As individuals with Duchenne and Becker become adults, their needs, priorities and goals change over time. PPMD has compiled relevant information and resources below for teens and adults with dystrophinopathy to ensure everyone has access to the care and support they need for a fulfilling and independent life. 

Facilitating Independence and Transitioning to Adulthood

Facilitating Independence 

Independence means different things to each of us. For adults living with Duchenne or Becker, setting and reaching goals that facilitate quality of life is individualized. Whether you are finding your passion after high school, learning to drive, working or volunteering, enrolling in higher education, or finding friends and community, careful planning and research is essential. In addition to the resources below, feel free to connect with members of the PAAC. We have been where you are going and are happy to help. 

Resources to support independence:

  • Community Resource Center: Offers practical resources for accessibility, housing, education, equipment, insurance, recreation and more.
  • Everyday Hacks: (Knight Hacks) to make daily life easier and more accessible 
  • PPMD For You: Schedule a 1:1 meeting with PPMD to talk through ways to support independence & social experiences 

Transition to Adulthood

Successfully navigating the transition from childhood to adolescence and adult life requires careful and ongoing planning and support. Transition is not a one time event, but rather a multi-step process that spans health care and daily life. This may or may not include transfer of care to an adult health system, depending on where you receive your care.  Individuals with Duchenne & Becker should be included in their health care and future planning beginning at an early age. Institutional transition & care policies should be discussed with patients and their families starting at age 13, to ensure understanding and preparation for potential resources & referrals in the future. It’s also important that teens and young adults have dedicated time alone with their medical providers (without their parent/caregiver in the room) at each visit.    

Got Transition® is the national resource center on health care transition (HCT). Parents, caregivers and individuals with dystrophinopathy can use this resource to access tools & support during the transition process, including a family toolkit. Learn more about Got Transition® resources here.

Transfer of Care at Certified Duchenne Care Centers

Healthcare transition should not be confused with transfer of care – which is a singular act of moving from one clinical setting/provider to another. The process of transitioning to adulthood occurs with or without transfer of care.

In 2026, PPMD completed a study  to better understand the processes of both transition to adulthood & transfer of care happening at Certified Duchenne Care Centers (CDCCs). CDCCs deliver care that is coordinated, comprehensive, and in alignment with care standards, but the way that care may be delivered – and institutional rules around age at transfer – varies greatly. 

While most CDCCs transfer care to an adult care system, some are able to keep patients throughout the lifespan. Where and how you receive care can vary based on these key differences. To help you navigate your transfer smoothly, we summarized care practices from across the CDCC network below.

Certified Duchenne Care Center Transfer Table

CDCC Transfer Table

Clinic NameLocationTransfer ModelInstitutional Definition of PediatricsWho to Contact With QuestionsContact Information
Akron Children HospitalAkron, OHReferrals-based transfer0-26Social Worker330.543.3919
American Family Children's Hospital - UW HealthMadison, WIReferrals-based transfer0-18Social Worker608.915.0550
Ann and Robert H. Lurie Children's HospitalChicago, ILReferrals-based transferDepends*Care Coordinator312.227.3550
Arkansas Children's HospitalLittle Rock, ARReferrals-based transfer0-22Coordinator501.364.1850
Billings ClinicBillings, MTReferrals-based transfer0-18Program Director406.238.5770
Boston Children's HospitalBoston, MAReferrals-based transfer0-18Nurse Coordinator617.355.8235
Children's Hospital ColoradoAurora, COReferrals-based transfer0-21Nurse Coordinator720.777.2806
Children's Hospital Los AngelesLos Angeles, CAReferrals-based transfer0-21Nurse Manager323.361.5919
Children's Hospital of PhiladelphiaPhiladelphia, PAReferrals-based transfer0-25Neurology Social Worker215-590-4719
Children's Hospital of Richmond VCURichmond, VAHybrid0-21Pediatric Neuromuscular Navigator804.750.5396
Children's Hospital of the King's DaughtersNorfolk, VAHybrid0-21Neuromuscular Nurse Coordinator757.668.9729
Children's Hospital WisconsinMilwaukee, WIHybrid0-18Clinic Care Coordinator877.607.5280
Children's Medical Center DallasDallas, TXReferrals-based transfer0-21Neuromuscular Nurse Navigator214.456.2768
Children's Mercy Hospital Kansas CityKansas City, MOReferrals-based transfer0-21Nurse Coordinator for Muscle Nerve Clinic816.302.3387
Children's National HospitalWashington, DCReferrals-based transfer0-17Program Coordinator202.476.6193
Cincinnati Children's Hospital Medical CenterCincinnati, OHHybrid0-25Program Manager513.803.7631
Duke UniversityDurham, NCLifespan0-18Nurse Coordinator919.613.6832
Helen DeVos Children's HospitalGrand Rapids, MIHybrid0-18Nurse Coordinator616.267.2500
Kennedy Krieger InstituteBaltimore, MDLifespan0-18Nurse Coordinator443.923.9525
Lucile Packard Children's Hospital StanfordStanford, CAReferrals-based transfer0-21Clinic Coordinator650.723.0993
Nationwide Children's HospitalColumbus, OHHybrid0-26Neuromuscular Clinics Nurse Practitioner614.722.2203
Nemours Children's Hospital DelawareWilmington, DEHybrid0-18Neuromuscular RN coordinator302.651.5930
Norton Children's/University of LouisvilleLouisville, KYReferrals-based transfer0-21Nurse Navigator502.494.9137
Penn State Health Children's Hospital HersheyHershey, PAReferrals-based transfer0-21Clinical Case Manager717-531-0003 ext 282670
Phoenix Children's HospitalPhoenix, AZReferrals-based transfer0-18Neuromuscular Coordinator602.933.0970
Riley Hospital for ChildrenIndianapolis, ILHybrid0-22Coordinator317.948.1313
Seattle Children's Neuromuscular ClinicSeattle, WAReferrals-based transfer0-21Neuromuscular Nurse Coordinator206.987.6678
Stony BrookStony Brook, NYReferrals-based transfer0-30Nurse Coordinator631.572.1902
UC DavisDavis, CALifespan program0-21Clinic Coordinator916.734.7041
UCLALos Angeles, CAHybridDepends*Nurse Coordinators310.794.1195
UCSF Benioff Children's HospitalSan Francisco, CAHybrid0-22Neuromuscular Care Coordinator415.514.8848
University of IowaIowa City, IAHybridDepends*Neuromuscular Specialty Nurse319.353.6200
University of RochesterRochester, NYHybrid0-18Clinic Coordinator585.275.2559
University of Utah/Primary Children's HospitalSalt Lake City, UTReferrals-based transfer0-21+Neurology Triage801.213.3599
University of VirginiaCharlottesville, VALifespanDepends*Nurse Care Coordinator434.825.7288
UPMC Children's Hospital of PittsburghPittsburgh, PAHybrid0-26Clinic Coordinator412.692.7660
VanderbiltNashville, TNHybridDepends*Nurse Coordinator615.875.1215
Washington University at St. Louis Children's HospitalSt. Louis, MOReferrals-based transfer0-21Clinical Nurse Coordinator314.273.0353
Yale New Haven Children's HospitalNew Haven, CTReferrals-based transferDepends*Nurse Coordinator203.688.4221

Important Definitions

In this model, referrals are made to adult care specialists. Providers may or may not be affiliated with the current pediatric care program and may be part of a larger health system, private practice, or a combination. Care may be delivered in a multi-disciplinary care setting or as separate providers across separate clinics. 

A lifespan model is one that follows individuals across the lifespan. 

These centers may keep patients throughout the lifespan for certain medical specialties, while others require a referral-based transfer to an adult clinician. These centers may also transfer some patients to adult care systems while retaining other individuals throughout the lifespan. Talk to your care team if you are unsure what this means for your clinic. 

Not all institutions define “pediatrics” in the same way, which can impact the timing of transfer of care. These ranges reflect each institution’s definition of “pediatric.” If you are unsure about what age transfer begins or must be completed, talk to your care team. 

Tips for a smoother transfer of care

Below are tips, tricks, and questions to ask as you navigate transferring care to the adult healthcare system. 

  • As you prepare for transfer, ask your pediatric care team how your new care team will reach out to you to schedule your first visit: phone, email, or the electronic medical record? Keep an eye out for a phone call from new phone numbers in those first few weeks so you don’t miss the call to schedule.
  • Check to see if your new doctor takes your insurance. You can work with your existing clinic social worker, call the new office, or check with your insurance directly to see if the new doctor and/or facility are covered. 
  • Keep in mind that insurance coverage may change due to your age, which may impact where you can be seen. Be sure to ask questions about any new policies and what/who they cover before signing up for a new policy. 
  • Plan for transfer early, and make it a goal to see your new doctors at least once before your last visit with your pediatric care team to ensure there are no gaps in the transfer process. 
  • Make note of the date your referral(s) were made, keeping in mind that referrals can expire. Get the name and phone number of who you should call if you aren’t contacted to schedule your first visit with your new doctor(s). 
  • Be sure to write down your new doctors’ names, specialty, and phone numbers. Because not all adult clinics are multidisciplinary, you may need to keep track of multiple names and appointments. 
  • If you are on any approved therapies (steroids, exon skipping medications, others), coordinate with your existing team and your new team to ensure that any prescription renewals are made in advance, and that your new doctors have the information they need to continue prescribing your medications. 

 

Clinical Care

Because Duchenne is no longer a pediatric condition, and individuals are living well into adulthood, it is important that adults with Duchenne & Becker continue receiving the care and services they need to stay as healthy, independent, and active as possible. 

While some individuals may continue to receive care at their pediatric center, many individuals are transferred to adult providers & institutions. While PPMD is actively working to engage and educate more adult providers, it is important for individuals & families to work closely with their adult care team to ensure they have the most up to date information and resources for Duchenne and Becker. 

Approved therapies and clinical trials

As individuals become adults, access to approved therapies, clinical trials and ongoing treatment decisions may change due to a variety of factors. These conversations will be critical to discuss with your neuromuscular provider. PPMD has several resources to help access approved therapies and stay up to date with ongoing clinical trials.

 

Download PPMD’s Adult Imperatives for Duchenne 

If you have an adult provider who wants to learn more or engage with PPMD, please have them email careteam@parentprojectmd.org.

Equipment and home modifications

Durable Medical Equipment (DME) and home modifications can help individuals with Duchenne & Becker maintain independence, safety, comfort and participate in daily life. Individuals can work with their neuromuscular provider, primary care provider (PCP) and/or physical therapist to help identify potential options that may support the individual. Some equipment can be covered by insurance, however most often home modifications are not. More information and resources to access these are below:

 

Community Engagement

Having a community is critical for families affected by Duchenne and Becker and the same is true for individuals with the diagnosis themselves. There are many ways adults with Duchenne and Becker can become engaged with the community, whether through PPMD or their local community.  

PPMD’s Adult Advisory Committee (PAAC)

The PAAC is a group of young adults living with Duchenne and Becker who amplify the patient voice through advocacy, education, mentorship, and awareness. The PAAC hosts regular virtual socials for the teen and adult community to give people with Duchenne and Becker a place to connect and discuss topics that are important to daily life. Learn more here 

  • Join us on the PAAC’s Facebook Group, a safe and inclusive place for those with Duchenne and Becker to discuss topics, issues, and concerns related to the muscular dystrophy experience as well as a place to connect with other individuals.
  • We also have a Discord server and Instagram.

College, Jobs & Volunteering

Attending college, getting a job, and/or volunteering are all options for adults with Duchenne and Becker after high school. It is important to know your rights and understand how to communicate your needs and accommodations. Check out PPMD’s resources below and/or reach out to the PAAC for questions.

Get Involved

At the heart of PPMD, we advocate for every individual with Duchenne and Becker to have access to expert healthcare providers, cutting edge therapies, and a community of support.  Your voice is critical in our mission and there are many ways to get involved and advocate alongside us 

  • Become an advocate

 

Building and Maintaining Relationships

Building and maintaining relationships is an important part of adult life with Duchenne or Becker. Physical barriers, changes in independence, or social anxiety can sometimes make it harder to maintain friendships or meet new people, but connection is still possible in many different ways. Online communities, gaming groups, local organizations, faith communities, and peer networks, can provide opportunities to connect, share experiences, and build meaningful relationships. Finding a community where you feel understood and included can help reduce isolation and support overall well-being. 

 

Sexual Wellness and Relationships

Sexual health and intimacy are important parts of overall well-being and healthy relationships. Physical changes, mobility limitations, body image, or other challenges related to Duchenne or Becker may affect sexual wellness, but support is available. Counseling, peer support, and educational resources can help individuals explore intimacy, communication, adaptive approaches, and other concerns in a safe and supportive environment. 

Individuals 18 and older can learn more and find sexual wellness resources here.

Webinars & Live Streams

Watch the PAAC Live Stream where adults with dystrophinopathy discuss every day topics that matter most to the community: https://www.parentprojectmd.org/get-involved/connect/for-young-adults/paac-newsletter/

Playing 0/0 videos in playlist