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1.What is the desired Result?Transition from pediatric to adult care is the process that provides the youth with endocrine needs an adult "medical home".Guiding assumptions include the following: After the "age of majority";all youth deserve to be treated as adults, and all youth deserve to receive an adult model of care.Because of special needs, some youth may require decision-making support from third-party proxies.It is the youth, not the health care provider, that is transitioning.2.What activities are required to create a transition plan?For successful transition, an assessment for readiness should occur, with the goal of identifying gaps, and providing needed skills.Planning of the transition process should include establishment of goals.Implementation of the transition plan requires education and empowerment.Documentation of current health assessment, with anticipated future needs --provides the youth and adult medical care provider with information in order to increase the probability of future success.3.What roles may be considered?Parents are actively engaged in the process, and move in and out of the decision-making role as appropriate.The youth maximizes the independence and primary role in decision-making, in order to foster "lifelong functioning and medical self-determination".Successful transition requires that the process prioritizes the unique needs of the youth,while supporting the needs of the parents or medical care provider.