Psychologists and the Transition From Pediatrics to Adult Health Care

被引:13
作者
Gray, Wendy N. [1 ]
Monaghan, Maureen C. [2 ]
Marchak, Jordan Gilleland [3 ]
Driscoll, Kimberly A. [4 ]
Hilliard, Marisa E. [5 ]
机构
[1] Auburn Univ, Dept Psychol, Auburn, AL 36849 USA
[2] Childrens Natl Hlth Syst, Ctr Translat Sci, Washington, DC USA
[3] Emory Univ, Sch Med, Dept Pediat, Atlanta, GA USA
[4] Florida State Univ, Coll Med, Dept Behav Sci & Social Med, Tallahassee, FL 32306 USA
[5] Baylor Coll Med, Dept Pediat, Houston, TX 77030 USA
关键词
Transition; Pediatric; Patient care; Adolescent; Barriers; Behavioral medicine; Psychology; YOUNG-ADULTS; TRANSPLANT RECIPIENTS; READINESS SKILLS; ADOLESCENTS; YOUTH; RECOMMENDATIONS; PERSPECTIVES; ADHERENCE; MODEL;
D O I
10.1016/j.jadohealth.2015.07.011
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
Purpose: Guidelines for optimal transition call for multidisciplinary teams, including psychologists, to address youth and young adults' multifactorial needs. This study aimed to characterize psychologists' roles in and barriers to involvement in transition from pediatric to adult health care. Methods: Psychologists were invited via professional listservs to complete an online survey about practice settings, roles in transition programming, barriers to involvement, and funding sources. Participants also responded to open-ended questions about their experiences in transition programs. Results: One hundred participants responded to the survey. Involvement in transition was reported at multiple levels from individual patient care to institutional transition programming, and 65% reported more than one level of involvement. Direct clinical care (88%), transition-related research (50%), and/or leadership (44%) involvement were reported, with 59% reporting more than one role. Respondents often described advocating for their involvement on transition teams. Various sources of funding were reported, yet, 23% reported no funding for their work. Barriers to work in transition were common and included health care systems issues such as poor coordination among providers or lack of a clear transition plan within the clinic/institution. Conclusions: Psychologists assume numerous roles in the transition of adolescents from pediatric to adult health care. With training in health care transition-related issues, psychologists are ideally positioned to partner with other health professionals to develop and implement transition programs in multidisciplinary settings, provided health care system barriers can be overcome. (C) 2015 Society for Adolescent Health and Medicine. All rights reserved.
引用
收藏
页码:468 / 474
页数:7
相关论文
共 31 条
[1]   Strangers Headed to a Strange Land? A Pilot Study of Using a Transition Coordinator to Improve Transfer from Pediatric to Adult Services [J].
Annunziato, Rachel A. ;
Baisley, Margaret C. ;
Arrato, Nicole ;
Barton, Codette ;
Henderling, Fiona ;
Arnon, Ronen ;
Kerkar, Nanda .
JOURNAL OF PEDIATRICS, 2013, 163 (06) :1628-1633
[2]  
[Anonymous], 2011, Pediatrics
[3]   TRANSITION FROM CHILD-CENTERED TO ADULT HEALTH-CARE SYSTEMS FOR ADOLESCENTS WITH CHRONIC CONDITIONS - A POSITION PAPER OF THE SOCIETY FOR ADOLESCENT MEDICINE [J].
BLUM, RW ;
GARELL, D ;
HODGMAN, CH ;
JORISSEN, TW ;
OKINOW, NA ;
ORR, DP ;
SLAP, GB .
JOURNAL OF ADOLESCENT HEALTH, 1993, 14 (07) :570-576
[4]   A Clinical Tool to Measure the Components of Health-Care Transition from Pediatric Care to Adult Care: The UNC TRxANSITION Scale [J].
Ferris, Maria E. ;
Harward, Donna H. ;
Bickford, Kristi ;
Layton, J. Bradley ;
Ferris, M. Ted ;
Hogan, Susan L. ;
Gipson, Debbie S. ;
McCoy, Lynn P. ;
Hooper, Stephen R. .
RENAL FAILURE, 2012, 34 (06) :744-753
[5]   Assessment of transition readiness skills and adherence in pediatric liver transplant recipients [J].
Fredericks, Emily M. ;
Dore-Stites, Dawn ;
Well, Andrew ;
Magee, John C. ;
Freed, Gary L. ;
Shieck, Victoria ;
Lopez, M. James .
PEDIATRIC TRANSPLANTATION, 2010, 14 (08) :944-953
[6]   Getting Ready to Leave: Transition Readiness in Adolescent Kidney Transplant Recipients [J].
Gilleland, Jordan ;
Amaral, Sandra ;
Mee, Laura ;
Blount, Ronald .
JOURNAL OF PEDIATRIC PSYCHOLOGY, 2012, 37 (01) :85-96
[7]   Youth in transition: care, health and development [J].
Gorter, J. W. ;
Stewart, D. ;
Woodbury-Smith, M. .
CHILD CARE HEALTH AND DEVELOPMENT, 2011, 37 (06) :757-763
[8]   Are two youth-focused interventions sufficient to empower youth with chronic health conditions in their transition to adult healthcare: a mixed-methods longitudinal prospective cohort study [J].
Gorter, Jan Willem ;
Stewart, Deb ;
Cohen, Eyal ;
Hlyva, Oksana ;
Morrison, Andrea ;
Galuppi, Barb ;
Tram Nguyen ;
Amaria, Khush ;
Punthakee, Zubin .
BMJ OPEN, 2015, 5 (05)
[9]   Concerns, Barriers, and Recommendations to Improve Transition from Pediatric to Adult IBD Care: Perspectives of Patients, Parents, and Health Professionals [J].
Gray, Wendy N. ;
Resmini, Alana R. ;
Baker, Kaitlin D. ;
Holbrook, Erin ;
Morgan, Pamela J. ;
Ryan, Jamie ;
Saeed, Shehzad A. ;
Denson, Lee A. ;
Hommel, Kevin A. .
INFLAMMATORY BOWEL DISEASES, 2015, 21 (07) :1641-1651
[10]   Transition Readiness Skills Acquisition in Adolescents and Young Adults with Inflammatory Bowel Disease: Findings from Integrating Assessment into Clinical Practice [J].
Gray, Wendy N. ;
Holbrook, Erin ;
Morgan, Pamela J. ;
Saeed, Shehzad A. ;
Denson, Lee A. ;
Hommel, Kevin A. .
INFLAMMATORY BOWEL DISEASES, 2015, 21 (05) :1125-1131