Age 13-15 years: Patients to be seen by pediatric care providers without parents in room. (Adolescent Care). After evaluation the family returns to the room for discussion of assessment and management issues.

Age 16: Patients to be scheduled into pediatric CF clinic on adult CF clinic days. Adult care providers (MD's and Hartford Hospital inpatient CF coordinator) will stop in and meet patients/families in order to introduce themselves to patients.

Age 17: Patients alternate visits between the pediatric and adult care providers in the CF clinic. This allows them to become familiar with their new providers before the transition is completed. They are seen by the pediatric providers for one visit and their next visit is with an adult care provider. This continues from age 16 ½ - 17 until they are 18.

Age 18 and older: Patients to be seen in CF clinic by adult care providers, and if they require hospitalization, will be admitted to Hartford Hospital. Patients may also be seen in the adult care providers' office for acute or post hospitalization visits.

The CF Center nurse coordinator, CF Center nutritionist, and CF Center physical therapist will continue to follow the adult patients in clinic and during Hartford Hospital admissions.

The CF Social Worker will play an active role in addressing transition issues with adolescents and young adults, but cannot follow the patients after they have completed the transition to the Adult CF program. The Hartford Hospital based stress management psychologist and team, as well as a psychiatrist and hospital based chaplain will follow the CF adults on both an in-patient and out-patient basis to provide social/emotional/spiritual support.

Literature regarding CF adult issues will be provided to adult CF patients on a regular basis.