Adolescent Health Transition Programs

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Programs that help adolescents with chronic diseases or disabilities make a successful transition to adult health care providers. There is usually a period of co-management during which a child is seen by pediatric specialists and adult providers; and an adult care plan is generally developed by the team to document current diagnoses and therapies, and lay out guidelines for the frequency of medical visits to specialists and primary care providers, the role of each adult provider in the overall care plan, and the frequency of lab studies and other clinical evaluations. (AIRS LH-6300.0230)

Service Legend
Local Service
Statewide Service: Provides online resources, telehealth, or service at a satellite office.
Nationwide Service: Provides online resources, telehealth or services at a regional/national headquarters location.
Statewide Provider
2350 Alamo Avenue SE, Suite 55
Albuquerque, NM 87106
Phone: 505-925-2378
Statewide Provider
Organization Name: University of New Mexico (UNM) School of Medicine
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Address:
2350 Alamo Avenue SE, Suite 55
Albuquerque, NM 87106
Phone: 505-925-2378
Toll Free Phone: 877-684-5259
Services Provided:

The Continuum of Care project grew out of the idea that health care services should be available and delivered in a comprehensive and coordinated manner from infancy to adulthood, assuring people with disabilities access to the full array of health services from a multidisciplinary approach. 

Services Include:

  • Adult Cerebral Palsy Clinic
  • Ketogenic Diet Clinic
  • Adult Neurology/Vagal Nerve Stimulator in Roswell
  • Adult Neurology Clinic in Clovis
  • Adult Special Needs Clinic in Albuquerque
  • Developmental Disabilities and Mental Illnesses Clinics

Source: University of New Mexico, Center for Development and Disability
Last Updated: 12/1/2022
Organization Name: Presbyterian Healthcare Services
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Address:
201 Cedar St. SE, Suite 4660
Albuquerque, NM 87106
Phone: 505-563-6530
Fax: 505-563-6325
Eligibility:

See children of all ages – from newborns to patients up to 21 years old.

Services Provided:

Provides special care for children with chronic medical condition.

Conditions Treated:

  • Cerebral palsy
  • Congenital heart defects
  • Genetic syndromes
  • Premature babies with lung, eye or feeding issues
  • Short bowel syndrome (SBS), or short gut syndrome.

Source: Medical Home Portal- New Mexico
Last Updated: 12/6/2022
201 Cedar St. SE, Suite 4660
Albuquerque, NM 87106
Phone: 505-563-6530
Organization Name: Presbyterian Healthcare Services
(Show others in Organization)
Address:
201 Cedar St. SE, Suite 4660
Albuquerque, NM 87106
Phone: 505-563-6530
Fax: 505-563-6325
Services Provided:

Provides both pediatric inpatient and outpatient services, as well as urgent care visits. 

Services Include:

  • Pediatrics Primary Care
  • Pediatric Behavioral Health
  • Pediatric Chronic Care Clinic
  • Pediatric and Adult Congenital Cardiology
  • Pediatric Ear, Nose and Throat (ENT)
  • Pediatric Endocrinology
  • Pediatric Gastroenterology
  • Pediatric Hematology/Oncology
  • Pediatric Inpatient Services
  • Pediatric Neurology
  • Pediatric Pulmonology
  • Pediatric Surgery
  • Pediatric Urgent Care 

Source: Medical Home Portal- New Mexico
Last Updated: 12/6/2022
Nationwide Provider
5335 Wisconsin Avenue NW, Suite 440
Washington, DC 20015
Phone: 202-769-0486
Nationwide Provider
Address:
5335 Wisconsin Avenue NW, Suite 440
Washington, DC 20015
Phone: 202-769-0486
Email: info@GotTransition.org
Services Provided:

Dedicated to improving health care transition supports for youth moving into the adult health care system, offers education, resources, tools, and state policy advocacy for youth, families, providers, and states. The Six Core Elements of Health Care Transition 2.0 define the basic components of health care transition support.

Provider Profiles:

See resources on http://gottransition.org

Source: MHP-Nationwide
Last Updated: 1/10/2023
Nationwide Provider
2134 G Street NW
Washington, DC 20052
Phone: 202-454-1220
Nationwide Provider
Address:
2134 G Street NW
Washington, DC 20052
Phone: 202-454-1220
Email: askheath@gwu.edu
Services Provided:

A national web-based clearinghouse on post-secondary education for individuals with disabilities. Provides national conferences, training sessions, and workshops, develops training modules, publishes resource papers, fact sheets, directories, and website information, and fosters a network of professionals.

Source: Nationwide Suggest Providers Queue
Last Updated: 4/14/2022