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Disengaged adolescent – re-engage — RACP Paediatrics MCQ

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ModerateNeurologyDisengaged adolescent – re-engageRACP Paediatrics

A 17-year-old with type 1 diabetes is struggling with glycaemic control (HbA1c 97 mmol/mol) and has disengaged from his paediatric diabetes team. He has not yet been linked with adult services. What is the highest priority action?

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Correct answer: D — Multidisciplinary transition clinic

Re-engagement and structured transition is critical. Disengagement during transition is the highest-risk period for complications in chronic disease. A dedicated transition coordinator or young adult health worker should actively re-engage the patient, offer flexible appointments, and facilitate a warm handover to adult services with parallel attendance.

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