Transition Care

Medicine-Pediatrics Residency Program

Center for Special Health Care Needs (Care of Young Adults with Chronic Conditions of Childhood Onset)

The Center for Special Health Care Needs at ChristianaCare is the only center in Delaware that focuses solely on adults with medically and socially complex conditions that originated in childhood. In addition to providing primary care (the largest group of patients and the largest need), there are specialized programs within the Center including programs specific to Cerebral Palsy, Cystic Fibrosis, Developmental Psychiatry, Down Syndrome, Gastroenterology, Hemophilia/Von Willebrand, Sickle Cell, Urology and Women’s Health. There are also clinics outside the Center but within ChristianaCare for patients with Congenital Heart Disease, HIV exposure or cochlear transplants. Every patient gets seen by a provider, social worker and care manager.

Please hear about our program: Watch.

At A.I. du Pont Hospital for Children there is a consultative transition of care service and transition division to prepare patients and families to enter the adult health care system.

Our primary care transition program at ChristianaCare and transition of care service at Nemours has received national attention in the news media. Our faculty has been invited to talk, present and lead transition workshops across the country to both adult and pediatric audiences including: Keck School of Medicine of University of South California, Geisinger Health System, Society of General Internal Medicine, Pediatric Academic Society, American College of Osteopathic Pediatricians, University of California at San Diego and University of Maryland.

Our programs were featured in the Wall Street Journal (August 12, 2014).

Our Center for Special Healthcare Needs features med-peds physicians with medical director, Charmaine Wright, MD, MHSP (former University of Pennsylvania/Children’s Hospital of Philadelphia Med-Peds program director) and faculty Justin Eldridge, MD, FACP, FAAP (recipient of the 2019 Outpatient Teacher of the Year from Internal Medicine Residency Program, the 2018 Outpatient Teacher of the Year from Family Medicine Residency and 2016 Outpatient Teacher of the Year from the Pediatric Residency program), Stephanie Guarino, MD, MSHP (Christiana Care clinical lead Sickle Cell, Value Institute Scholar, Nemours lead adolescent oncology trials) and Allen Friedland, MD, FACP, FAAP (founding director in 2009).

All of our residents get experience in the outpatient Center and with external community resources. There is a new Med-Peds inpatient service led by our med-peds hospitalist team for patients that are homebound and/or with special health care needs that residents can rotate.

Dr. Friedland is on the Got Transition Advisory Board and was on the writing group of the 2018 Clinical Report from the American Academy of Pediatrics, American Academy of Family Physicians and American College of Physicians: Guidance for Clinicians in Rendering Pediatric and Adult Care Supporting the Health Care Transition From Adolescence to Adulthood in the Medical Home.