Structured transition of care from paediatric to adult services helps adolescents and young adults to feel empowered, engaged and enabled to manage their chronic condition.
The Transition model of care describes activities in four phases (planning, preparation, transfer, and evaluation), starting from around age 12. The model provides a structure to support the young person to develop skills and knowledge needed to become independent in managing their condition and ready to access adult healthcare services.
Model of Care
- Guideline: Type 1 Diabetes Transition Model of Care, A journey from Paediatric to Adult Health Care
- Consolidated Type 1 Diabetes Transition Model of Care
- Additional clinician knowledge resources
Consumer information
Clinical Forms (Examples only)
Clinical forms are available for download and print from Winc.
Transition progress summaries
- Clinical Summary - Transition Patient
- Diabetes Transition Progress Summary Part 1
- Diabetes Transition Progress Summary Part 2
- Diabetes Transition Progress Summary Part 3
- Diabetes Transition Progress Summary Part 4
Psychological assessments
- Diabetes Psychosocial Assessment (DPAT) – Paediatric Phase 1
- Diabetes Psychosocial Assessment (DPAT) – Paediatric Phase 2
- Diabetes Psychosocial Assessment (DPAT) – Paediatric Phase 3
- Diabetes Psychosocial Assessment (DPAT) – Adult (Phase 4)
Screening tools
Knowledge checks
- M-WIKAD (Mercy – What I Know About Diabetes)
- Nutrition Knowledge Checklist for Transfer to Adult Care
- Readiness to Transfer Checklist
Transition Evaluation
