Facilitating transition between adolescent and adult psychiatry: patient and parent experiences from a jointly run ward for 16-25-year-olds in Germany

Lena-Sophie Over-Pluschke; Annette Duve; Sevinc Jürgens; Sebastian von Peter; Julian Schwarz

doi:10.1186/s13034-026-01059-8

ArtículoLectura onlineInglés

Facilitating transition between adolescent and adult psychiatry: patient and parent experiences from a jointly run ward for 16-25-year-olds in Germany

Lena-Sophie Over-Pluschke; Annette Duve; Sevinc Jürgens; Sebastian von Peter; Julian Schwarz

Año: 2026
Revista / colección: Child and Adolescent Psychiatry and Mental Health
Editorial / institución: BMC
DOI: 10.1186/s13034-026-01059-8 (se abre en una pestaña nueva)
ISSN: 1753-2000
Licencia: Acceso abierto

Resumen ADIPA

Elaborado con IA a partir del resumen de los autores

Artículo empírico cualitativo que examina un modelo de atención psiquiátrica integrada para jóvenes de 16 a 25 años en Alemania. El estudio analiza las experiencias de 27 pacientes y 7 padres que utilizaron una unidad hospitalaria conjunta staffeada por psiquiatras de adolescentes y adultos, que combina servicios ambulatorios e inpatientes en un modelo de atención transversal integrada. Mediante entrevistas semiestructuradas y análisis de contenido cualitativo, se identificaron como elementos valorados: el enfoque terapéutico individualizado, la flexibilidad de tratamiento en diferentes contextos, la comunicación transparente del personal, la homogeneidad de edad y las oportunidades para la autodeterminación. Los hallazgos sugieren que elementos estructurales específicos contribuyen a que la unidad sea percibida como un ambiente terapéutico apropiado para la edad.

Puntos clave

El modelo de atención integrada para jóvenes de 16 a 25 años combina servicios psiquiátricos ambulatorios e inpatientes bajo staffing conjunto de psiquiatras de adolescentes y adultos.
Los participantes valoraron especialmente el enfoque terapéutico individualizado, la flexibilidad entre diferentes contextos de tratamiento y la comunicación transparente y receptiva del personal.
La homogeneidad de edad en la unidad facilitó identificación mutua entre pares e interacciones de apoyo, elementos centrales en la percepción de un ambiente terapéutico apropiado.
Las oportunidades para la autodeterminación y la participación en decisiones fueron enfatizadas como factores importantes en la experiencia de usuarios y sus familias.
Se requiere investigación adicional para identificar y definir componentes específicos de la atención integrada que permitan su replicación y evaluación en otros contextos.

Para quién: Resulta útil para psiquiatras, psicólogos clínicos y planificadores de servicios de salud mental interesados en mejorar la continuidad de atención durante la transición de la adolescencia a la adultez en contextos de cuidado psiquiátrico.

Resumen de los autores

Background Young people in the transition from adolescence to adulthood face particular challenges in psychiatric care. Continuity of treatment is often disrupted, as services are typically divided between child and adolescent psychiatry and adult psychiatry. Few frameworks provide age-appropriate, integrated care for individuals aged 16–25. In Germany, a model project was established to address this gap. It offers treatment tailored to this age group within a cross-sector, integrated care model that combines outpatient and inpatient services under a jointly run ward staffed by both child and adolescent psychiatrists and adult psychiatrists. This study explores the distinctive features of this integrated adolescent ward and examines the experiences of patients and their parents. Methods Semi-structured interviews were conducted with 27 patients and 7 parents. Data were analyzed using qualitative content analysis, focusing on three domains: (1) framework conditions and access to care, (2) the concept and content of treatment, and (3) the environment of the integrated adolescent ward. Results Participants particularly valued the individualized therapeutic approach, flexible treatment across different settings, and transparent, responsive communication by staff. Age homogeneity and a focus on adolescence facilitated mutual identification and supportive peer interactions. Opportunities for self-determination and participation were also emphasized as important. Conclusion Findings suggest that specific structural elements contribute to the ward being perceived as an age-appropriate therapeutic environment. Further research should identify and define specific care components of integrated treatment for young people aged 16–25 to enable replication and evaluation of its implementation.

Áreas y palabras clave

Infancia y adolescencia Acute outpatient treatment Adolescent psychiatry Flexible and integrative care Needs assessment Transition

Cómo citar (APA 7)

Over-Pluschke, L. S., Duve, A., Jürgens, S., von Peter, S., & Schwarz, J. (2026). Facilitating transition between adolescent and adult psychiatry: patient and parent experiences from a jointly run ward for 16-25-year-olds in Germany. Child and Adolescent Psychiatry and Mental Health. https://doi.org/10.1186/s13034-026-01059-8

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Facilitating transition between adolescent and adult psychiatry: patient and parent experiences from a jointly run ward for 16-25-year-olds in Germany

Resumen ADIPA

Puntos clave

Resumen de los autores

Áreas y palabras clave

Cómo citar (APA 7)

Facilitating transition between adolescent and adult psychiatry: patient and parent experiences from a jointly run ward for 16-25-year-olds in Germany

Resumen ADIPA

Puntos clave

Resumen de los autores

Áreas y palabras clave

Cómo citar (APA 7)

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