Starship Diabetes Adolescent Transition Programme and Clinics
The Adolescent Diabetes Clinics run on a Monday or Tuesday at Greenlane Clinical Centre and on a Friday at Botany Super Clinic. The Adolescent Transition clinic differs significantly from paediatric diabetes clinics.
The Starship Diabetes Adolescent Transition Programme aims to address the following:
- Identifying geographical specific adult services which are able to provide for the needs of young adults with diabetes in Auckland and presenting these options to families
- The provision of a clinic utilising an adolescent consultation model and facilitating the transition process
- Development of clear, documented plans for transition
- Good communication between all services providing care for the young person at the time of transition, including the primary care physician and other specialists
- The provision of adolescent specific education in a supportive non-threatening environment utilising available speciality services
- Ensuring that there is no significant gap in care between leaving the paediatric service and entering the adult service and that the young person is not lost to follow-up care
- Maintaining a database of all adolescents transferring to Adult Diabetes Services and subsequent capture and clinical data for a period of 5 years post transition.
Our greatest concern as health professionals is that adolescents may become lost in the process and cease regular attendance with specialised services. This is likely to be associated with poor adherence to treatment and increased risk of acute and long-term complications of diabetes
All families are scheduled a formal consultation with the Diabetes Transition Nurse Coordinator at the first appointment within the Adolescent Transition Clinic. Families are also issued with a Diabetes Adolescent Starter pack at this first appointment. This Transition Starter Pack outlines what families can expect within the Diabetes Adolescent Transition Programme.
In the Adolescent Transition clinics we aim to provide:
- The opportunity for young people to be seen on their own, with the option of bringing their care-giver/parent(s) into the consult when they feel appropriate
- The opportunity for care-givers/parent(s) to meet with team members (Nurse Specialist/medical staff/Dietitian) separately to the main consultatation so that any issues of concern may be addressed and to provide much needed parent(s)/care-giver based psychosocial support
- A collection of adolescent specific resources which are based on current evidence in relation to the management of specific aspects of adolescent diabetes (alcohol, drugs, driving, complications screening, sexual health etc)
- Region-specific pamphlets regarding specific aspects of Young Adult Diabetes Services
- The opportunity to link with members of the Centre for Youth Health team wherever youth health issues of concern are raised
- The opportunity to meet with the Dietitian for dietary support. All young people to be surveyed in relation to current dietary based knowledge on their entry to the adolescent clinic. Flagged young people with poor levels of knowledge will be scheduled additional Diabetes Centre based education sessions with the Dietitian with follow up review at scheduled clinic appointments. The dietitian will correspond directly with relevant adult based services prior to individualised patient transition regarding dietetic issues.
- The opportunity to engage in psychological support. Young people presenting to the Adolescent Clinic with psychosocial issues are referred to the Clinical Psychologist for Starship Diabetes Service. These sessions are scheduled separately from the Adolescent Clinic and can range from one-off sessions to extended periods of interaction depending on the issues.
More From Starship
Link to the ADHB website for information on adult health services
Information, videos and factsheets on managing diabetes from the Starship Diabetes Team