A system to facilitate improved health care transition from pediatric to adult medical homes will be developed for youth with special health care needs and disabilities (YSHCN/D) in San Diego and Imperial Counties. Major features of this proposed system, based on recommendations made by a stakeholder coalition during previous CATCH-funded planning activities, include development of transition process documents and a Web site as well as relevant education and training of both healthcare practitioners and YSHCN/D, families, and case managers. The Transition Summary Template" will enable pediatricians to provide pertinent information to receiving adult medicine physicians regarding transitioning YSHCN/D. This document will be piloted in two clinical settings before it is disseminated to other physicians in the community. The "Transition Checklist Plus" document for YSHCN/D, families, and case managers will provide necessary information on multiple topics regarding health care transition. Education and training will be offered to YSHCN/D, families, and case managers to introduce the Transition Checklist and assist them in understanding issues relevant to health care transition. The Web site will serve as a referral resource for individuals in need of an adult health care provider and will also include downloadable versions of the transition documents plus additional pertinent resources."