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Transition tools and access to adult primary care

Marji Erickson Warfield (Heller School for Social Policy and Management, Brandeis University, Waltham, Massachusetts, USA)
Morgan K. Crossman (Division of General Academic Pediatrics, Mass General Hospital for Children, Boston, Massachusetts, USA)
Ann Martha Neumeyer (Lurie Center for Autism, Mass General Hospital for Children, Lexington, Massachusetts, USA)
Julie O’Brien (Lurie Center for Autism, Mass General Hospital for Children, Boston, Massachusetts, USA)
Karen A. Kuhlthau (Division of General Academic Pediatrics, Mass General Hospital for Children, Boston, Massachusetts, USA)

Advances in Autism

ISSN: 2056-3868

Article publication date: 3 July 2017

Abstract

Purpose

The transition from pediatric to adult health care is challenging for youth with autism spectrum disorder (ASD). Many tools have been developed to facilitate transition but studies have not assessed their utility or readiness to be implemented in primary care practices. The purpose of this paper is to rate existing health care transition tools to identify tools ready for use in primary care clinics and develop a set of transition principles.

Design/methodology/approach

Four pediatric and family medicine providers from community health centers reviewed 12 transition tools and provided ratings and in-depth responses about the usefulness and feasibility of each tool through online surveys and telephone interviews. A conference call was used to discuss the findings and develop a set of transition principles.

Findings

The top rated tools included three youth self-management tools, two tools focused on ASD information and one tool focused on communication. No one tool was top rated by all providers and none of the tools was ready to be implemented without revisions. The transition principles developed focused on the use of selected tools to involve all youth in regular conversations about transition at every well child visit beginning at age 14 and adapting that process for youth with special needs.

Originality/value

This study is unique in asking primary care providers to assess the applicability of incorporating existing and publicly available transition tools in their own practices and developing a set of transition principles.

Keywords

Acknowledgements

This project was supported by the Health Resources and Services Administration (HRSA) of the US Department of Health and Human Services (HHS) under cooperative agreement UA3 MC11054 – Autism Intervention Research Network on Physical Health. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the US Government. This work was conducted through the Autism Speaks Autism Treatment Network serving as the Autism Intervention Research Network on Physical Health. The authors thank the project's advisors for their contributions.

Citation

Erickson Warfield, M., Crossman, M.K., Neumeyer, A.M., O’Brien, J. and Kuhlthau, K.A. (2017), "Transition tools and access to adult primary care", Advances in Autism, Vol. 3 No. 3, pp. 131-141. https://doi.org/10.1108/AIA-02-2017-0006

Publisher

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Emerald Publishing Limited

Copyright © 2017, Emerald Publishing Limited