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Journal of Neurology Neurosurgery and Psychiatry 2003;74:1011-1013
© 2003 BMJ Publishing Group


EDITORIAL

Growing up with chronic neurological problems

Transition from paediatric to adult medical services for young people with chronic neurological problems

C Tuffrey1, A Pearce2

1 North Bristol NHS Trust, Frenchay Hospital, Bristol, UK
2 Community Child Health Department, North Bristol NHS Trust, Southmead Hospital, Bristol

Correspondence to:
Correspondence to:
Dr C Tuffrey, 9 Greenhill, Neston, Corsham, Wilts SN13 9RN, UK;
tuffrey@yahoo.co.uk


Some form of structured transition to adult orientated services is required for many young people with chronic disease

Keywords: adolescents; chronic neurological disease

The first 150 words of the full text of this article appear below.

A dolescence is a time of great change for all young people. As independence increases, adolescents may have difficulties in their relationships with adults and may engage in risk taking behaviour. Young people are often not registered with a general practitioner and seek medical services only when in an emergency.1 These issues also affect many youngsters with chronic disease but may have a more serious impact on future health and psychosocial functioning. Neurological conditions can have a profound effect on an adolescent’s self esteem and sense of identity,2 and many young people with neurological disabilities do not have the social skills to seek out and maintain services themselves.3

Transition to adult care has become a major issue across the paediatric subspecialties and will continue to present a challenge to all health care providers over the coming years.1 With improved care, diseases of childhood are . . . [Full text of this article]







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