The neurologist's role in supporting transition to adult health care
A consensus statement
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Abstract
The child neurologist has a critical role in planning and coordinating the successful transition from the pediatric to adult health care system for youth with neurologic conditions. Leadership in appropriately planning a youth's transition and in care coordination among health care, educational, vocational, and community services providers may assist in preventing gaps in care, delayed entry into the adult care system, and/or health crises for their adolescent patients. Youth whose neurologic conditions result in cognitive or physical disability and their families may need additional support during this transition, given the legal and financial considerations that may be required. Eight common principles that define the child neurologist's role in a successful transition process have been outlined by a multidisciplinary panel convened by the Child Neurology Foundation are introduced and described. The authors of this consensus statement recognize the current paucity of evidence for successful transition models and outline areas for future consideration.
Footnotes
An expanded version of the consensus statement, including vignettes highlighting the broad applicability of the recommendations over a variety of neurologic disorders of childhood, can be found on the Neurology® Web site at Neurology.org.
Go to Neurology.org for full disclosures. Funding information and disclosures deemed relevant by the authors, if any, are provided at the end of the article.
Supplemental data at Neurology.org
- Received December 14, 2015.
- Accepted in final form May 17, 2016.
- © 2016 American Academy of Neurology
Disputes & Debates: Rapid online correspondence
- Transition recommendation should be realistic, inclusive, and positive
- Joshua S. Rotenberg, Pediatric Neurologist w/ added qualifications in sleep disorders & epilepsy, Houston Specialty Clinic (myspecialist.clinic), HoustonClinicRotenberg@HoustonSpecialtyClinic.com
Submitted October 31, 2016
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