Alström Team Transitional Care ‘Best Journey to Adulthood’ Marie McGee Transition Care Co-ordinator Rheumatology Department, BCH [email protected]
Jan 04, 2016
Alström Team Transitional Care
‘Best Journey to Adulthood’
Marie McGeeTransition Care Co-ordinator
Rheumatology Department, [email protected]
What is Transition?“Transition is the purposeful, planned movement of adolescents
and young adults with chronic physical and medical conditions from
child-centred to adult-orientated health care systems.”(Blum et al, 1993)
In healthcare, we use the word 'transition' to describe the process of preparing and planning the move from children’s (paediatric) to adult services
It is a gradual process that gives the YP, their family and anyone involved in the individuals care, time to plan the move to adult services and discuss what healthcare/ lifestyle needs will be required
Myths and Facts!Myth – transition is a one off event
FACT – transition is a well planned, process which needs a multi disciplinary, interagency, holistic approach
Myth – transition is a fixed programme
FACT - transition is a flexible process based on individual needs
Myth- transfer is the same as transition
FACT - transfer is the actual movement of the young person/family and their health records over to adult services
Poor Experiences of Transition and Transfer
Dumped
Abandoned Thrown out
Cut offSudden
Tossed out
Shaw KL, Southwood TR, McDonagh JE 2004
Not prepared
Lack ofinformation
Transition
Transition plans start at around age 11
Check list of questions- lead to wider conversations
Variety of communication styles
Suit a variety of needs e.g. VI-LD
Builds young peoples independence and confidence
Improves young peoples skills and knowledge with their healthcare
Prepares the young person and their family for transfer
My Health-My Life! Transition Plans
Transition Gateway 1 -–Set Up! (11-13)
Transition Gateway 2– Get Up! (13-15)
Transition Gateway 3-Go! (15-18)
Transition Gateway 4-Transfer (16 onwards)
Each young person is an individual
My Health-My Life! Transition Plans
•Learning Difficulties Plans
•Budget Plans- planning direct payments and individualised budgets
•Parent/Carer Plans
Every family requires different types of support
•Young people are active participants
•Involve parents/carers
•Starts early with a holistic approach
•Transition is a gradual process
•Transition should result in a well planned transfer to adult services
•Multi disciplinary/inter agency team around the family
•Your views are important to us-