Paeds Vivas · growth-development-and-behaviour
Adolescent transition for neurodevelopmental disability — branching viva
Viva on structured transition, readiness, warm handoff and crisis rescue in neurodevelopmental disability.
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Study tools
Target exams
RACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
Clinic: 16-year-old with autism, intellectual disability and epilepsy; family asks what happens after 18; no adult providers named.
Opening (candidate)
I would frame transition as a multi-year process starting now: readiness and teaching, portable summary and seizure emergency plan, legal decision supports, family preparation, and naming adult primary and neurology homes with a warm handoff — not a birthday discharge. [1] [7]
References7ShowHide
- [1]White PH Supporting the Health Care Transition From Adolescence to Adulthood in the Medical Home. Pediatrics, 2018.PMID 30348754
- [3]Sawicki GS Measuring the transition readiness of youth with special healthcare needs: validation of the TRAQ--Transition Readiness Assessment Questionnaire. Journal of pediatric psychology, 2011.PMID 20040605
- [7]Suris JC Key elements for, and indicators of, a successful transition: an international Delphi study. The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2015.PMID 26003575
- [8]Suris JC Transition from paediatric to adult care: what makes it easier for parents? Child: care, health and development, 2017.PMID 27625071
- [12]Gabriel P Outcome Evidence for Structured Pediatric to Adult Health Care Transition Interventions: A Systematic Review. The Journal of pediatrics, 2017.PMID 28668449
- [17]Fortune J Transition to adulthood: Perspectives from young people with cerebral palsy, parents, and health professionals. Developmental medicine and child neurology, 2026.PMID 42277597
- [20]Ehrenberger KA Structural Ableism and Healthcare Transition for Adults with Intellectual and/or Developmental Disabilities. Journal of general internal medicine, 2026.PMID 42151527