Gray Wendy N, Monaghan Maureen C, Gilleland Marchak Jordan, Driscoll Kimberly A, Hilliard Marisa E
Department of Psychology, Auburn University, Auburn, Alabama.
Center for Translational Science, Children's National Health System, Washington, District of Columbia.
J Adolesc Health. 2015 Nov;57(5):468-74. doi: 10.1016/j.jadohealth.2015.07.011.
Guidelines for optimal transition call for multidisciplinary teams, including psychologists, to address youth and young adults' multifactorial needs. This study aimed to characterize psychologists' roles in and barriers to involvement in transition from pediatric to adult health care.
Psychologists were invited via professional listservs to complete an online survey about practice settings, roles in transition programming, barriers to involvement, and funding sources. Participants also responded to open-ended questions about their experiences in transition programs.
One hundred participants responded to the survey. Involvement in transition was reported at multiple levels from individual patient care to institutional transition programming, and 65% reported more than one level of involvement. Direct clinical care (88%), transition-related research (50%), and/or leadership (44%) involvement were reported, with 59% reporting more than one role. Respondents often described advocating for their involvement on transition teams. Various sources of funding were reported, yet, 23% reported no funding for their work. Barriers to work in transition were common and included health care systems issues such as poor coordination among providers or lack of a clear transition plan within the clinic/institution.
Psychologists assume numerous roles in the transition of adolescents from pediatric to adult health care. With training in health care transition-related issues, psychologists are ideally positioned to partner with other health professionals to develop and implement transition programs in multidisciplinary settings, provided health care system barriers can be overcome.
最佳过渡指南要求多学科团队，包括心理学家，来满足青少年和青年成人的多方面需求。本研究旨在描述心理学家在从儿科医疗向成人医疗过渡过程中的角色以及参与其中的障碍。
通过专业邮件列表邀请心理学家完成一项关于执业环境、过渡计划中的角色、参与障碍和资金来源的在线调查。参与者还回答了关于他们在过渡计划中的经历的开放式问题。
100名参与者回复了调查。从个体患者护理到机构过渡计划，在多个层面都有参与过渡的情况报告，65%的人报告参与了不止一个层面。报告了直接临床护理（88%）、与过渡相关的研究（50%）和/或领导（44%）方面的参与，59%的人报告担任了不止一个角色。受访者经常描述他们为参与过渡团队而进行的争取。报告了各种资金来源，但23%的人表示其工作没有资金支持。过渡工作中的障碍很常见，包括医疗系统问题，如提供者之间协调不佳或诊所/机构内缺乏明确的过渡计划。
在青少年从儿科医疗向成人医疗的过渡过程中，心理学家承担着众多角色。通过接受与医疗过渡相关问题的培训，心理学家处于理想位置，能够与其他医疗专业人员合作，在多学科环境中制定和实施过渡计划，前提是能够克服医疗系统障碍。
