Transition

Many children and young people now survive into adult life with complex conditions that previously would have been lethal in infancy. These conditions often affect many bodily systems and many aspects of their lives. Poorly planned transition from young people’s to adult-oriented health services can be associated with increased risk of non-adherence to treatment and loss to follow-up, which can have serious consequences. There are measurable adverse consequences in terms of morbidity and mortality as well as in social and educational outcomes. Well planned transition improves clinical, educational and social outcomes for young people.

Transition: getting it right for young people - Department of Health/Child Health and Maternity Services Branch. Best Practice Guidance. 23 March 2006

“Transition is defined…as the purposeful, planned movement of adolescents and young adults with chronic physical and medical conditions from child-centered to adult-oriented health-care systems.”

Transition from Child-Centered to Adult Health-Care Systems for Adolescents with Chronic Conditions. SOCIETY FOR ADOLESCENT MEDICINE (1993). JOURNAL OF ADOLESCENT HEALTH 1993;14:570-576

“The goals of an organized, coordinated transition to adult health care for young people with chronic conditions are: to optimize health and to facilitate each young person’s attaining his or her maximum potential. Proactive transition to the adult health care system encourages young people to be successfully integrated into a comprehensive care system to meet their complex needs.”

Transition to Adult Health Care for Adolescents and Young Adults With Chronic Conditions. Position Paper of the Society for Adolescent Medicine. JOURNAL OF ADOLESCENT HEALTH 2003;33:309-311.

The Transition Programme at Akershus University Hospital

For many years Akershus University Hospital has, together with our Youth Council, systematically worked towards improving the transition. A transition programme has been developed and consists of written guidelines, checklists and informational brochures aimed towards adolescents, along with a competence-enhancing e-learning programme for health care personnel.

At the Resources page you will find more information about our Transition Programme, our written informational materials for adolescents and a number of short films featuring young patients. The e-learning programme on transition provides basic knowledge about the adolescent patient and how health care personnel can promote health by receiving and treating the adolescent in the best possible way. It also deals with how management, organization and cooperation can contribute to good transition.