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Published on: March 13, 2018
Transition of Children with Neurological Disorders
Ann H Tilton1,2
1Louisiana State University Health Sciences Center New Orleans, New Orleans, LA, USA. atilto@lsuhsc.edu.
Insights
This review outlines a systematic approach for transitioning patients with neurological disorders to adult care. It details principles for successful integration and addresses barriers for healthcare providers.
Area of Science:
- Neurology
- Healthcare Transition
- Patient Care Coordination
Background:
- The transition of pediatric patients with neurological disorders to adult care presents unique challenges.
- Recent literature highlights the complexity and identifies barriers in this process.
- A coordinated and collaborative approach benefits patients, families, and providers.
Purpose of the Study:
- To describe a systematic approach for transitioning patients with neurological disorders to adult care.
- To provide principles and steps for successful patient integration into adult practices.
- To discuss cultural, systemic, and discipline-based barriers to this transition.
Main Methods:
- Systematic review of literature on healthcare transitions for neurological disorders.
- Identification of core principles and actionable steps for transition.
- Analysis of barriers impacting the transition process.
Main Results:
- A consensus exists on the need for a systematic transition process.
- Key barriers include cultural, systemic, and discipline-specific factors.
- Effective transition requires coordinated and collaborative methodologies.
Conclusions:
- A structured approach is essential for the successful transition of neurological patients to adult care.
- Addressing identified barriers is crucial for seamless integration.
- Collaborative care models enhance outcomes for patients and providers.
Purpose Of The Review:
The goal of the article is to describe a systematic approach through core principles and steps for the transition of the patient with a neurological disorder to the adult model of care, to provide steps and principles to help receiving providers successfully integrate the patient into their practice, and to discuss cultural, systemic, and discipline-based barriers to transition.
Recent Finding:
The literature has expanded rapidly. The recent publications help define the barriers to the process and are currently exploring the best methods to evaluate readiness, needs, barriers, and develop solutions for best practices. There is a consensus that there is a need for a systematic approach to transition and integration of the patient with a neurological disorder. The transition of the child and youth with special health care needs (CYSHCN) is complex with multiple barriers. An important concept is that these patients, their families, and medical care providers all benefit from a coordinated and collaborative methodology.
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