Transition to Adult Care

TRANSITION TO ADULT CARE

• Well Teens
• Chronic Illness

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

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. 

1. Becoming an Adult: Taking Responsibility for Your Medical Care 
2. Starting A Transition Improvement Process Using the Six Core Elements of HC
   • Transition Preparation
   • Transfer to Adult Care
   • Integration into Adult Care
   • Youth, Young Adult & Parent Engagement
3. Florida HATS Health Care Transition Curricula
4. American College of Physicians Pediatric to Adult Care Transitions Initiative
5. AAP Transition ECHO 

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” 

• Resident primary care clinic
• Adolescent clinic
• Inpatient settings

Chronic Illness

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