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Transition from Adolescent to Adult Healthcare Seminar

Briefly describe the activity and its purpose.

In this seminar, trainees explore the movement of young adults with special health care needs from pediatric-oriented care to adult-oriented care; they also discuss the development and evaluation of health care transition policy over the last two decades and the efforts of the medical home in the facilitation of this transition.

The seminar begins with journaling; trainees respond to a reflection question based on the required topical reading. Discussion of the reflection question and article by trainees and faculty is facilitated by a faculty content expert. The articles that are used to facilitate discussion and by which reflection questions are developed include:

  • Reiss & Gibson (2002). Health Care Transition: Destinations Unknown.
  • Kelly, Kratz, Bielski, & Rinehart (2002). Implementing Transition for Youth with Complex Chronic Conditions Using the Medical Home Model.

The seminar includes parents and consumers (a young adult who has spina bifida and teen with ASD) who have transitioned or who are transitioning from adolescent to adult health care; these individuals discuss their experiences, challenges, barriers to receipt of services, etc.

This seminar also includes a large group / small group activity that requires trainees to list the services and supports they feel are necessary for transition on single slips of paper. Trainees typically generate 20-25 items. Participants are broken down into teams of 4 or 5 and are then asked to choose their top 15 supports / services (due to budget cuts), then they are asked to cut supports to reveal their top 7; then their top 3.  This activity allows them to experience, for a moment, the difficult decisions faced by families in the acquisition of services and supports for their family members throughout transition.

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