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Good practices that address continuity during transition from child to adult care: synthesis of the evidence


Alison While, Florence Nightingale School of Nursing and Midwifery, King's College London, James Clerk Maxwell Building, 57 Waterloo Road, London SE1 8WA, UK


Background  Effective transition to adult services is required by an increasing number of children with ongoing needs.

Aim  To identify practices that promote continuity at transition between child and adult services.

Methods  Systematic examination of the evidence from two search strategies yielding 5319 items.

Results  Only three of the 126 appraised items had strong external validity. A large range of different practices, which focused on the service, the young person and the family, were identified. Practices within the service addressed structural, process and outcome components.

Conclusion  Four transition models are proposed for testing.