This study examines the potential role of the health care system in the successful transition to young adulthood for all adolescents, with emphasis on adolescents with special health care needs (ASHCN). Research and conceptual frameworks addressing successful transitions and functioning were reviewed.
Although most national efforts to define skills needed for the transition have focused on career/vocational skills, a few frameworks integrate broader issues such as health, psychosocial development, and civic engagement. Adolescent transitional issues have generally received little attention; however, these have been articulated for ASHCN. Our framework for healthy transitions includes the following: 1) adolescents can access a comprehensive health care system, 2) preventable problems are avoided, and 3) chronic problems are managed. The present health care system falls short of accomplishing these. We conclude that health care services can potentially play a role in facilitating a healthy transition to young adulthood; however, many gaps exist. Although the health care reform act addresses some gaps, efforts that integrate adolescents’ developmental needs and address mental health issues are needed.
Health Care Services and the Transition to Young Adulthood: Challenges and Opportunities, 08 February 2011 M. Jane Park, Sally H. Adams, Charles E. Irwin Academic Pediatrics DOI: 10.1016/j.acap.2010.11.010
February 21, 2011
M. Jane Park, MPH; Sally H. Adams, RN PhD; and Charles E. Irwin Jr., MD
MORE NEWS AND ARTICLES BY SIMILAR TOPIC(S)
Eligibility and Enrollment of Adolescents in Medicaid and SCHIP: Recent Progress, Current Challenges
This 2003 article examines the effect of federal and state policy changes on adolescents’ eligibility and enrollment in Medicaid and the State Children’s Health Insurance Program (SCHIP).
This 2010 brief, created by the Center of Adolescent Health and the Law (CAHL) and NAHIIC, reviews major provisions of the Patient Protection and Affordable Care Act highlighting those of greatest significance for these young people.
his 2007 article presents an analysis of patterns of health insurance, both public and privately funded, among young people from early adolescence through their early 30s.
This 2003 article compares prevalence estimates of adolescents’ cigarette, alcohol and marijuana use from one Australian and two U.S. surveys, and considers the effect of methodological differences on reported use.
Mental/Behavioral Health | Mental/Behavioral Health Care | Mortality | Overviews/Fact Sheets | Risky Behavior | Socio-demographic disparities | Special Populations | Substance Use | Suicide | Young Adults
This 2007 paper provides an overview of the availability of data for specific adolescent sub-populations, such as rural and homeless/runaway youth, by the 21 Critical Health Objectives of Healthy People 2010.