TRANSITION TO ADULT CARE
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Updated March 2020
Learning Objectives:
- Describe the timing and progression of transition preparation during adolescence
- Identify at least one tool for assessing youth readiness for transition
- Delineate the key components of transition preparation and implementation
- Describe the objectives and measurable outcomes of transitional care
Readings and Videos
Readings:
- AAP, AAFP, and ACP, Transitions Clinical Report. Supporting the health care transition from adolescence to adulthood in the medical home. Pediatrics 2011;128(1):182-200.
- Bonnie R. Investing in the Health and Well-being of Young Adults. In: Institute of Medicine and National Research Council. National Academies Press.; 2015.
- John D. Mahan, Cecily L. Betz, Megumi J. Okumura and Maria E. Ferris. Self-management and Transition to Adult Health Care in Adolescents and Young Adults: A Team Process. Pediatr Rev. 2017 Jul;38(7):305-319. doi: 10.1542/pir.2016-0074.
Websites and Online Resources
- Becoming an Adult: Taking Responsibility for Your Medical Care
- Starting A Transition Improvement Process Using the Six Core Elements of HC
- Florida HATS Health Care Transition Curricula
- American College of Physicians Pediatric to Adult Care Transitions Initiative
- AAP Transition ECHO
Materials to Develop Educational Sessions
MedEd Portal:
- Gooding H, et al. Transitioning Bryan: The Transition to Adulthood and the Medical Home. MedEdPORTAL Publication; 2015.
- Alice A. Kuo, Mary R. Ciccarelli, Niraj Sharma and Debra S. Lotstein. A Health Care Transition Curriculum for Primary Care Residents: Identifying Goals and Objectives. Pediatrics. 2018 Apr;141(Suppl 4):S346-S354. doi: 10.1542/peds.2016-4300L.
- FloridaHATS “Education & Training for Health Care Professionals”
Clinical and Community Settings
- Resident primary care clinic
- Adolescent clinic
- Inpatient settings
Chronic Illness
Learning Objectives:
- Describe the impact of chronic illness on physical, emotional, sexual, social, and cognitive development, and the reciprocal impact of normal adolescent development on chronic illness
- Explain how chronic disease and intellectual impairment uniquely impact the process of transition preparation and challenges they pose for transfer of care
- List the consequences in young adulthood of ineffective, delayed, or unsuccessful transition