An Examination of Health Care Transition Experiences Through Parents' Reflections About Their Sons or Daughters Who Have Intellectual and Developmental Disabilities.

backgroundAs national and international reports reveal, significant health care transition (HCT) service disparities exist for youth and young adults with intellectual and developmental disabilities (YYAs with IDD). The development of the HCT model necessitates informed perspectives from a broad constituency, including consumers and families. Parents' retrospective perspectives of their sons' or daughters' HCT experiences are presented to enlarge the understanding of the service need. METHODOLOGY: Eleven parents were recruited virtually from parent support/disability advocate groups via an email distribution list of the Children's Hospital Los Angeles University Center for Excellence in Developmental Disabilities. Parents who consented to participate were interviewed by phone using an interview guide with 11 open-ended items. Three questions focused on the barriers and facilitators associated with the HCT experience are reported.

findingsFour major themes were generated from the analysis of data gathered from parents pertaining to their sons' or daughters' health care transition experiences, focusing on the transfer of care. Two major themes were related to HCT barriers-Pediatric Care Contrasted with Adult-Focused Care and Transfer of Care Barriers-and two were related to HCT facilitators-Transfer of Care Facilitators and Transfer of Care Recommendations. Each of the major themes included subthemes.

conclusionsParents openly shared their sons' or daughters' HCT experiences, which illuminated the scope of their challenges and the assistance received. These insights provide rich descriptions of the barriers they and their adult children faced as they proceeded with navigating new systems of health care. The reported data find support in other previously conducted studies.