Association of Primary Care Continuity With Outcomes Following Transition to Adult Care for Adolescents With Severe Mental Illness

JAMA Network Open
Alène ToulanyAstrid Guttmann

Abstract

Adolescents with severe mental illness often age out of pediatric care without a clear transfer of care to adult services. The extent to which primary care provides stability during this vulnerable transition period is not known. To analyze the association between primary care continuity during the transition from pediatric to adult care and need for acute mental health services in young adulthood. This population-based cohort study used linked health and demographic administrative data for all adolescents aged 12 to 16 years with severe mental illness ascertained by hospitalization for schizophrenia, eating disorder, or mood disorder between April 1, 2002, and April 1, 2014, in Ontario, Canada. Participants were followed up through March 31, 2017. Data were analyzed from July 2018 to January 2019. Continuous primary care (same physician as baseline [age 12-16 years] always or sometimes), discontinuous primary care (visits to a primary care physician during the transition period who was not the patient's usual physician), and no primary care during the transition period (age 17-18 years). Mental health-related hospitalizations and emergency department visits in young adulthood (age 19-26 years) adjusted for sex, rurality, neigh...Continue Reading

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Oct 6, 2020·Journal of Medical Internet Research·Chelsea StundenDavid Wiljer
Feb 13, 2021·Diabetic Medicine : a Journal of the British Diabetic Association·Marie-Eve RobinsonMeranda Nakhla

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