A new OHTN Rapid Response reviews evidence-based practices and resources which can facilitate successful transition to adult HIV care for youth diagnosed with HIV as children. These young people face a variety of barriers when transiting to adult HIV care include lack of preparation, psychosocial stressors, loss of relationships, stigma, and barriers within the adult health care system (communication, distance to travel, differences from the pediatric environment).
Research evidence shows that formal transition planning should be a standard part of care for all youth and young adults, and every patient should have an individualized plan developed at least one year in advance of the transition. The pediatric provider should arrange for one or more meetings between the adult care provider and the patient before transfer. The Rapid Response references multiple toolkits, models, and recommendations on managing these care transitions.