Transition to adult care is a challenging process for youth with special health care needs. 

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Patients are likely to experience:

• Loss to follow-up

• Irreversible health deterioration

• increase in co-morbidities

• increase in expensive emergency care

The Transition Navigator Trial (TNT) evaluates the effectiveness of usual care + patient navigator service, versus usual care + newsletters and seminars, to improve transition outcomes among adolescents with chronic health conditions.

The patient navigator is a trained social worker who will help address patient needs as they adjust to the adult healthcare system.

The navigator will focus on:

• preparing for transfer

• reducing social and economic barriers to healthcare

• serving as a health system broker

• promoting self-management