Transition Planning for the College Bound Adolescent with a Mental Health Disorder

• Anticipatory guidance for the college bound adolescent with a mental health disorder to facilitate transition to self-managed health care activities is lacking.
• There is a paucity of literature on facilitating a successful transition to college life for the college bound adolescent with a mental health disorder.
• Mental health crises are the primary reason that students withdraw from the university and suicide is the 2nd leading cause of death of college students.
• Nurses are key leaders for anticipatory guidance for adolescents and need to fill this practice gap.

Health promotion, disease prevention and anticipatory guidance are the hallmarks of nursing practice, particularly in pediatrics. While there is a wealth of information on anticipatory guidance for the pediatric patient at different ages and developmental stages, there is a paucity of information on anticipatory guidance for the adolescent and emerging adult in transitioning to manage their own health care. While an established need for anticipatory guidance and a transition plan from pediatric to adult health care is apparent for youth routinely followed for significant medical, intellectual, or developmental conditions, a group particularly vulnerable to destabilization of their health as they transition to self-directed adult health care management is composed of youth with mental health disorders. The risk for destabilization increases as they move away from social supports to the university setting. This article reviews available literature on anticipatory guidance for the college bound adolescent with a mental health disorder and makes recommendations for transition planning including examining the college and community services that would support mental health as well as personal choices regarding lifestyle habits while attending the university. Recommendations are made for nurses to be the leaders in filling this anticipatory guidance gap in preparing youth with mental health disorders for a successful transition to and through college life.