Transitions from child to adult health care for young people with intellectual disabilities: a systematic review

Michael Brown*, Juliet Macarthur, Anna Higgins, Zoe Chouliara

*Corresponding author for this work

    Research output: Contribution to journalArticlepeer-review

    38 Citations (Scopus)
    715 Downloads (Pure)

    Abstract

    Aims: To examine the experiences of health transitions for young people with intellectual disabilities and their carers and identify the implications for nursing practice.

    Design: A systematic review and critical appraisal of qualitative, quantitative and mixed methods studies.

    Data sources: A search of the relevant literature published 2007-2017 was carried out in AMED, ASSIA, CINAHL, MEDLINE, PsycINFO, PubMed and Science Direct Sociological Abstracts databases.

    Review Methods: A total of 12 out of 637 papers identified in the search met the inclusion criteria for this review. A narrative review of the papers was undertaken by synthesising the key findings and grouping them into concepts and emergent themes.

    Results: Four main themes were identified: (i) becoming an adult; (ii) fragmented transition process and care; (iii) parents as advocates in emotional turmoil; and (iv) making transitions happen.

    Conclusion: The range of issues that impact the transition from child to adult health services for young people with intellectual disabilities and their carers raise important implications for policy development, nursing practice and education.
    Original languageEnglish
    Pages (from-to)2418-2434
    Number of pages17
    JournalJournal of Advanced Nursing
    Volume75
    Issue number11
    Early online date28 Feb 2019
    DOIs
    Publication statusPublished - 27 Oct 2019

    Keywords

    • Intellectual disabilities
    • Complex needs
    • Transitions
    • Health services
    • Young people
    • Systematic review
    • Nursing

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