Care of the Emerging Adult

  • Stacey Weinstein
  • Paul Bixenstine
  • Daniel Karlin
  • Faysal Saab
  • Linnaea Schuttner
  • Angelica Zen
  • Alice A. Kuo
Chapter
First Online:

Abstract

The period of life between 18 and 25 years represents a distinct developmental phase known as emerging adulthood. In addition to poor health outcomes, this phase is distinct in the missed opportunities and potential to alter life course health trajectories with appropriate anticipatory guidance and prevention services. The HEADDSS (home, education/employment, activities, drugs, diet, sexuality, suicide) approach to a social history, more commonly used in adolescent medicine (for children between the ages of 12 and 18 years) can and should be adapted for use with emerging adults by adult health providers. Preconception counseling, mental health, and substance use are areas of greatest impact on future health outcomes if addressed in the emerging adulthood period. For emerging or young adults with chronic childhood-onset conditions, implementing models such as the patient-centered medical home and chronic care models can improve health outcomes. Finally, adapting the Got Transition framework for use in adult patients can provide a framework for primary care practices to optimize their care of this population.

Keywords

Emerging adulthood HEADDSS (Home, education/employment, activities, drugs, diet, sexuality, Suicide) Got Transition Patient-centered medical home Chronic care model Preconception counseling Mental health Substance use Chronic childhood-onset conditions 
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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Stacey Weinstein
    • 1
  • Paul Bixenstine
    • 2
  • Daniel Karlin
    • 2
  • Faysal Saab
    • 2
  • Linnaea Schuttner
    • 2
  • Angelica Zen
    • 2
  • Alice A. Kuo
    • 3
  1. 1.Medicine-Pediatrics Transition Care Program, Departments of Medicine and PediatricsUniversity of CaliforniaLos AngelesUSA
  2. 2.Combined Internal Medicine and Pediatrics Residency ProgramUniversity of CaliforniaLos AngelesUSA
  3. 3.Departments of Medicine and Pediatrics, Health Care Transitions Research NetworkUniversity of CaliforniaLos AngelesUSA

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