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Background: Due to poor continuity of care between child and adult mental health services, young people (YP) are often discharged to their GP when they reach the upper boundary of child and adolescent mental health services (CAMHS). This handover of care, however, is poorly managed and GPs can struggle to support YP without input from specialist services. Little is known about YP’s experiences of accessing mental health support from their GP after leaving CAMHS. Aim: To explore the experiences of YP receiving primary care support after CAMHS for their mental health, and to identify barriers and facilitators to accessing primary care. Design and Setting: A qualitative study with YP and parents across two counties in England. Method: Narrative interviews were conducted with 14 YP and 13 parents who had experienced poor continuity of care after reaching their CAMHS transition boundary. Data were analysed using reflexive thematic analysis. Results: Three themes were identified: unmet mental health needs, disjointed care, and taking responsibility. YP who described positive experiences were more likely to have a long-term relationship with their GP and found their GP made time to understand their needs and experiences. Barriers included the perception that GPs were unable to prescribe certain medication, anxiety caused by the general practice environment, and having to move to a new practice at university. Conclusion: Future research should focus on interventions which improve continuity of care for YP after leaving CAMHS and collaborative working across community mental health services.

Young people who have fallen through the mental health transition gap: a qualitative study on primary care support