Progression to Adult Mental Health Services

Providing support to young people progressing from Children’s Essex Wide Mental Health Services (EWMHS) into Adult Mental Health Services (AMHS).

What do we mean by progression?

As a young person receiving mental health support from children’s services there may come a point when you need to progress to adults services – usually when you turn 18.  This is often referred to as your “transition”, but following young people’s feedback we call it your “progression”.

In Essex, mental health services are provided by NELFT’s Emotional Wellbeing and Mental Health Services (EWMHS) – you can read all about them on their web page.

Adult services are provided by EPUTs Adult Mental Health Service (AMHS).  These services are provided by teams in local areas.

Before your progression

Before you progress to AMHS there should be a period of time where both services work together, with you, to ensure you are prepared for the change.

A joint meeting should be arranged, at about six months before your progression date (e.g. six months before your 18th birthday) involving;

  • your current EWMHS Care Coordinator;
  • your future AMHS Care Coordinator;
  • your parent(s) and/or Carer(s) – IF you want them to be there;
  • and of course you!

If there has been anyone else, maybe someone from a voluntary organisation or support group, who has been supporting you, who you would like to attend the meeting also, this is fine – make sure you tell your care coordinator what you want.

Meeting 1

During this first meeting you should all discuss your progression and ensure you are prepared for the process and the likely change in services you will receive as an adult.

This should include:

  • an introduction to your Adult care co-ordinator;
  • information about your AMHS team – including location and contact details;
  • information about community services available in your local area ;
  • discussions about the possible reduction in services – as an adult you may not be deemed as needing the amount of support you required as a child.  You need to be prepared for this possibility.

This is also your chance to talk about anything that concerns you.  Come prepared – write down a list of questions if you need to – to make sure you get the answers you need.

A support plan will be written with you during this meeting, detailing what support you need in order to ensure your progression runs smoothly.

Your needs are key – this plan must address what concerns you and what you need.

Meeting 2

This meeting should be arranged for about a month before your progression date, and is your chance to review your support plan and say if it went well or if there is anything you still need.

Other meetings

Though the minimum number of meetings you should have is two, there is no reason why you cannot have more.  If you feel you would like to have meetings more often, say so in your first meeting and ask that the next one be arranged sooner.


At the end of your last joint meeting you should be given the chance to complete a Feedback Form.  You can complete it in the meeting and hand it back (in a sealed envelope) or take it away with you.  It is also available to download from this page or complete on line – see the links on the right.

You can, if you wish, include your name and contact details so that our Patient Experience team can call you to discuss your feedback in further detail.  It is entirely up to you if you want to do this.

The feedback compiled will be used to advise teams of how well their progressions are running and of any areas they need to improve upon on.  With your help we can continue to improve our services until all progressions run as smoothly as possible.

Where service is based

The service covers all of Essex County.

Hours of Operation

Hours of operation vary throughout the service.

How to Contact Service

The young person can contact the service through their Care Coordinator/Case worker.
Individual team contact details can also be found on the website.

Let us know your experiences

We want to hear from you about your experiences post transition from children’s to adult services. Please complete this online questionnaire.