In many ways the transition to adult services is as complicated as adolescence itself. For many adolescents the passage to adult life is a time of internal turmoil. A time of progressive shedding of a sheltered environment to achieve self-reliance and independent living as a decision maker. Transition to adulthood is difficult for typical adolescents and their families. Adult Healthcare providers are accustomed to chronic and progressive diseases.
Pediatricians are typically family focused, view the patient as dependent.
Limitations A prospective view toward the future is central to the process. Transition planning needs to be individualized. Preparation for autonomous decision-making and independence is essential. Quality of care in the adult setting should be equivalent. Infrastructure and program development to support transitioning should be initiated.