18/06/2025
Transitioning Services (18-25 years old)
👶🏻 Many people with a disability or long term health condition have received physiotherapy or health services from a young age, and continue to do so throughout their life. At the age of 18-25 they will commonly transition from paediatric to adult services. This can have many challenges for all involved. 👩🏻🦰
Teenagers and young adults are vulnerable, particularly if living with a disability or health condition. Irrespective of their family/carer status they will often develop a trust and understanding with their physiotherapist and health team. When transitioning care services teenagers, and young adults may feel strong emotions such as loss, grief, abandonment, distrust, fear or anger in relation to the change. These emotions can inhibit their ability to readily accept and prepare for a transfer in service.
Families report:
👥 fear of the unknown
👥 lack of confidence that there would be the same level of understanding with adult providers
👥 sadness at the end of the relationship
👥 patients felt that paediatric providers “got them”
👥 parents felt that they developed a therapeutic relationship and that they will be excluded from conversations in the future
👥 strong patient and provider connections can support autonomy, confidence, and self-efficacy in the supported transitional process.
👥 trusting relationships with providers saw that patients and families learnt to honestly communicate questions and concerns, and engage with skill building.
‼️ A lived experience of a healthy relationship with a provider saw patients possess insight into what’s important to them, and move into adult care prepared to build a rapport that feels supportive, and nurture a similar therapeutic alliance.
We can support families by:
🔗 Preparing them for the transition by discussing options early and facilitating discussion and decision making
🔗 Acknowledging the feelings of parent and young adults during the transition period. Psychoeducation helps.
🔗 Linking services and transferring knowledge with informed consent.
🔗 Emphasise and empower young adults to have more autonomy and collaboration
- Shanske et al 2024