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April 2013

Outgrowing the Child NeurologistFacing the Challenges of Transition

Author Affiliations

Author Affiliations: Division of Neurology, The Children's Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania (Dr Brown); and Departments of Pediatrics and Neurology, Nationwide Children's Hospital, Ohio State University College of Medicine, Columbus (Dr Roach).

JAMA Neurol. 2013;70(4):496-497. doi:10.1001/jamaneurol.2013.1814

A working definition of a medical transition is the process beginning in childhood to prepare children with chronic illness and their families for adult care.1 Transition must be distinguished from transfer, the formal act of handing over care from a pediatric to an adult health system. Successful transition prepares an individual to (1) understand their chronic illness and take maximal responsibility for its management; (2) maximize independence in activities of daily living, including education, vocation, and social relationships; and (3) transfer care to appropriate adult medical providers and ancillary supportive services. Various social, psychological, and economic barriers must be overcome in order to optimize medical transition.

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