When it’s time to move from paediatrics to adult care, the transition can be difficult for some, particularly for those with significant disabilities who have needed ongoing paediatric care since they were infants. While it may sound as simple as moving from one doctor to another, many parents struggle with knowing the right time or wondering how different it will be for their child. Here’s what to expect when transitioning from paediatric to adult care:
The Right Time for the Transition
When it comes to deciding the right time to transition away from paediatric care, there is no one answer for this. Transitioning from paediatric to adult care usually occurs around the 18th birthday. However, in reality, it is a case-by-case basis. It all depends on the patient, their health history, and much more. When you’re thinking about taking your child out of paediatric care, it’s always best to consult their doctor first to decide when would be the right time.
The Role of the Pediatrician
Under their care, a paediatrician will help prepare your child for the transition to an adult physician. As the patient grows older, paediatricians will begin to see patients in private when they’re in their early teen years, depending on the level of disability. As adolescents begin to learn real-life responsibilities such as driving or getting their first job, they also need to learn how to advocate for themselves when it comes to their health.
The Consent of Treatment
There is a principle called the “mature minor”, it is different from state to state and country to country. What that means is that some point, between the ages of 14 and 16, the doctor determines if the child has the maturity to understand and consent to the treatment they are having. If they are ‘mature’ enough to consent, then their consultation is confidential. As such, when a patient is at the age of consent, they no longer have to disclose anything medically related to their parents. This means that whatever is discussed between the patient and their doctor will stay between them.