In their review published online in Arch Dis Child (Dec 5 2011) Sophie Jones and colleagues from the Royal Children's Hospital, Melbourne highlight the use of the HEEADSSS psychosocial assessment can support optimal management in the increasing numbers of young people who require anticoagulant therapy. They conclude that  Adolescent anticoagulant management strategies employing developmentally appropriate assessment and education should result in improved outcomes for the patient and facilitate transition.