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Transition Tools
Adolescent
Health Transition Project
The
Adolescent Health Transition Project provides information
on transitions from pediatric to adult health care for adolescents
with special health care needs. You can link directly to information
and materials below.
System Capacity for Adolescent Health ToolThis Public
Health Improvement Tool is designed to assist state
maternal and child health program in assessing six areas
of capacity to support effective state adolescent health
programs.
The project is a collaborative effort of the Association
of Maternal and Child Health Programs and the State
Adolescent Health Coordinators Network, with support
from the Annie
E. Casey Foundation.
Assessment Tools/Check
Lists/Worksheets
The Casey Family Programs
Casey
Family Programs offers free online assessment tools
to measure a youth's life skills such as the Ansell-Casey
Life Skills Assessment (ACLSA). The ACLSA is an evaluation
of youth independent living skills. It consists of statements
about life skills that the youth and his/her caregivers
complete. Available in Spanish.
In 2001 Casey Family Programs—working with young
people in foster care, alumni of care, families, and other
stakeholders—published It’s My Life, a framework
to develop services for young people preparing to make the
transition from foster care to successful adulthood. It’s
My Life promotes a holistic approach to transition services.
Each guide will focus on one of the seven interconnected
life domains discussed in It's My Life, (Domains listed
below). The first guide available in PDF format is on Employment.
- Cultural and Personal Identity Formation
- Supportive Relationships and Community Connections
- Physical and Mental Health
- Life Skills
- Education
- Employment
(Click here to download a copy of the guide)
- Housing
CHOICES Transitions Guidelines
The Shriners Hospitals – State Agency CHOICES project
created transition
guidelines for age groups: infants, 1-5 years, 6-10
years, and 11-21 years. Developmental Screening Tools
and Care Plans by age groups are available for general orthopedic
conditions, Juvenile Rheumatoid Arthritis, and Cerebral
Palsy.
The Illinois Division of Specialized Care for Children
Transition
Information and Resources
This site provides access to information and forms developed
by DSCC, as well as other resources, including:
- The Transition Information Sheet for Families
- Teaching Sheets (Kentucky Commission for Children with
Special Health Care Needs)
- Transition Timeline (Office of Children with Special
Health Care Needs, Washington State)
- The Health Care Checklist (adapted from other health
care checklists) School to Work Checklist (adapted from
Young Adult Services Program, South Bend, Indiana)
- Employment Information Sheet (adapted NICHYC)
- Preparing for the Future: Transition to Adulthood (Illinois
Chapter of AAP)
- Questions to Ask Potential Adult Care
- Bridging the Gap Between Pediatric and Adult Services
- a guide
Kentucky Commission for CSHCN
Provides useful resources such as one page teaching
sheets and a checklist
for independence for birth-21. You can use the list
to work toward health and independence for youth, families,
and people who work with them.
Kentucky TEACH Project
Kentucky’s
Healthy & Ready to Work Project has various resources
to assist young people and their families through the transition
from school to work, pediatric to adult health care, and
living at home to independent living. The Transition
Checklist includes items from birth - 21 and can be used
to work toward health and independence for children, youth,
families, and people who work with them. Life Maps
with coordinating one-page Teaching Sheets are available
for age groups from birth – 21. Other
documents include: Transition Health Care Tips, Finding
Adult Health Care, Ten Steps to Job Success, Hiring and
Using a Personal Care attendant, College Prep Timeline,
and how to be insurance savvy. Also available are
19 Transition Newsletters that can be adapted for use.
University of South Florida College
of Medicine - Health Care Transition Educational Materials
for Youth and Young Adults with Disabilities
The materials provide information and strategies to help
prepare teens and young adults to take increased responsibility
for their health care and to transition smoothly from pediatric
to adult-oriented health care. Materials include a comprehensive,
40+-hour
school-based curriculum written especially for high
school students who receive special education services.
Complete with structured reading assignments, activities,
vocabulary lists, tests, and a teacher's guide, the 8-unit
module can be integrated into core secondary school courses
(e.g., Health, Science, Life Management) or other classroom
settings. Also available is a health
care transition Information and Resource
Guide, designed as a companion piece for parents, caregivers,
educators, health care professionals, and other providers
who serve youth and young adults with disabilities or other
special health care needs.
Life Skills Lesson Plans: The MDM (Million Dollar
Machine®) Program
MDM gives children the knowledge and motivation
they need to achieve their personal best in life. MDM gives
children a new perspective of themselves and then teaches
a variety of useful skills to help them interact with other
people and the world around them. The age specific study
materials and optional school assembly presentations cover
six key topics:
- Self awareness
- Interpersonal skills
- Decision-making
- Drug Awareness
- Refusal skills & Earth Skills.
To learn more visit: www.lifeskills4kids.com/lessons.html
Transition Question Competencies
- Download
Here
This document provides questions for transition assessment
and planning and a list of daily life skills needed to transition
from school to work and to increase independence.
Transition Screening Tool developed by Shriners
Download
Here
Pre-visit questionnaire for families and youth.
Transition Worksheet
- Download
Here 
This is a one-page sheet that allows you to summarize a
youth's living arrangements, transportation, education,
employment, medical information, etc.
Transition Planning for Adolescents with Special
Health Care Needs and Disabilities: A Guide for Health Care
Providers
This
resource manual addresses four aspects of adulthood:
health, education, employment, and recreation. It is written
for providers (pediatricians and nurses), but contains family
and teen-specific fact sheets and resources on transition
planning that can be used by families and adolescents. Edited
by Stephanie Porter, Linda Freeman,&
Guidelines
and Toolkits
The Bright Futures Guidelines
Bright Futures, initiated by the Maternal and Child Health
Bureau (MCHB) over a decade ago, is a philosophy and approach
that is dedicated to the principle that every child deserves
to be healthy, and that optimal health involves a trusting
relationship between the health professional, the child,
the family, and the community. As part of this initiative,
Bright
Futures: Guidelines for Health Supervision of Infants, Children,
and Adolescents was developed to provide comprehensive
health supervision guidelines, including recommendations
on immunizations, routine health screenings, and anticipatory
guidance. The American Academy of Pediatrics (AAP) and
the MCHB are committed to the multidisciplinary and multicultural
nature of the Bright Futures initiative.
Building, Developing, and Going to Scale: Grant
Funded Programs for Youth in Transition
There are six
modules that were developed from a combination of established
practices in the human services systems, educational reform,
successful business models, and advice from grantees. The
modules were originally developed as technical assistance
tools for the state agency networks who were participating
in an innovative, grant funded project under the auspices
of the U.S. Department of Labor Office of Disability Employment
Policy. Each set of technical assistance tools offers guidance
in the design and implementation of programs in the field
of workforce disability and youth.
Modules Titles Include:
Module 1: Collaboration and Relationship
Building
Module 2: The Critical Choice—Pilot
vs. Prototype
Module 3: Leadership, Communications,
and Outreach
Module 4: The Fundamentals of System
Building, Developing, and Going to Scale
Module 5: The Practical Tools for System
Building, Developing, and Going to Scale
Module 6: Sustaining and Expanding Effective
Practices
Incorporating Youth Development Principles
into Adolescent Health Programs: A Guide for State-Level
Practitioners and Policy Makers
Incorporating Youth Development Principles into
Adolescent Health Programs: A Guide
for State-Level Practitioners and Policy Makers focuses
on how youth development concepts may be applied within
the context of specific public health functions and program
responsibilities to achieve improved health and well-being
among adolescents. The paper, produced by the Forum for
Youth Investment, presents an overview of the youth-development
approach, which calls for a focus on adolescents? capacities,
strengths, and developmental needs and not solely on their
problems, risks, or health-compromising behaviors.
Coding and Billing for Transition-related Activities
The Pennsylvania Family Practice Foundation has published
an
article, resources, and coding information around issues
for transitioning youth from pediatric to adult-oriented
care and discusses ways of coding and billing for health
care transition-related activities.
Crossings: A Manual For Transition Of Chronically
Ill Youth To Adult Health Care
Manual
This manual is intended as a guide for health professionals
to establish a new health care delivery system for transitioning
adolescents with chronic illness to adult health care. The
manual is based on the experience of a cystic fibrosis team
in a hospital for children and a department of internal
medicine, section on pulmonary disease (in collaboration
with other appropriate hospital departments) in developing
a model of care that fostered the successful transfer of
patients from one program to the other. While the experience
was with patients with cystic fibrosis, the process for
developing the model and the model itself has broad application
to a variety of chronic diseases.
Body Basics: An Adolescent Provider
Toolkit
This toolkit includes information and resources for providers
to use in their practice, as well as separate handouts for
adolescent patients and parents and/or guardians. It is
a result of a collaborative effort between providers, San
Francisco Health Plan, and the California Department of
Health Services.
Make A Difference – A Guidebook
for Person-Centered Direct Support
This
guidebook was developed in collaboration with people
with developmental disabilities and families, direct support
workers and managers and offers the following: Guides a
Learning Journey that supports action-learning about relationship
building, planning with people in a person-centered way,
supporting choice, & building community inclusion; and;
Honors the accomplishments of people with developmental
disabilities and their direct support workers by presenting
their stories & reflections.
Calling People with Disabilities to Public Service
Brochure
Produced by the U.S. Office of Personnel Management in the
Federal Government¹s Human Resource Agency, this brochure
contains information about Federal employment and can be
used by agencies as a recruitment tool. Information includes
definitions of disability, available jobs, additional guidance,
and various job opportunities from the Federal government.
In Their Own Words - Employer Perspectives
on Youth with Disabilities in the Workplace
Guidebook
It is essential for educators, transition specialists, workforce
development professionals, family members, and youth to
understand employers’ needs, circumstances, and perspectives
as they establish work-based learning experiences. This
publication, the latest in our “Essential Tools”
series, features the experiences of employers in their own
words. Eleven employers from various fields write about
how they became involved in providing work experiences for
youth with disabilities, what made it work, and what they
recommend to individuals and organizations representing
youth.
The Guidelines for Adolescent Prevention (GAPS)
GAPS
is "a comprehensive set of recommendations that provides
a framework for the organization and content of preventive
health services. The GAPS recommendations were designed
to be delivered ideally as a preventive services package
during a a series of annual health visits between the ages
of 11-21."
Tools for Training Personnel Supporting
Youth in the Process of Transition
The mission of the National
Center on Youth Transition is to improve practices,
systems, and outcomes for transition-age youth and young
adults (14-25 years of age) with emotional and/or behavioral
difficulties (EBD). Their web site offers publications,
resources, and practical tools to empower youth and educate
the adults who support youth transitioning to independence
and adult-oriented services. One example of the tools available
is a set of modules designed specifically to train personnel
working with youth. The three modules focus on identifying
strengths, developing and using rationales, and the problem-solving/decision-making
process. In addition, there are practical forms available
to support day-to-day work available.
The Wizdom TransPlanner!
When the school bus stops coming, too often students with
disabilities are not prepared to enter employment, training,
education, living, and communities as well-prepared young
adults. To counter this common reality, IDEA 2004 highly
emphasizes transition planning, post-high school goals,
and transition services as the bridge to successfully cross
over from high school to post high school life. The
Wizdom TransPlanner! helps students
with disabilities, their families and their teachers set
the stage for a successful and satisfying transition to
post high school life. The Wizdom TransPlanner!
fosters those conversations that result in meaningful, student-directed
individualized transition plans, and identifies community
agencies who can shoulder some of the burden in providing
transition services.
Help Your Patients By Sharing Medical Records
Electronically With Social Security
Technology is helping Social Security transform the
disability decision-making process which will mean better
service for applicants across the country. You can help
ensure more accurate and timely decisions for your patients
by sharing your medical records electronically with Social
Security and its partner agencies.
If you are not already doing so,
Social Security urges providers to submit medical records
electronically. Here’s how you can:
- Use your office fax to send medical records toll-free
day or night;
- Use your Internet connection and Social Security’s
secure web site to send individual patient records quickly
and easily;
- Use a scanner and your Internet connection to send
batched patient files to Social Security’s secure
web site
In addition to helping your patients, this option can benefit
you as well. It can reduce costs of medical providers for
the photocopying, paper, toner, postage and staff time required
for paper submissions.
It is also important to note that Social Security’s
form to authorize disclosure of information is fully HIPAA
compliant. Providers can -- and should -- accept a photocopy
or facsimile of the authorization form in order to maximize
efficiency and reduce patient wait time for benefits.
If you would like to register to begin using Social Security’s
secure Web site to send medical records or would like more
information about the options available for submitting medical
records to Social Security electronically, send an e-mail
to electronicrecordsexpress@ssa.gov
or call 1-866-691-3061.
Last Updated April 28, 2006
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