Abstract
Purpose
We surveyed healthcare providers to determine the extent to which they discuss transition-to-adulthood
topics with autistic patients without intellectual disabilities.
Methods
Seventy-four healthcare providers in the Philadelphia area reported on the patient
age at which they begin transition conversations, topics covered, and provider comfort.
We calculated the proportion of providers who endorsed each transition topic, overall
and by clinical setting.
Results
Providers initiated transition-related conversations at a median age of 16 years (IQR:
14, 18), with over half reporting they were “somewhat” or “a little” comfortable with
discussions. Nearly all providers discussed at least one healthcare, well-being, and
mental health topic, while basic need-related discussions were limited.
Discussion
Results suggest providers may delay and feel poorly prepared to provide anticipatory
guidance to autistic patients for transition to adulthood. Future efforts to enhance
the available resources and preparation available to providers are essential to meet
autistic patients’ needs.
Keywords
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Article info
Publication history
Published online: February 11, 2022
Accepted:
December 3,
2021
Received:
August 19,
2021
Footnotes
Conflict of interest: The authors have no conflicts of interest to disclose.
Identification
Copyright
© 2021 Society for Adolescent Health and Medicine. All rights reserved.