Transitioning HIV-Infected Adolescents Into Adult Care

Guideline and Commentary

Jacob Abadi, MD; Michael G. Rosenberg, MD, PhD


August 29, 2011

In This Article

Preparing for Transitioning Patients in the Adult Care Setting

Recommendations. The adult care provider should:

  • Become knowledgeable regarding the challenges of transition for older adolescents and young adults to an adult care setting (AIII)

  • Prior to transition, learn from the referring provider the particular challenges and goals for the patient; consider how to continue building the adolescent's skills (AIII)

  • Meet the patient, with or without family members, before the change in care (AIII)

  • Assign one clinic staff member as point person and have his/her contact information available, including hours when contact is possible (see Section VI. C. Use of Transition Agent or Patient Advocate) (AIII)

  • Have an orientation plan in place to acquaint the newly transitioned patient to the new clinic environment (AIII)

The adult provider or multidisciplinary team should have a plan in place to orient newly transitioning adolescents or young adults to the adult clinical care program. The clinic and/or the provider's expectations of the newly transitioned patient should be explained during or before the first visit. The policy for late arrivals and walk-ins should be clearly explained to the adolescent.


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