Assessing mental health transition readiness in youth with medical conditions.

Purpose: Many youth with medical conditions also have co-occurring mental health concerns. Limited attention has been given to the mental health transition needs of these youth. We explore bringing transition readiness assessment into the mental health care of youth with co-occurring disorders.

Developing a specialty transition clinic: Inaugural clinical and financial operations.

Purpose: Few examples of hospital-wide transition programs have been presented in the literature and to date, we have no data on the clinical and financial operations of such services.

Design And Methods: A transition clinic, guided by Got Transition's Six Core Elements, was created for youth with moderate-to-high medical and psychosocial complexity (per Bob's Levels of Social Support scale). The clinic visit and transition readiness assessment (UNC TRANSITION Index) were billed fee-for-service or under a bundled payment managed care model.

Integrating transition readiness assessment into clinical practice: Adaptation of the UNC TRXANSITION index into the Cerner electronic medical record.

Purpose: To describe the process of developing, and evaluating the feasibility and acceptability of, an EMR-based transition readiness assessment.

Design And Methods: A Cerner-based version of the UNC TRANSITION Index was implemented across four pediatric subspecialty clinics: epilepsy, inflammatory bowel disease; type 1 diabetes, oncology survivorship. The feasibility was assessed by each's clinic's ability to meet form completion goals and their assessment rate.

Adult Provider Perspectives on Transition and Transfer to Adult Care: A Multi-Specialty, Multi-Institutional Exploration.

Purpose: To identify barriers that transcend multiple adult care specialties and identify potential solutions.

Design And Methods: Twenty-one adult care providers practicing in the specialty areas of internal medicine, family medicine, gastroenterology, endocrinology, and neurology participated in one of six semi-structured focus group interviews. Data were coded and analyzed according to the Socio-ecological Model of Adolescent/Young Adult Readiness for Transition (SMART).