PATH Parent to Parent and Family Voices of CT, Parents Available to Help, Inc.

TRANSITION TO ADULTHOOD

Since 2008, PATH/FVCT has been part of the Department of Public Health State Implementation for Integrated Community Systems for Children and Youth with Special Health Care Needs Grant; better known as theTransition Grant. This project focuses on strengthening efforts on continuous quality improvement to promote the successful transition of youth with Special Health Care Needs to post-secondary education and/or employment or vocational placement and from pediatric practices to adult health care services. This grant is a collaborative effort between several state and family organizations in CT and is funded by the CT Department of Public Health (DPH).

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CT Medical Home Initiative for Children and Youth with Special Health Care Needs

YOUNG ADULT TRANSITION SURVEY

The Department of Public Health needs your help and is asking parents and providers of youth with special health care needs to provide the following survey to a youth that they care for and ask them to fill it out and send back to the department. Completed surveys can be mailed back to Nordia Grant at:

Connecticut Department of Public Health

Public Health Initiatives Branch, MS# 11 PHI

410 Capitol Avenue

P.O. Box 340308

Hartford, CT 06134-0308

Connecticut Medical Home Initiative for Children & Youth with Special Health Care Needs

YOUNG ADULT TRANSITION SURVEY

We Need Your Help! The Connecticut Department of Public Health has a grant and needs your input to help youth with special health care needs (YSHCN) transition to all aspects of adulthood including health care, work and independence.

· Please take the time to complete this short survey, 5 minutes or less! · Circle the number that best reflects your response & fill in the statements at the bottom of the page. · Thank you for your participation.
	N/A	Never	Sometimes	Usually	Always
1. Does the doctor and healthcare team talk with you about and respect your lifestyle (like your diet, your religion, and other things your family likes to do?)	1	2	3	4	5
2. How often does the health care team ask your opinion about your health care decisions during the appointment?	1	2	3	4	5
3. Has your doctor talked to you and answered your questions about finding an adult health care provider?	1	2	3	4	5
	No	Unsure	Yes
4. Do you have a plan for transition to adulthood?	1	2	3
Does the plan include consideration for:
· Independent living	1	2	3
· Post secondary education	1	2	3
· Health care/insurance	1	2	3
· Employment/vocational	1	2	3
· Transportation	1	2	3
· Social/recreation	1	2	3
· Other:	1	2	3
5. Did the health care team discuss with you and your family how to keep your health insurance as you mature to adulthood?	1	2	3

Town or City where the you live:
Year you were born: / /
Date Completed: / / 2010

PATH/FVCT staff is available to assist families in accessing transition resources.Please call 1-800-399-7284 (CT only) or 203-234-9554

Please watch this space for upcoming workshops and information about transition.

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Download the following article on health and transition

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