Background: ADHD, a common childhood psychiatric disorder, is known to persist into adulthood.
Gaps and needs in the care of adolescents having ADHD when moving on from Children’s Mental Health
Services (CAMHS) to Adult Mental Health Services (AMHS) exist and result in disruptions in care and lack
of care. This report describes the outcome of a quality improvement project in Birmingham in the United
Kingdom that focused on the patient journey and continuity of care.
Method: A CAMHS/AMHS transition (strategic) working group and a CAMHS ADHD transition (operational)
team were set up. A validated dataset of those requiring transition was created and patient needs were
reviewed. Planning and preparation for transition took place. The handover from CAMHS to AMHS was
done at a joint clinic involving both services.
Results: Over a 12-month period, the number of patients on the waiting list for transfer from CAMHS to
AMHS went from 134 to 14 and the waiting time for transition between the two services went from 12
months to four months. The referral rate for those in need of transfer from CAMHS to AMHS was optimised.
The rate of successful handover (and transition) went from 18% to 55% after the introduction of the joint
Conclusion: A collaborative effort between CAMHS and AMHS, including the holding of joint clinics, ensured
there was a comprehensive and effective transition care pathway in place for adolescents with ADHD.