Transition to Adult Care - 22/11/19

Doi : 10.1016/j.pmr.2019.09.004

John Berens, MD ^a,^⁎ , Cynthia Wozow, DO ^b, Cynthia Peacock, MD ^a
^a Department of Internal Medicine, Section of Transition Medicine, Baylor College of Medicine, Transition Medicine Clinic, 7200 Cambridge Street, Suite 8A, Houston, TX 77030, USA
^b Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Texas Children’s Hospital, 6701 Fannin Street, Wallace Tower 1280, Houston, TX 77030, USA

^∗Corresponding author.

Résumé

The transition from pediatric-based to adult-based health care is often difficult, especially for individuals with chronic illness or developmental disabilities, such as cerebral palsy. This article describes the current state of health care transition, focusing on some of the elements that contribute to the complexity of this challenging life period, including: changes to health care insurance, medicolegal considerations and options for supported decision making, discussions about vocations and related barriers and resources, and important psychosocial issues faced by many patients with cerebral palsy. Evidence-based processes and practices are described that can help facilitate health care transition planning and improve outcomes.

Le texte complet de cet article est disponible en PDF.

Keywords : Health care transition, Transition to adult care, Emerging adults, Intellectual disabilities, Developmental disabilities, Chronic childhood illness, Adolescence, Cerebral palsy