In recent years, in our service, in line with the Italian trends, there is a progressive increase in the access of already "complex" adolescents (psychoactive substances abuse; deviant, aggressive and breakthrough behavior in familiar and educational contexts). There are also components of deeper suffering, which involve the sphere of psychic, affective and relational discomfort. "Complex" teenagers are reluctant to rely on the services, relatives and operators; there are problems with “positive mirroring” and the ability to trigger resonance mechanisms with the "other", making difficult the retention in treatment, especially where taking charge is fragmented and multiple. Clinical practice suggests the importance of global and multidimensional taking charge and the need to create a continuity of care systems for "complex" teenagers passing from childhood to adulthood, who often perceive a lack of assistance from care services.The research (September 2015- December 2016) observed and analyzed how the "socio-sanitary complexity" influenced the clinical and operational management of cases within a given service and how it has been organized in order to provide relevant and effective responses to the new emerging needs.
Keywords: Research, Teens, Complexity, Global Care, Continuity of Care