Surgeon General's Conference Growing Up and Getting Medical Care: Youth with Special Health Care Needs A Summary of Conference Proceedings Surgeon General's Conference Growing Up and Getting Medical Care: Youth with Special Health Care Needs A Summary of Conference Proceedings PreparedandEditedby: Phyllis FL Magrab, Ph.D. Conference Chairpexson Hilary E.C. Millar, M.D. consultant Editor Funded by The Bureau of Maternal and Child Health and Resources Development Jekyll Island, Georgia March 13-15,1989 National Center for Networking Community Based Services Georgetown University Child Development Center Proceedings from the Surgeon General's Conference March 13-15, 1989 Growing Up and Getting Medical Care Youth With Special Health Care Needs Index Executive Summary Surgeon General's Introductory Remarks C. Everett Koop, M.D. Background Issue Brief Suzanne M. Bronheim, Ph.D. Section Overview and Scope of Problem Learning To Be An Adult Patient Margaret Stineman, M.D. Obstacles To Transition Prom Pediatric to Adult Health Care Systems Daniel V. Schidlow, M.D. Adolescents and Young Adults With Special Health Care Needs: The Challenge for Financing Peggy McManus Preparation of Staff for Adolescent Transition Hilary Millar, M.D. Section II A Case History Discussion and responses from: Merle McPherson, M.D., Kenneth W. Whittington, M.D., Athur B. Elster, M.D. Section III Successful Models: Transitioning of Patients from Pediatric to Adult Care Stanley Fiel, M.D. The Hemophilia Model Louis Aledort, M.D. Young People with Rheumatoid Arthritis Patience White, M.D. Issues of Adolescent Transition in the Netherlands Wietse Kuis, M.D. Gerben Sinnema, Ph.D. Section IV Summary of Suggestions for Conference Action Surgeon General's Concluding Remarks C. Everett Koop, M.D. 1 3 6 9 10 12 16 22 25 27 29 31 33 35 37 42 45 List of Participants