Health Care Services and the Transition to Young Adulthood: Challenges and Opportunities

摘要: Abstract Objective The aim of this study was to examine the potential role health care system in successful transition young adulthood for all adolescents, with emphasis on adolescents special needs (ASHCN), and evaluate system's status filling that role. Method Research conceptual frameworks addressing transitions functioning were reviewed. A framework describing a services presented. promoting healthy evaluated, including National Survey Children Special Health Care Needs 2005–2006 analyses key outcomes ASHCN. Results Although most national efforts define skills needed have focused career/vocational skills, few integrate broader issues such as health, psychosocial development, civic engagement. Adolescent transitional generally received little attention; however, these been articulated Nevertheless, only 2 5 ASHCN receive care, fare poorly other core outcomes. mental conditions worse than those physical conditions. Our includes following: 1) can access comprehensive system, 2) preventable problems are avoided, 3) chronic managed. present falls short accomplishing these. Conclusions potentially play facilitating adulthood; many gaps exist. reform act addresses some gaps, adolescents' developmental address needed.