title: Decreased access to health care and social isolation among young adults with cerebral palsy after leaving school.
abstract: OBJECTIVE
  To examine if leaving special schools has a negative impact on the health care and social isolation of young adults with cerebral palsy.
  
  
  METHODS
  Young adults with cerebral palsy, aged between 15 and 22 years, were divided into 2 cohorts: current students, who were still receiving services from special schools, and school-leavers, who had since been discharged from care. A questionnaire and physical examination were administered to assess the extent of disability, health care received by, and social isolation of these young adults.
  
  
  RESULTS
  School-leavers had a greater degree of dissability than did students, although the results were not statistically significant. Health care exposure to specialists, general practitioners, therapists physiotherapists, occupational therapists, and/or speech therapists), and medical social workers decreased after leaving school; with the exception of contact with general practitioners, these results were significant (p<0.05). The entire cohort was more socially isolated than a control cohort. School-leavers participated in fewer activities outside their homes, but showed less concern about their disability than did current students.
  
  
  CONCLUSIONS
  Young adults with cerebral palsy continue to have health care and lifestyle needs after leaving school, which are currently not being adequately met.
authors.affiliation: Faculty of Medicine, National University of Singapore, Singapore.
authors.forename: S Y
authors.initials: SY
authors.lastname: Ng
authors.forename: S K
authors.initials: SK
authors.lastname: Dinesh
authors.forename: S K H
authors.initials: SK
authors.lastname: Tay
authors.forename: E H
authors.initials: EH
authors.lastname: Lee
mesh_terms: D000293:Adolescent; D000328:Adult; D002547:Cerebral Palsy / Q000523:psychology* / Q000628:therapy*; D015331:Cohort Studies; D004519:Education, Special; D005260:Female; D019538:Health Care Surveys; D006297:Health Services Accessibility; D006801:Humans; D008297:Male; D012846:Singapore; D012934:Social Isolation; D013332:Student Dropouts