Clinical report - Supporting the health care transition from adolescence to adulthood in the medical home

W. Carl Cooley, Paul J. Sagerman, Michael S. Barr, Mary Ciccarelli, Albert C. Hergenroeder, Thomas S. Klitzner, Marie Mann, Laura Pickler, Bonnie Strickland, Brad Thompson, Stuart T. Weinberg, Patience H. White, Nicholas C. Wilkie, Stephanie Mucha Skipper, Amy Brin, Susan K. Flinn

Research output: Contribution to journalArticlepeer-review


Optimal health care is achieved when each person, at every age, receives medically and developmentally appropriate care. The goal of a planned health care transition is to maximize lifelong functioning and well-being for all youth, including those who have special health care needs and those who do not. This process includes ensuring that high-quality, developmentally appropriate health care services are available in an uninterrupted manner as the person moves from adolescence to adulthood. A well-timed transition from child- to adultoriented health care is specific to each person and ideally occurs between the ages of 18 and 21 years. Coordination of patient, family, and provider responsibilities enables youth to optimize their ability to assume adult roles and activities. This clinical report represents expert opinion and consensus on the practice-based implementation of transition for all youth beginning in early adolescence. It provides a structure for training and continuing education to further understanding of the nature of adolescent transition and how best to support it. Primary care physicians, nurse practitioners, and physician assistants, as well as medical subspecialists, are encouraged to adopt these materials and make this process specific to their settings and populations.

Original languageEnglish (US)
Pages (from-to)182-200
Number of pages19
Issue number1
StatePublished - Jul 2011


  • Adolescent health
  • Children with special health care needs
  • Health care transition
  • Medical home
  • Primary care
  • Quality improvement
  • Youth transition

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health


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