Sažetak sa skupa

https://doi.org/10.24869/spsih.2026.190

From Signposts to Guidelines – An Overview of European Recommendations for Transitional Psychiatric Care

Frane Franić ; University of Zagreb School of Medicine; University Hospital of Split / University of Split School of Medicine
Tomislav Franić ; University Hospital of Split / University of Split School of Medicine *
MILESTONE Konzorcij ; University of Warwick, Warwick, UK

* Dopisni autor.

Sažetak

Objectives of the study: To present the key principles
and recommendations for a high‑quality
transition of young people from child and adolescent
psychiatric care to adult mental health
services, and to introduce the final results and
clinical application of the European MILESTONE
project through the newly published ESCAP
guidelines. Materials and methods: The paper
is based on the results of the European MILESTONE
project, the largest European research
project focused on transition, conducted in several
European countries. The final culmination and
translation of the project results are presented
through the ESCAP guidelines for the transition
of mental health care. The content of the paper is
structured according to the key stages of the transition
process: preparation before transfer, transfer of care, and post‑transition support, with an
emphasis on a developmentally appropriate approach,
multidisciplinary collaboration, and continuity
of treatment. Statistical analysis: No additional
statistical analyses were conducted in this
paper. The recommendations presented are based
on previously published multicenter European
studies, longitudinal data from the MILESTONE
project, and expert consensus statements. Results:
A structured model of transitional care is
presented that integrates recommendations for
early transition planning, assessment of young
people’s needs, coordination between services,
clear inter‑service communication, and continuous
follow‑up after transfer of care. Particular
emphasis is placed on the importance of an individualized
approach and on preventing treatment
discontinuity during the transition to the adult
mental health system. The ESCAP guidelines
provide the final, practice‑oriented outcome of
the multi‑year MILESTONE project. Conclusion:
Transition is a complex clinical and developmental
process that requires structured planning and
collaboration among different services. Implementation
of the recommendations developed
through the MILESTONE project and the ESCAP
guidelines may contribute to improved continuity
of care and better treatment outcomes for young
people with mental health difficulties.

Ključne riječi

transition; guidelines; youth mental health; MILESTONE

Hrčak ID:

352322

URI

https://hrcak.srce.hr/352322

Datum izdavanja:

15.6.2026.

Podaci na drugim jezicima: hrvatski

Posjeta: 0 *