![]() 3, 4 Outcomes-related research efforts have, so far, failed to fully address the transition needs of adolescents with or without chronic conditions. Although 2 National Surveys of Children With Special Health Care Needs indicate improvements between 20, there has been only limited achievement of national health policy goals related to transition. To date, only limited progress can be documented in the achievement of the consensus statement's 6 critical steps. 2Īfter nearly a decade of effort, widespread implementation of health transition supports as a basic standard of high-quality care has not been realized. The US Department of Health and Human Service's Maternal and Child Health Bureau (MCHB) has been instrumental in promoting the importance of seamless, effective, and comprehensive services for all youth and families during this major life transition. Its conclusions and critical steps remain widely accepted standards that have informed the development of pilot projects, model practices, and national initiatives to improve support for transitioning youth. It provided foundational guidance for health care processes that include health care planning and information exchange, for professional education and certification, and for insurance and payment reform. 1 This statement represented the shared perspectives of health care professionals, families, youth, researchers, and policy-makers. In 2002, a consensus statement coauthored by the American Academy of Pediatrics (AAP), the American Academy of Family Physicians (AAFP), and the American College of Physicians (ACP)-American Society of Internal Medicine was published, stating the importance of supporting and facilitating the transition of adolescents with special health care needs * into adulthood. ![]() Transition planning, when present at all, can be inexplicit, incomplete, or late, and when necessary, the transfer of care to an adult medical home and to adult medical subspecialists involves more of a drift away from pediatric care rather than a clearly planned and executed handoff. There is much less certainty about the manner in which health care professionals support this transition. With reasonable biological certainty, most adolescents transition to adulthood. Primary care physicians, nurse practitioners, and physician assistants, as well as medical subspecialists, are encouraged to adopt these materials and make this process specific to their settings and populations. It provides a structure for training and continuing education to further understanding of the nature of adolescent transition and how best to support it. This clinical report represents expert opinion and consensus on the practice-based implementation of transition for all youth beginning in early adolescence. Coordination of patient, family, and provider responsibilities enables youth to optimize their ability to assume adult roles and activities. A well-timed transition from child- to adult-oriented health care is specific to each person and ideally occurs between the ages of 18 and 21 years. This process includes ensuring that high-quality, developmentally appropriate health care services are available in an uninterrupted manner as the person moves from adolescence to adulthood. The goal of a planned health care transition is to maximize lifelong functioning and well-being for all youth, including those who have special health care needs and those who do not. Our team members thrive in our unique, rewarding work environment, with opportunities for both personal and professional growth.Optimal health care is achieved when each person, at every age, receives medically and developmentally appropriate care. In fact, our patients and their families are included in our staff’s performance reviews! We’re Committed to Your Advancement Our commitment to patients is at the core of everything we do, and our team members live these values every day. Our top healthcare professionals excel in their practices and provide compassionate, family-centered care to children who need it most. Shriners Children's is an equal opportunity employer committed to hiring qualified team members who share our mission and values – excellence, innovation, commitment, integrity, teamwork, respect and stewardship.
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