[Mental health-An underestimated problem? : Psychological burden in transitional care: recommendations for rheumatological practice].

BACKGROUND

The transition of patients from pediatric to adult rheumatology represents a psychosocial process that extends beyond a mere transfer of care. Adolescents and young adults are in a particularly vulnerable developmental phase characterized by substantial disease-related and developmental challenges. Mental health has a major impact on disease outcomes, treatment adherence, self-management, and the overall success of transition. At the same time, this life stage is associated with an increased risk of psychological distress and mental disorders.

OBJECTIVE

This article aims to highlight the importance of mental health in rheumatological transitional care and to derive practical recommendations for the screening and management of psychological distress.

METHODS

The paper is based on a review of selected literature on mental health comorbidities in pediatric rheumatology and transition care. Clinical experiences and established models of care are additionally considered.

RESULTS

Mental health should be regarded as an integral component of rheumatological transitional care. A structured approach is recommended, including the integration of routine low-threshold mental health screening into a staged-care model, and interprofessional collaboration.

DISCUSSION: Mental health is a key yet often underrecognized factor in transition care. The systematic integration into routine rheumatology practice is essential. Structured screening, staged-care approaches, and interdisciplinary collaboration can help to close existing gaps in care and improve transition outcomes in a sustainable manner. In addition to interdisciplinary care, sustainable implementation requires adequate funding for standardized transition programs.