Managed transition increased AMHS care receipt and appropriate transitions at 15 months in youth with IQ ≤70.

This study was a secondary analysis of a cluster randomised clinical trial involving 793 participants receiving child and adolescent mental health services (CAMHS) care. The population consisted of individuals with an IQ of 70 or less who were within one year of their service transition boundary. The trial was conducted across 40 CAMHS sites in eight countries. The intervention was a managed transition (MT) program consisting of training, identification, and assessment of transition readiness and appropriateness. The comparator was usual care (UC). The primary outcome was whether participants were receiving care from adult mental health services (AMHS) at 15 months follow-up.

At 15 months, 24.9% of participants in the MT group were receiving care from AMHS compared to 14.2% in the UC group. In absolute numbers, this represented 241 participants in the MT group versus 552 in the UC group. The difference was statistically significant with a p-value of 0.002. Regarding appropriate transitions, 32.3% of the MT group achieved this outcome versus 16.4% in the UC group, with a p-value less than 0.001.

Safety and tolerability data were not reported in this analysis. No adverse events, serious adverse events, discontinuations, or specific tolerability metrics were provided. The study limitations include the fact that this is a secondary analysis of a larger trial, and no specific limitations were listed in the provided data. Funding or conflicts of interest were not reported. The certainty of the evidence is not explicitly stated in the input data.

The practice relevance suggests that clinicians and services should consider incorporating managed transition into routine clinical care. However, given the lack of reported safety data and the specific population of youth with intellectual disabilities near transition age, broader application requires further investigation. The findings indicate a potential benefit for structured transition programs in this specific demographic.