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Untitled Prezi

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Jon Pletcher

on 5 August 2014

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Critical time period for brain development and establishing “complex forms of thinking for complex societies”*
35 million in US (10%)
Unique developmental stage from Adolescence and Young Adulthood
Health Care is not the only Transition
Public benefits
Private benefits
Intense Neuro-physiologic and Societal CHANGE
Pre-frontal cortex and decision making
Emotional regulation, inhibitory response
Expectation of reaching traditional ‘milestones’ of adulthood
Increasingly in school, un (under) employed

Cultural Differences Regarding Support for Decision-making
Family-Centered or Person-Centered
Interdisciplinary or Multidisciplinary
Paternalism or Personal Autonomy
Adherence or Tolerance

Keys to Success
Longitudinal and continuous approach that begins well before and ends well after the transfer to adult-oriented care.
Support progressive transfer of decision-making from parent to patient.
Allow opportunities to introduce and educate adult-oriented providers.
Engage youth to develop skills that will support self-advocacy and self-determination

Model for SDM
Our Systems are Critical to this Process
Emerging Young Adults
Support for Shared Decision Making
Coordinating Care Requires a Team
Transition from Pediatric to Adult Health Care
18 to 26 Years
Support for interdependence and respect for the dignity of each individual contributes to engaged, activated young adults
Paternalism and barriers to access contributes to distrustful and disengaged youth
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