CHAT Project

The Health Care Provider’s Guide to Helping Youth Transition from Pediatric to Adult Healthcare (and its companion guidebooks and toolkits for youth and their families) was prepared by the North Carolina Division of Public Health, Children and Youth Branch, in collaboration with MAHEC, the Exceptional Children’s Assistance Center, and the Center for Independent Living. These materials were funded by the Carolina Health and Transition (CHAT) Project, a state initiative to improve the quality and accessibility of health care transition services for youth, their families, and their medical providers throughout the state.

MAHEC is pleased to provide these guidebooks and tools, along with other project educational materials and resources. All materials are available for download and distribution for educational purposes. If users adapt the materials, they are required to cite the source document(s).


  1. Core Knowledge and Skills for Pediatric Practices
  2. Transition Checklist and Timelines
  3. Changing Role for Youth
  4. Changing Role for Families
  5. UNC STARx self-assessment tool
  6. T.R.A.N.S.I.T.I.O.N. Scale (provider-administered)
  7. Transition Information Form
  8. HRTW Portable Medical Record Form
  9. Emergency Information for Children with Special Needs
  10. Transition Action Care Plan
  11. Health Care Skills Checklist

Family Perspectives" Transition Video Series for Families
   (Produced by Exceptional Children's Assistance Center (ECAC) and Family Voices)

  1. Community Support Groups
  2. Finding an Adult Provider
  3. Medication Management
  4. Health Literacy
  5. Success Stories

CHAT was funded by the New Freedom Initiative: State Implementation Grants for Integrated Services for CSHCN (D70MC6894-03-01) from the Integrated Services Branch, Division of Services for Children with Special Health Needs (DSCSHN) in the Federal Maternal and Child Health Bureau (MCHB), Health Resources and Services Administration (HRSA), Department of Health and Human Services (DHHS).