Related Experiment Video
Updated: Jun 3, 2026

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
Published on: January 20, 2019
Transition to adult care for children with chronic neurological disorders
Peter Camfield1, Carol Camfield
1Department of Pediatrics, Dalhousie University, IWK Health Centre, Halifax, Nova Scotia, Canada. camfield@dal.ca
Insights
Transitioning pediatric patients with chronic neurological disorders to adult care is complex. A joint pediatric/adult clinic is preferred for better adult medical and social outcomes.
Area of Science:
- Neurology
- Pediatrics
- Healthcare Transition
Background:
- Chronic neurological disorders in children significantly impact adult life.
- Care transition from pediatric to adult services lacks objective data for effective approaches.
- Neurological disorders present diverse trajectories from childhood to adulthood.
Purpose of the Study:
- To address the complexity of care transition for pediatric neurological patients.
- To provide evidence-based suggestions for improving the transition process.
- To enhance adult medical and social outcomes for individuals with childhood-onset neurological conditions.
Main Methods:
- Review of existing transition/transfer models for pediatric neurological care.
- Discussion of challenges including maturity, information provision, and cognitive issues.
- Proposal of a preferred joint pediatric/adult transition clinic model.
Main Results:
- Identified lack of objective data guiding pediatric to adult neurological care transition.
- Highlighted the varied nature of neurological disorders across lifespan.
- Proposed a joint clinic as a superior model for managing this transition.
Conclusions:
- Improving the transition process is crucial for long-term patient well-being.
- A collaborative pediatric/adult approach can mitigate negative adult outcomes.
- Further research and structured transition protocols are needed.
Abstract:
Chronic neurological disorders in children have significant effects on adult medical and social function. Transition and then formal transfer of care from pediatric to adult services is a complex process, although there are virtually no objective data to inform physicians about the most effective approach. Some neurological disorders that start in children are a danger to society if poorly treated in adulthood, some disorders that were previously lethal in childhood now permit survival well into adulthood, and others are static in childhood but progressive in adulthood. Some disorders remit or are cured in childhood but continue to have serious comorbidity in adulthood, whereas others are similar and persistent in children and adults. Maturity, provision of information, and cognitive problems are confounders. We discuss several models of transition/transfer but prefer a joint pediatric/adult transition clinic. We make a series of suggestions about how to improve the transition/transfer process with the hope of better medical and social adult outcome for children with neurological disorders.
Related Concept Videos
Restorative Care
Continuing Care
Specialized Care Centers and Settings-II
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Specialized Care Centers and Settings-I
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Cognitive Development During Adulthood
Documentation in Long-Term and Home Healthcare Setting
Long-Term Care Facilities
