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Health Care
Transitions

Health Care Transitions

Introduction

This set of tools helps health care providers, families and caregivers supporting youth with intellectual and developmental disabilities who are transitioning from the child to the adult health care system. The Transition Checklist prepares families and youth for a discussion with their health care provider around skills and supports needed for successful transition. The Transition Plan guides health care providers to set goals for transition planning with the patient and their families. Finally, the Transfer Tool helps family physicians identify and address potential gaps in planning the health care transition.

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headshot of megan henze Megan Henze is an occupational therapist with experience working with adolescents and young adults with disabilities as they transition into adulthood. At the Developmental Disabilities Primary Care Program, Megan has collaborated with experts at St. Michael’s Hospital (Toronto) to establish a transition clinic with a focus on transition-aged youth with intellectual and developmental disabilities. She previously worked in the Good 2 Go Transition Program at the Hospital for Sick Children, Toronto. Her work in Good 2 Go focused on assisting patients and families with the development of self-management skills and transition planning for health care, funding, services, employment and housing. Megan has a special interest in factors that assist adults with disabilities to live in community-based settings with rather than institutional settings.

Working group members

Shara Ally, RN, MN, MBA, DNP, Senior Consultant, Surrey Place, Lecturer, University of Toronto

Dara Abells, MD, CCFP, Family physician with fellowship in intellectual and developmental disabilities, Forest Hill Family Health Centre, ISAND, University of Toronto

Kerry Boyd,MD, FRCPC, Psychiatrist, Department of Psychiatry and Behavioral Neuroscience McMaster University

Kelly Bryce, RN, Registered nurse, Surrey Place

Arlene Chaves, NP, Manager, Adult Clinical Services, Surrey Place

Brian Hennen, MD MA FCFP FRCGP, Family physician, Professor Emeritus at Western University in London, Professor Emeritus at Dalhousie University in Halifax, NS

Sarah Shea, MD, Family physician, Professor of Division of Developmental Pediatrics at Dalhousie University

Ullanda Niel, MD, CCFP, Family Physician with fellowship in intellectual and developmental disabilities, Scarborough Centre for Healthy Communities

Yani Hamdani, PhD, Researcher, disability and transition, Centre for Addiction and Mental Health, Dual Diagnosis Research Department

Maureen Kelly, MPA, Retired Nurse, previously employed by Surrey Place

Jonathan Lai, PhD, Researcher health services delivery, integrated knowledge translation, Centre for Innovation in Autism and Intellectual Disabilities, McGill University

Alvin Loh, MD, FRCPC, Chief of Paediatrics, Surrey Place, Assistant Professor, Department of Paediatrics, University of Toronto

Samantha Sacks, MD CM CCFP, Family Physician and Clinical Faculty Lecturer, Department of Family Medicine, McGill University, Montreal

Elizabeth Young, MD, FRCPC, Developmental Pediatrician, Department of Pediatrics at St.Michael’s Hospital, Lecturer University of Toronto

Additional input and support provided by Richard Holms, SLP, Surrey Place and Kim Daniels, psychologist, Surrey Place.

  • Supporting materials
  • Meet the team

    headshot of megan henze Megan Henze is an occupational therapist with experience working with adolescents and young adults with disabilities as they transition into adulthood. At the Developmental Disabilities Primary Care Program, Megan has collaborated with experts at St. Michael’s Hospital (Toronto) to establish a transition clinic with a focus on transition-aged youth with intellectual and developmental disabilities. She previously worked in the Good 2 Go Transition Program at the Hospital for Sick Children, Toronto. Her work in Good 2 Go focused on assisting patients and families with the development of self-management skills and transition planning for health care, funding, services, employment and housing. Megan has a special interest in factors that assist adults with disabilities to live in community-based settings with rather than institutional settings.

    Working group members

    Shara Ally, RN, MN, MBA, DNP, Senior Consultant, Surrey Place, Lecturer, University of Toronto

    Dara Abells, MD, CCFP, Family physician with fellowship in intellectual and developmental disabilities, Forest Hill Family Health Centre, ISAND, University of Toronto

    Kerry Boyd,MD, FRCPC, Psychiatrist, Department of Psychiatry and Behavioral Neuroscience McMaster University

    Kelly Bryce, RN, Registered nurse, Surrey Place

    Arlene Chaves, NP, Manager, Adult Clinical Services, Surrey Place

    Brian Hennen, MD MA FCFP FRCGP, Family physician, Professor Emeritus at Western University in London, Professor Emeritus at Dalhousie University in Halifax, NS

    Sarah Shea, MD, Family physician, Professor of Division of Developmental Pediatrics at Dalhousie University

    Ullanda Niel, MD, CCFP, Family Physician with fellowship in intellectual and developmental disabilities, Scarborough Centre for Healthy Communities

    Yani Hamdani, PhD, Researcher, disability and transition, Centre for Addiction and Mental Health, Dual Diagnosis Research Department

    Maureen Kelly, MPA, Retired Nurse, previously employed by Surrey Place

    Jonathan Lai, PhD, Researcher health services delivery, integrated knowledge translation, Centre for Innovation in Autism and Intellectual Disabilities, McGill University

    Alvin Loh, MD, FRCPC, Chief of Paediatrics, Surrey Place, Assistant Professor, Department of Paediatrics, University of Toronto

    Samantha Sacks, MD CM CCFP, Family Physician and Clinical Faculty Lecturer, Department of Family Medicine, McGill University, Montreal

    Elizabeth Young, MD, FRCPC, Developmental Pediatrician, Department of Pediatrics at St.Michael’s Hospital, Lecturer University of Toronto

    Additional input and support provided by Richard Holms, SLP, Surrey Place and Kim Daniels, psychologist, Surrey Place.

All rights reserved. No part of this website may be reproduced, stored in a retrieval system or transmitted in any form or by any means without the prior written permission of the copyright owner, Surrey Place. Contact the Developmental Disabilities Primary Care Program at Surrey Place at ddpcp@surreyplace.ca for permission to adapt information and tools to your local practice setting.