title: Navigating the transition from pediatric to adult eating disorder programs: perspectives of service providers.
abstract: OBJECTIVE
  This study aims to conduct qualitative research on the perspectives of service providers regarding the transition process from pediatric to adult specialized eating disorder tertiary care programs.
  
  
  METHODS
  Two focus groups with a diverse group of clinicians in pediatric and adult eating disorder programs and five qualitative interviews with clinicians in the community were conducted.
  
  
  RESULTS
  Three themes were identified as challenges during the transition process: (1) illness related factors (ambivalence and denial); (2) the interruption of normative adolescent developmental processes by the illness; and, (3) the impact of decreased parental involvement in the adult compared to pediatric eating disorder programs.
  
  
  CONCLUSIONS
  These themes were compared with empirical evidence on other chronic mental or physical health concerns for the purpose of identifying ways to facilitate a more successful service transition for young adults with anorexia nervosa. Future research and clinical implications are delineated.
authors.affiliation: Eating Disorders Program, University Health Network, Toronto, ON, Canada. gina.dimitropoulos@uhn.ca
authors.forename: Gina
authors.initials: G
authors.lastname: Dimitropoulos
authors.forename: Angela Faith
authors.initials: AF
authors.lastname: Tran
authors.forename: Payal
authors.initials: P
authors.lastname: Agarwal
authors.forename: Brandon
authors.initials: B
authors.lastname: Sheffield
authors.forename: Blake
authors.initials: B
authors.lastname: Woodside
mesh_terms: D000293:Adolescent; D041923:Adolescent Development; D016497:Adolescent Health Services; D000328:Adult; D002648:Child; D002662:Child Health Services; D001068:Feeding and Eating Disorders / Q000628:therapy*; D017144:Focus Groups; D006801:Humans; D010290:Parents; D060305:Transition to Adult Care; D055815:Young Adult