TRANSITION TO ADULT CARE

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Updated March 2020

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Well Teens


Learning Objectives:
  1. Describe the timing and progression of transition preparation during adolescence
  2. Identify at least one tool for assessing youth readiness for transition
  3. Delineate the key components of transition preparation and implementation
  4. Describe the objectives and measurable outcomes of transitional care
Readings and Videos

Readings:
  1. 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. 
  2. Bonnie R. Investing in the Health and Well-being of Young Adults. In: Institute of Medicine and National Research Council. National Academies Press.; 2015.
  3. 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
  1. Becoming an Adult: Taking Responsibility for Your Medical Care 
  2. Starting A Transition Improvement Process Using the Six Core Elements of HC
  3. Florida HATS Health Care Transition Curricula
  4. American College of Physicians Pediatric to Adult Care Transitions Initiative
  5. AAP Transition ECHO 

Materials to Develop Educational Sessions

MedEd Portal:
  1. Gooding H, et al. Transitioning Bryan: The Transition to Adulthood and the Medical Home. MedEdPORTAL Publication; 2015.  
  2. 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.   
  3. FloridaHATS “Education & Training for Health Care Professionals” 

Clinical and Community Settings
  • Resident primary care clinic
  • Adolescent clinic
  • Inpatient settings
 

 

Chronic Illness


Learning Objectives:
  1. 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
  2. Explain how chronic disease and intellectual impairment uniquely impact the process of transition preparation and challenges they pose for transfer of care
  3. List the consequences in young adulthood of ineffective, delayed, or unsuccessful transition

Readings and Videos

Readings:
  1. Lydie A. Lebrun-Harris, Margaret A. McManus, Samhita M. Ilango, Mallory Cyr, Sarah Beth McLellan, Marie Y. Mann and Patience H. White. Transition Planning Among US Youth With and Without Special Health Care Needs. Pediatrics. 2018 Oct;142(4). pii: e20180194. 
  2. Okumura MJ, Hersh AO, Hilton JF, Lotstein DS. Change in health status and access to care in young adults with special health care needs: results from the 2007 national survey of adult transition and health. Journal of Adolescent Health. 2013;52(4):413-418.
Websites and Online Videos:
  1. Trapeze: A supported leap into adult health. Resources for paediatric teams

Materials to Develop Educational Sessions

Got Transition Resources

Clinical and Community Settings
  • Resident primary care clinic
  • Adolescent clinic
  • Inpatient settings
  • Subspecialty clinics
  • Adult care settings (Internal or Family medicine clinic)

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