- Develop a transition policy/statement with input from youth and families that describes the practice's approach to transition, including privacy and consent information.
- Educate all staff about the practice's approach to transition, the policy/statement, the Six Core Elements, and distinct roles of the youth, family, and pediatric and adult health care team in the transition process, taking into account cultural preferences.
- Post policy and share/discuss with youth and families, beginning at age 12 to 14, and regularly review as part of ongoing care.
Creating a written practice policy on transition is the first element in these health care transition quality recommendations. Developed by your practice or health system, with input from youth and families, the policy provides consensus among the practice staff, mutual understanding of the process involved, and a structure for evaluation. The policy should include a transition time frame (When are youth expected to leave your practice?) and an explanation of the practice's transition approach (What will your practice offer youth and families to assist them in transition?). It should also explain the legal changes that take place in privacy and consent at age 18, even if the youth has not left your practice. The policy should be shared with youth and families beginning at ages 12 to 14 and publicly posted.