Integrating transition readiness assessment into clinical practice: Adaptation of the UNC TRXANSITION index into the Cerner electronic medical record

Gray, Wendy N.; Partain, Lauren; Benekos, Erin; Grant, Ken; Kennedy, Michelle; Dorriz, Parasto; Carpinelli, Anne; Chavez, Karina; Yun, Christine; Torno, Lilibeth; Shrey, Daniel W.; Daniels, Mark; Weiss, Michael A.

doi:10.1016/j.pedn.2022.11.032

Cited by 2 publications

(1 citation statement)

References 23 publications

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“…There is substantial agreement among clinicians that transition should be linked to “developmental readiness” rather than to chronological age; it should be determined by development boundaries and thus considered a process, not an “event in time” (for a review, see Cleverley et al., 2020). A Canadian group very recently implemented a transition readiness assessment in routine clinical care for adolescents with chronic somatic diseases, such as epilepsy and inflammatory bowel disease; a similar tool might also be suitable for identifying emerging adults with AN (Gray et al., 2022).…”

Section: Discussionmentioning

confidence: 99%

Lost in between–the transition process from a child and adolescent eating disorder service to adult mental health services in the German health care system

Gilsbach,

Borzikowsy,

Herpertz‐Dahlmann

2024

Euro Eating Disorders Rev

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IntroductionIn young adults with anorexia nervosa (AN), the process of transition from a child and adolescent mental health service (CAMHS) to an adult mental health service (AMHS) has been recognized as critical, and many patients fear falling through the gap between the two types of service. As reports about the transition process in emerging adults with AN are scarce, the present study aimed to explore the problems and experiences of this age group.MethodWe screened our registry for patients with AN who had been treated as inpatients during childhood and/or adolescence and come of age during the last 3 years. Thirty‐two female patients [mean age 20.3 (1.2) y.] agreed to participate in a semistructured personal or telephone interview assessing their demographic and clinical data, whether they had finalised the transition, and their wishes and experiences regarding the transition process.ResultsOnly approximately one‐third of the participants had already undergone the transition. Nearly 60% of the former patients were still cared for by a CAMHS, and only 12.5% had stopped treatment for AN. Approximately 60% were exclusively or additionally cared for by their general practitioner. More than 50% of the participants still lived with their parents. Approximately 90% of the participants who remained in a CAMHS expressed concerns about transitioning, mostly about losing their trusted therapist and the assumption of personal responsibility.ConclusionPatients with AN often delay the transition from a CAMHS to an AMHS, which they experience as intimidating and overwhelming. Thus, patients should be better prepared for the transition, which should be linked to “developmental readiness” and not to chronological age. Because many patients still live with their family of origin, parents and their family physician should be closely involved in the transition process.

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Section: Discussionmentioning

confidence: 99%