Many youths with attention‐deficit/hyperactivity disorder (ADHD) experience significant long‐term impairment and may develop concurrent mental and somatic health difficulties as adults. This is associated with burden and costs for the individual and society which could be prevented through continued support in youth. Yet, only few young people transition to adult mental health services for ongoing care in different countries worldwide. We provide an overview on current transition practices, highlighting the gaps in knowledge and the barriers to effective service transitioning, while considering the large geographical variation in available guidelines and service provision. For ease of use, this review is organized in a question‐and‐answer format covering different aspects of the transition process and considering both service users' and clinicians' perspectives. Consensus is needed to identify those that require continued care, the optimal timing to arrange transition, and the most suitable services. Finally, we discuss cost‐effectiveness of transition practices, consider examples of best practice, and propose recommendations on how to improve transitional care, including the importance of service users' input into transition planning.

中文翻译：

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从业者评论：患有多动症的青少年从童年到成年的连续性心理保健护理——谁、如何以及何时？


许多患有注意力缺陷/多动障碍（ADHD）的青少年会经历严重的长期障碍，并且在成年后可能会同时出现精神和躯体健康问题。这会给个人和社会带来负担和成本，而这些负担和成本可以通过对青年的持续支持来避免。然而，在世界各地的不同国家，只有少数年轻人转向成人心理健康服务以获得持续护理。我们概述了当前的转型实践，强调了知识差距和有效服务转型的障碍，同时考虑了可用指南和服务提供的巨大地理差异。为了便于使用，本综述以问答形式组织，涵盖了过渡过程的不同方面，并考虑了服务用户和临床医生的观点。需要达成共识来确定那些需要持续护理的人、安排过渡的最佳时机以及最合适的服务。最后，我们讨论过渡实践的成本效益，考虑最佳实践的例子，并就如何改进过渡护理提出建议，包括服务使用者参与过渡规划的重要性。