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 ADHD 的青少年从童年到成年的心理健康护理的连续性——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损害，并且成年后可能会并发出现精神和躯体健康问题。这与个人和社会的负担和成本有关，而这可以通过对青年的持续支持来预防。然而，在全球不同国家，只有少数年轻人过渡到成人心理健康服务以获得持续护理。我们概述了当前的过渡实践，强调了知识差距和有效服务过渡的障碍，同时考虑了可用指南和服务提供的巨大地理差异。为便于使用，本综述以问答形式组织，涵盖过渡过程的不同方面，并考虑了服务使用者和临床医生的观点。需要达成共识，以确定需要持续护理的患者、安排过渡的最佳时机以及最合适的服务。最后，我们讨论了过渡实践的成本效益，考虑了最佳实践的例子，并就如何改进过渡护理提出了建议，包括服务使用者对过渡计划的意见的重要性。