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State child mental health efforts to support youth in transition to adulthood

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Abstract

The ability of state child mental health (MH) systems to facilitate the transition to adulthood of adolescents in their systems was studied by interviewing members of the Children, Youth and Families Division of the National Association of State Mental Health Program Directors (NASMHPD). Results demonstrated that transition services within the state child MH systems are sparse, nationally. Continuity of services as youth age into adulthood is hampered because of generally separate child and adult MH systems, each with separate policies defining who accesses those services, lack of clarity about procedures to access adult MH services, and lack of shared client planning between adult and child MH systems. These findings suggest that adolescents in state child MH systems have difficulty accessing services that will help them with the difficult task of learning to function as an adult. Public MH systems should examine their capacity to provide transition supports and make needed improvements.

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References

  1. Davis M, Vander Stoep A. The transition to adulthood among children and adolescents who have serious emotional disturbance, Part I: developmental transitions.Journal of Mental Health Administration. 1997;24:400–427.

    Google Scholar 

  2. Wagner M. Outcomes for youths with serious emotional disturbance in secondary school and early adulthood.The Future of Children: Critical Issues for Children and Youths. 1995;5:90–112.

    Google Scholar 

  3. Armstrong KH, Dedrick RF, Greenbaum PE. Factors associated with community adjustment of young adults with serious emotional disturbance: a longitudinal analysis.Journal of Emotional and Behavioral Disorders. 2003;11:66–76.

    Google Scholar 

  4. Carson R, Sitlington P, Frank A. Young adulthood for individuals with behavioral disorders: what does it hold?Behavioral Disorders. 1995;20(2):127–135.

    Google Scholar 

  5. Neel R, Meadows N, Levine P, et al. What happens after special education: a statewide follow-up study of secondary students who have behavioral disorders.Behavioral Disorders. 1988;13:209–216.

    Google Scholar 

  6. Vander Stoep A, Evens C, Taub JI. Risk of juvenile justice system referral among children in a public mental health system.Journal of Mental Health Administration. 1997;24:428–442.

    Google Scholar 

  7. Vander Stoep A, Beresford SA, Weiss NS, et. al. Community-based study of the transition to adulthood for adolescents with psychiatric disorder.American Journal of Epidemiology. 2000;152:352–362.

    Google Scholar 

  8. Silver S. How to promote (and not interfere with) effective transition. Paper presented at: The 5th Annual Conference of the National Association of State Mental Health Program Directors Research Institute; January 28–31, 1995; San Antonio, Tex.

  9. Evans M, Huz S, McNulty T, Banks S. Child, family, and system outcomes of intensive case management in New York State.Psychiatric Quarterly. 1996;67:273–286.

    Google Scholar 

  10. Greenbaum P. National Adolescent and Child Treatment Study (NACTS): a longitudinal study of children with serious emotional and behavioral disturbance. Paper presented at: Developing Partnerships for Youth With Serious Emotional Disturbance in Transition to Adulthood, National Association of State Mental Health Program Directors; June 19, 2000; Washington, DC.

  11. Adams J, Nolte M, Schalansky J. Who will hear our voices? In: Clark HB, Davis M, eds.Transition to Adulthood: A Resource for Assisting Young People With Emotional or Behavioral Difficulties. Baltimore, Md Paul H. Brookes Co; 2000:181–193.

    Google Scholar 

  12. Davis M, Vander Stoep A.The Transition to Adulthood Among Adolescents Who Have Serious Emotional Disturbances; At Risk for Homelessness. Delmar, NY: National Resource Center on Homelessness and Mental Illness; 1996.

    Google Scholar 

  13. Hoagwood K, Burns B, Kiser L, Ringeisen H, Shoenwald S. Evidence-based practice in child and adolescent mental health services.Psychiatric Services. 2001;52:1179–1189.

    Google Scholar 

  14. Clark H, Unger K, Stewart E. Transition of youth and young adults with emotional/behavioral disorders into employment, education and independent living.Community Alternatives International Journal of Family Care. 1993;5:21–46.

    Google Scholar 

  15. Clark H, Deschenes N, Jones J. A framework for the development and operation of a transition system. In: Clark HB, Davis M, eds.Transition to Adulthood: A Resource for Assisting Young People With Emotional or Behavioral Difficulties. Baltimore, Md: Paul H. Brookes Co; 2000:29–51.

    Google Scholar 

  16. Clark H, Davis M, eds.Transition to Adulthood: A Resource for Assisting Young People With Emotional or Behavioral Difficulties. Baltimore, Md: Paul H. Brookes Co; 2000.

    Google Scholar 

  17. Bullis M, Fredericks HD, Lehman C, Paris K, Corbitt J, Johnson B. Description and evaluation of the Job Designs Project for adolescents and young adults with emotional or behavioral disorders.Behavioral Disorders. 1994;19(4): 254–268.

    Google Scholar 

  18. Hagner D, Cheney D, Malloy J. Career-related outcomes of a model transition demonstration for young adults with emotional disturbance.Rehabilitation Counseling Bulletin. 1999;42(3):228–242.

    Google Scholar 

  19. Bridgeo DP. The transitional community treatment team: the first one hundred clients.Dissertation Abstracts International: Section B: the Sciences & Engineering. 1998;58(8-B):4438.

    Google Scholar 

  20. Clark HB, Pschorr O, Wells P, Curtis M, Tighe T. Transition into community roles for young people with emotional or behavioral disorders: collaborative systems and program outcomes. In: Cheney D, ed.Transition of Secondary Students With Emotional or Behavioral Disorders—Current Approaches for Positive Outcomes. Reston, Va: Council for Exceptional Children; 2004:201–225.

    Google Scholar 

  21. Davis M. Addressing the needs of youth in transition to adulthood.Administration and Policy in Mental Health. 2003;30:495–509.

    Google Scholar 

  22. Costello EJ, Janieszewski S. Who gets treated? Factors associated with referral in children with psychiatric disorders.Acta Psychiatrica Scandinavica. 1990;81:523–529.

    Google Scholar 

  23. Koot H, Verhulst F. Predication of children's referral to mental health and special education services from earlier adjustment.Journal of Child Psychology and Psychiatry and Allied Disciplines. 1992;33:717–729.

    Google Scholar 

  24. Offord D, Boyle M, Szatmari P, et al. Ontario child health study, II: six-month prevalence of disorder and rates of service utilization.Archives of General Psychiatry. 1987;44:832–836.

    Google Scholar 

  25. Davis M.Transition Supports To Help Adolescents in Mental Health Services. Alexandria, Va: National Association of State Mental Health Program Directors; 2001.

    Google Scholar 

  26. Davis C, Fick K, Clark H. Strategies to finance transition services. In: Clark HB, Davis M, eds.Transition to Adulthood: A Resource for Assisting Young People With Emotional or Behavioral Difficulties. Baltimore, Md: Paul H. Brookes Co; 2000:229–244.

    Google Scholar 

  27. Bridgeo D, Davis M, Florida Y. Transition coordination: helping youth and young adults pull it all together. In: Clark HB, Davis M, eds.Transition to Adulthood: A Resource for Assisting Young People With Emotional or Behavioral Difficulties. Baltimore, Md: Paul H. Brookes Co; 2000:155–178.

    Google Scholar 

  28. VanDenBerg J, Grealish EM. Individualized services and supports through the wraparound process: philosophy and procedures.Journal of Child and Family Studies. 1996;5:7–21.

    Google Scholar 

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Correspondence to Maryann Davis PhD.

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Davis, M., Sondheimer, D.L. State child mental health efforts to support youth in transition to adulthood. The Journal of Behavioral Health Services & Research 32, 27–42 (2005). https://doi.org/10.1007/BF02287326

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