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Indiana State Department of Health

CSHCS Home > Integrated Community Services > Promote Transition Promote Transition

CYACC – Center for Youth and Adults with Conditions of Childhood

CYACC Director: Mary A Ciccarelli, MD

CYACC Goals:

·         Highest level of health outcomes

·         Highest level of self-advocacy

·         Highest level of community inclusion

CYACC Methods:

Multidisciplinary team - Family advocates, social workers, nurses, physicians and community resource representatives

Preparation ages 11-18 yrs.:

·         Comprehensive medical and socio-emotional assessment

·         Transition planning

·         Counseling to address socio-emotional and health education needs

·         Primary Care Medical Home coordination and support

·         Resource referrals to anticipate and prepare for needs

Transition 18-22 yrs.:

·         Portable medical summary

·         Patient- and Family-centered transition goals shared


CYACC Results as of May 2010

·         Initial assessments began in April 2007

·         450 patients to date

·         Average age - 18 yrs. (range 12-22 yrs.)

Highest activity areas to date:

·         Health insurance transitions

·         Access to community resources

·         Parent-child dynamics

·         Over-supervision vs. under-supervision vs. “just right”

·         Self-management skills

·         Behavioral issues

·         School accommodations

·         Supplement adolescent preventive healthcare