance, CA: Western Psychological Services.
- McGorry, P. D. (2015). Early intervention in psychosis: Obvious, effective, overdue. The Journal of Nervous and Mental Disease, 203(5), 310– 318. 10.1097/NMD.0000000000000284 25919380 PMC4414340 · DOI
- McGorry, P. D., Goldstone, S. D., Parker, A. G., Rickwood, D. J., & Hickie, I. B. (2014). Cultures for mental health care of young people: An Australian blueprint for reform. Lancet Psychiatry, 1(7), 559– 568. 10.1016/S2215-0366(14)00082-0 26361315 · DOI · Paper page
- McGorry, P. D., & Mei, C. (2018). Early intervention in youth mental health: Progress and future directions. Evidence Based Mental Health, 21(4), 182– 184. 30352884 PMC10270418
- Merikangas, K. R., He, J. P., Burstein, M., Swanson, S. A., Avenevoli, S., Cui, L., … Swendsen, J. (2010). Lifetime prevalence of mental disorders in U.S. adolescents: Results from the National Comorbidity Survey Replication‐Adolescent Supplement (NCS‐A). Journal of the American Academy of Child and Adolescent Psychiatry, 49(10), 980– 989. 10.1016/j.jaac.2010.05.017 20855043 PMC2946114 · DOI · Paper page
- Pearson assessment & information BV (2012a) Whitepaper WAIS‐IV‐NL Psychometric properties, Deel 2 van 3. Amsterdam: Pearson Assessment and Information BV Retrieved from https://www.pearsonclinical.nl/pub/media/whitepapers/Whitepaper_WAIS-IV-NL_deel_2.pdf
- Pearson assessment & information BV. (2012b). White paper WAIS‐IV‐NL Theoretisch model en aanpassingen ten opzichte van de WAIS‐III‐NL, Deel 1 van 2. Amsterdam: Pearson Assessment and Information BV Retrieved from https://www.pearsonclinical.nl/pub/media/whitepapers/Whitepaper_WAIS-IV-NL_deel_1.pdf
- Pottick, K. J., Warner, L. A., Vander Stoep, A., & Knight, N. M. (2014). Clinical characteristics and outpatient mental health service use of transition‐age youth in the USA. The Journal of Behavioral Health Services & Research, 41(2), 230– 243. 10.1007/s11414-013-9376-5 24198086 · DOI
- Singh, S. P. (2009). Transition of care from child to adult mental health services: The great divide. Current Opinion in Psychiatry, 22(4), 386– 390. 10.1097/YCO.0b013e32832c9221 19417667 · DOI
- Singh, S. P., Paul, M., Ford, T., Kramer, T., Weaver, T., McLaren, S., … White, S. (2010). Process, outcome and experience of transition from child to adult mental healthcare: Multiperspective study. The British Journal of Psychiatry, 197(4), 305– 312. 10.1192/bjp.bp.109.075135 20884954 · DOI · Paper page
- Tohen, M., Bromet, E., Murphy, J. M., & Tsuang, M. T. (2000). Psychiatric epidemiology. Harvard Review of Psychiatry, 8(3), 111– 125. 10973936
- Vessey, J. T., & Howard, K. I. (1993). Who seeks psychotherapy? Psychotherapy: Theory, Research, Practice, Training, 30(4), 546 10.1037/0033-3204.30.4.546 · DOI
- World Health Organization. (2001). Department of mental health and substance dependence: Gender disparities in mental health world. Mental Health a Call for Action by World Health Ministry, 2001(48), 1– 25.
- Yung, A. R., McGorry, P. D., McFarlane, C. A., Jackson, H. J., Patton, G. C., & Rakkar, A. (1996). Monitoring and care of young people at incipient risk of psychosis. Schizophrenia Bulletin, 22(2), 283– 303. 10.1093/schbul/22.2.283 8782287 · DOI
Cited by
Sorted by citations
The Lancet Psychiatry Commission on youth mental health
McGorry, P. D., Mei, C., Dalal, N., Alvarez-Jimenez, M., Blakemore, S.-J., Browne, V., Dooley, B., Hickie, I. B., Jones, P. B., McDaid, D., et al. (2024) · The Lancet Psychiatry · doi:10.1016/s2215-0366(24)00163-9 · Cited by 663 · see citing works
Early Intervention—An Implementation Challenge for 21st Century Mental Health Care
McGorry, P. D., Ratheesh, A., & O'Donoghue, B. (2018) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2018.0621 · Cited by 109 · see citing works
Online Indicated Preventive Mental Health Interventions for Youth: A Scoping Review
van Doorn, M., Nijhuis, L. A., Egeler, M. D., Daams, J. G., Popma, A., van Amelsvoort, T., McEnery, C., Gleeson, J. F., Öry, F. G., Avis, K. A., et al. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.580843 · Cited by 43 · see citing works
Leijdesdorff, S. M. J., Huijs, C. E. M., Klaassen, R. M. C., Popma, A., van Amelsvoort, T. A. M. J., & Evers, S. M. A. A. (2023) · Journal of Mental Health · doi:10.1080/09638237.2020.1836555 · Cited by 20 · see citing works
Self-citationIshay, G. H., Zisman‐Ilani, Y., & Roe, D. (2023) · Early Intervention in Psychiatry · doi:10.1111/eip.13347 · Cited by 12 · see citing works
- Authors
- Leijdesdorff, S., Postma, M. R., van Kersbergen, L., Marchetta, N., & van Amelsvoort, T.
- Affiliations
- Maastricht University (NL)
- MHeNS School for Mental Health and Neuroscience Maastricht University Maastricht The Netherlands
- Virenze (NL)
- Corresponding author
- Leijdesdorff, Sophie
- Venue
- Early Intervention in Psychiatry
- Publisher
- Wiley
- Published
- 2019-11-03
- Volume
- 14
- Issue
- 2
- Pages
- 228-234
- ISSN
- 1751-7885 (ISSN-L)
- 1751-7893
- PMC
- PMC7065217
- OpenAlex
- W2984177771
- Cited by
- 19
- References
- 8
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 3 · 2023: 2 · 2022: 2 · 2021: 5 · 2020: 2 · 2018: 1
- FWCI
- 2.63
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Early Intervention in Psychiatry (publishedVersion, cc-by-nc-nd)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Research Publications (Maastricht University) (submittedVersion, cc-by-nc-nd)
- Research Publications (Maastricht University) (submittedVersion, other-oa)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Health Sciences › Health Professions › Speech and Hearing › Adolescent and Pediatric Healthcare
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- child and adolescent mental health services, emerging adults, continuity of care, person-centered approach, early intervention, multidisciplinary team meetings, secondary mental health care, treatment outcomes, patient clinical characteristics
- MeSH terms
- Adolescent, Adult, Continuity of Patient Care, Female, Humans, Male, Mental Health Services, Netherlands, Patient Care Team, Adolescent Health Services, Needs Assessment, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
