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Transition clinic – complex needs — RACP Paediatrics MCQ

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ModerateNeurologyTransition clinic – complex needsRACP Paediatrics

A 16-year-old with complex epilepsy, intellectual disability, and CP is approaching transition to adult services. Per best-practice transition guidelines, what model of transition is recommended?

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Correct answer: B — Multidisciplinary transition clinic

Structured multidisciplinary transition clinics (involving both paediatric and adult clinicians) beginning from age 14-16 with gradual handover is the recommended model. Abrupt transfer at age 18 without preparation leads to poor outcomes (disengagement, preventable complications). Transition should be planned, developmentally appropriate, and involve the young person and family.

Reference: RCH Melbourne – 2023 – Transition CPG; RACP – Transition Guidelines