What happens when you’re turning 18?

If you are still receiving treatment with us when you are approaching your 18th birthday, your healthcare professional will start to discuss progression with you.

Progression/Transition to Adult Mental Health Services

What do we mean by progression?

As a young person receiving mental health support from children’s services there may come a point when you need to progress to adult services – usually when you turn 18.  This is often referred to as your “transition”, but following young people’s feedback we call it your “progression”.

We understand that the change in service may seem overwhelming.  We want to ensure that you feel supported throughout this important stage and are fully informed of the services and level of care that will be provided to you as you move over from Children’s Mental Health Services to the Adult Mental Health Service (AMHS).

We have set out some information below to help you understand the process and we will refer to your change in service as a ‘progression’ to AMHS.  There will be an opportunity to discuss this process further with the care coordinator within our service, so we would encourage you to write down any questions you have in preparation for any meetings you may have with us.

What is progression and when does it happen?

Progression refers to a change in service, in this case, from CAMHS or EWMHS to AMHS. If you are in a progression process at present it means your care and treatment is moving to AMHS. This process starts at approximately 17 years and 6 months and should be completed by the time you are 18 years old, and usually no later than 18 years and 3 months.

If you require continuing/ongoing care from our AMHS colleagues as you move into adulthood, the progression process should help you to understand this process of change, plan what your goals will be during this process and ensure your care is handed over in a way which feels comfortable and safe to you.  At the end of the process, you would have ended your involvement with Children’s Mental Health Services and be receiving a service from AMHS.

Joint meetings with AMHS

Joint meetings are organised so CAMHS/EWMHS and AMHS can work together to support you in your progression between the services. The aim of these meetings will be to introduce you to your new worker within AMHS, share your treatment plan with them, and give you an opportunity to get to know them and what to expect from their service. It should outline a crisis plan for what happens if you need support outside of office hours once you become an adult and detail how you will receive support and where you will need to go within the service.

Progression goals

Progression goals refer to the outcomes you would like to see as you transition to AMHS; it could be for you to know the name of your new worker, where you will be seeing someone or what treatment you will be receiving. Don’t worry, we can help you set some goals if you are unsure and we can guide you as to whether these goals are realistic and achievable. Ideally, your progression goals should be achieved by the time AMHS take over your care.

Treatment plan during progression

Your care and treatment will remain with CAMHS/EWMHS until the progression process is complete and agreed by all parties involved. This will mean your care and treatment will remain the same. There may be meetings with our AMHS colleagues to determine what will happen once the process is complete, and your care plan should follow you into AMHS.

Discharge plan from Children’s Mental Health Services

Once your progression process is complete, we will formally discharge you from our service. This means we will close your file to our team and handover your care and treatment to AMHS. We will send you a letter to confirm this and as part of the process, we will let your GP know of your move to AMHS.

Next steps

Once contact is made, a date will be agreed for the next few weeks for a joint meeting.  The aim of this meeting will be to introduce you to your AMHS practitioner/clinician and provide you with as much information as possible in preparation for your progression.

Please feel free to contact us at any time to discuss this process.  If you require any out of hours support, please contact 0300 555 1000 where you will be able to speak to a member of our Mental Health Direct team. 

If you are currently in the process of progressing to AMHS and would like to provide us with some feedback on your experience, you can do so via a brief survey.