Adolescent transition for neurodevelopmental disability — branching viva

Opening (candidate)

I would frame transition as a multi-year process starting now: readiness and teaching, portable summary and seizure emergency plan, legal decision supports, family preparation, and naming adult primary and neurology homes with a warm handoff — not a birthday discharge. [1] [7]

Branch A — Definition

Examiner: What is transition? [1]

Candidate: Planned movement from child-centred to adult-oriented care with continuous services — preparation, transfer and integration — not notes alone. [1]

Branch B — Readiness

Examiner: TRAQ is low. Stop transfer? [3]

Candidate: No. Use the score as a curriculum and support plan; build skills and adult accommodations; do not abandon care. [3]

Branch C — Family and youth

Examiner: Parents are anxious; youth is minimally verbal. [8]

Candidate: Include the young person with communication supports; prepare parents with timeline and joint planning; avoid speaking only about the youth as if absent. [8] [17]

Branch D — Failure mode

Examiner: At 18 they are discharged with no adult clinic. [1]

Candidate: Unsafe. Escalate to secure accepting adult providers, complete emergency plan, and avoid dump transfer. Re-engage urgently if seizures or loss to follow-up. [1] [12]

Close

Confirm post-transfer engagement date and residual legal/local-pathway uncertainty. [1] [7]