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  • This is a publication of the Consortium for Children and Youth with Disabilities and Special Health Care Needs funded by the National Institute on Disability and Rehabilitation Research of the U.S. Department of Education under grant number H133B001200.

    The opinions contained in this publication are those of the grantee and do not necessarily reflect those of the U.S. Department of Education

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    Promising Practices in Transition

    Lead Investigator
    John Reiss, Ph.D.
    Chief, Division of Policy and Program Affairs
    Institute For Child Health Policy
    University of Florida


    The purpose of this study is to identify promising practices in transition from pediatric to adult medical services for individuals with disabilities and special health care needs. Specifically, the study will:

    • Identify components of the transition process
    • Identify and describe the range of current transition practices
    • Identify transition practices that are viewed as promising by youth, families, providers, managed care organizations, purchasers, and policymakers
    • Determine the relationship between use of transition practices and managed care

    The study employs three approaches to accomplish these goals:

    1. A qualitative investigation of the experience of health care transition from the perspectives of youths, families and providers;
    2. A quantitative investigation of the use and perceived utility of selected transition practices by youths, families, providers, programs, and organizations; and
    3. A quantitative investigation of the relationship between the use of selected transition practices and managed care.

    Towards these objectives, the researchers will convene multiple focus groups of youth, and young adults with disabilities and special health care needs and separate groups of family members and providers. Based on the results of these focus groups, a Use and Utility Survey of Transition Practices will be developed to collect information about the transition experience from a wide range of consumers and health care providers. The study will ultimately provide a framework for describing, providing, and assessing transition services and articulating factors in the health care marketplace that impact availability of and access to transition services.

    In addition to the research focus this project also supports a listserv dedicated to the topic of health care transitions, an annotated bibliography of transition materials, and the Health Care Transitions Web site. (see below)


    The Health Care Transitions Web site offers a number of ways to share and provide HCT information. Currently the site hosts the transition listserv as well as an annotated bibliography of HCT related materials and information. Under construction are a listing of HCT programs and services, a story area for personal accounts of HCT experiences, a legislation, regulations and policy reference area and announcements of upcoming events. A unique and innovative feature of this Web site is the Member Profiles Database.

    The Member Profiles are quick and easy ways to identify interests, experiences and areas of expertise in health care transition and share this information with others. Knowing others who have had similar experiences or have faced similar questions often creates a very strong bond. The Member Profiles Database supports communication between transition listserv members by providing a way to share this information. Most of the information requested is optional. However, it is our hope that members will complete the entire information form. Information in the database will only be available to members of the listserv.

    Member profiles serve as the foundation for the member search function, which is another powerful component of this Health Care Transitions site. Members can search other member profiles using a variety of search categories such as age, location or disability experience. Searches can help members to identify other listserv members who have interests or experiences similar to their own and facilitate encounters between members with experiences that can prove of great benefit to one another.

    The transition listserv currently has over 1100 members. To join the transition listserv, send a blank e-mail message (with no subject or body) to: Join-transition@list.ichp.edu


    Georgetown University Liaison: Leslie Walker, M.D.
    Assistant Professor
    Adolescent and Young Adult Services
    Department of Pediatrics
    Georgetown University Medical Center
    3800 Reservoir Road, NW - 2PHC
    Washington, DC 20007
    Tel: (202) 687-8745
    Fax: (202) 687-2961
    Email: walkerl1@georgetown.edu

    Research Team Lead Investigator:
    John Reiss, Ph.D.
    Chief, Division of Policy and Program Affairs
    Institute For Child Health Policy
    University of Florida
    5700 SW 34th Street, Suite 323
    Gainesville, FL 32608-5367
    Tel: (352) 392-5904, Ext. 224
    Fax: (352) 392-8822
    Email: jgr@ichp.edu

    Team Members:
    Robert W. Gibson, MSOTR/L
    Research Associate
    Division of Policy and Program Affairs
    Institute for Child Health Policy
    5700 SW 34th Street, Suite 323
    352-392-5904 ext 243
    Fax 392-8822
    rwg@ichp.edu




    Consortium Partners

    [ Family Voices ]
    [ Georgetown University Center for Child and Human Development ]
    [ The Heller School at Brandeis University ]
    [ Institute for Child Health Policy ]

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