Thus, most mental-health care for adolescents and
young adults is typically delivered in community and
outpatient settings, often within the context of adult
services. In developed countries, encouraging
development of child and adolescent mental-health
services has taken place. However, such services have
emerged only fairly recently from an exclusive focus on
younger children, and typically still struggle to manage
young people in the middle and later stages of
adolescence, when adult patterns of disorders generally
emerge, whereas adult services are mainly focused on
older and more chronic patients, and exclude and neglect
younger patients. Iatrogenic eff ects can take place when
adolescents and young adults are mixed with older
chronically ill patients, including increased risks of
suicide.127 Initial access and continuing participation of
young people in adult mental-health service
Thus, most mental-health care for adolescents andyoung adults is typically delivered in community andoutpatient settings, often within the context of adultservices. In developed countries, encouragingdevelopment of child and adolescent mental-healthservices has taken place. However, such services haveemerged only fairly recently from an exclusive focus onyounger children, and typically still struggle to manageyoung people in the middle and later stages ofadolescence, when adult patterns of disorders generallyemerge, whereas adult services are mainly focused onolder and more chronic patients, and exclude and neglectyounger patients. Iatrogenic eff ects can take place whenadolescents and young adults are mixed with olderchronically ill patients, including increased risks ofsuicide.127 Initial access and continuing participation ofyoung people in adult mental-health service
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