Abstract
Transitioning to adulthood is more challenging for youth with emotional and behavioral disorders (EBD) as compared to youth with other disability types and typically-developing peers. Outcomes for emerging adults with EBD as a group are particularly concerning in the domains of unemployment, educational dropout rates, and interactions with the judicial system including incarceration, early parenting, homelessness, substance abuse, mental health problems, and suicide. The current study presents qualitative program evaluation data for one of seven grantee states awarded 5-year cooperative agreements by the Substance Abuse Mental Health Services Administration (SAMHSA) to build developmentally-appropriate and effective youth-guided local systems of care for transition age youth, ages 16–25 years, to promote positive transition outcomes. Findings, obtained from focus groups of 25 participating transition age youth, caregivers, staff, and supervisors, include strategies for maintaining and expanding on the strengths of program, as well as for improving specific program areas. Also, consistent with the goals of the program, this process provided an opportunity for the youth and caregivers to voice their opinions and perspectives regarding their services. Implications for research and practice on effectively serving the unique needs of young adults experiencing EBD and their families in areas such as navigating special education, providing emotional and behavioral supports, and leveraging interagency collaboration are discussed.
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Notes
The term “staff” will refer to staff and supervisors for the remainder of the manuscript.
The term “youth” will refer to HTI participants for the remainder of the manuscript.
References
Clark HB, Deschênes N, Jones J. A framework for the development and operation of a transition system. In: HB Clark, MA Davis (Ed.), Transition to adulthood: A resource for assisting young people with emotional or behavioral difficulties. Baltimore: Brookes Publishing Company, 2010, pp. 29-51.
Davis MA, Vander Stoep A. The transition to adulthood among adolescents who have serious emotional disturbance: Developmental transition and young adult outcomes. Journal of Mental Health Administration 1997; 24(4): 400-427.
Davis MA. Addressing the needs of youth in transition to adulthood. Administration and Policy in Mental Health 2003; 30(6): 495-509.
Wagner M, Newman, L, Cameto R, et al. An overview of findings from wave 2 of the National Longitudinal Transition Study-2. (NCSER 2006-3004). Menlo Park, CA: SRI International, 2006.
Jolivette K, Stichter JP, Nelson CM, et al. Students with emotional and behavioral disorders: Post-school outcomes. (Report No. ED441312), 2010.
Gralinski-Bakker JH, Hauser ST, Billings RL, et al. Risks along with the road to adulthood: Challenges faced by youth with serious mental illness. In: DW Osgood, EM Foster, C Flanagan, GR Ruth (Eds). On your own without a net: The transition to adulthood for vulnerable populations. Chicago: University of Chicago Press, 2005, pp. 272-303.
Wagner M, Newman L, Cameto R, et al. Changes over time in the early postschool outcomes of youth with disabilities: A report of findings from the National Longitudinal Study (NLTS) and the National Longitudinal Transition Study-2 (NLTS2). Menlo Park, CA: SRI International, 2005.
Clark HB, Davis MA (Eds). Transition to adulthood: A resource for assisting young people with emotional or behavioral difficulties. Baltimore: Brookes Publishing Company, 2000.
Bond GR, Becker DR, Drake RE, et al. Implementing supported employment as an evidence-based practice, Psychiatric Services 2001; 52: 313-322.
Charmaz K. Constructing grounded theory. Thousand Oaks, CA: Sage, 2006.
Glaser BG. Theoretical sensitivity. Mill Valley, CA: The Sociology Press, 1978.
Lincoln YS, Guba EG. Naturalistic inquiry. Beverly Hills, CA: Sage, 1985.
Alberto PA, Cihak DF, Gama RI. Use of static picture prompts versus video modeling during simulation instruction. Research in Developmental Disabilities 2005; 26: 327–339.
Ayres KM, Langone J, Boon RT, et al. Computer–based instruction for purchasing skills. Education and Training in Developmental Disabilities 2006; 41: 253–263.
Test DW, Fowler CH, Richter SM, et al. Evidence-based practices in secondary transition. Career Development for Exceptional Individuals, 2009; 32(2): 115-128.
Wehman, M. Life beyond the classroom. Baltimore, MD: Brookes Publishing Company, 2013.
Powers LE, Sowers J, Turner A. TAKE CHARGE: A model for promoting self-determination among adolescents with challenges. In: L. E. Powers, G. H. S. Singer & J. Sowers (Eds.). On the road to autonomy: Promoting self-competence for children and youth with disabilities. Baltimore: Paul H. Brookes Publishing Company, 1996, pp. 291-322.
Wehmeyer ML. Self-determination as an educational outcome. In: DJ Sands, ML Wehmeyer (Eds), Self-determination across the life span: Independence and choice for people with disabilities. Baltimore: Paul H Brookes Publishing Company, 1996, pp. 17-36.
Levine P, Wagner M. Transition for young adults who received special education services as adolescents: A time of challenge and change. In: DW Osgood, EM Foster, C Flanagan, et al. (Eds). On your own without a net: The transition to adulthood for vulnerable populations. Chicago: University of Chicago Press, 2006, pp. 202-258.
Kumi- Kyereme A, Awusabo- Asare K, Biddlecom A, et al (2007) Influence of social connectedness, communication and monitoring on adolescent sexual activity in Ghana. African Journal of Reproductive Health 11:133-136.
Lee RM, Robbins SB. The relationship between social connectedness and anxiety, self-esteem, and social identity. Journal of Counseling Psychology 1998; 45, 338-345.
Lee RM, Draper M, Lee S. Social connectedness, dysfunctional interpersonal behaviors, and psychological distress: Testing a mediator model. Journal of Counseling Psychology 2001; 48: 310-318.
Kraemer BR, McIntyre LL, Blacher J. Quality of life for young adults with mental retardation during transition. Mental Retardation 2003; 41: 250-262.
Lane KL, Carter W. Supporting transition age youth with and at risk for emotional and behavioral disorders at the secondary level: A need for further inquiry. Journal of Emotional and Behavioral Disorders 2006; 14(2): 66-70.
Cooney BF. Exploring perspectives on transition of you with disabilities: Voices of young adults, parents, and professionals. Mental Retardation 2002; 40: 425-435.
Johnson DR, Stodden RA, Emanuel EJ, et al. Current challenges facing secondary education and transition services: What research tells us. Council of Exceptional Children. 2002; 68(4): 519-531.
Johnson LD, Zorn D, Yung Tam BK et al. Stakeholders’ views of factors that Impact successful interagency collaboration. Council of Exceptional Children 2003; 69(2): 195-209.
Bickman LA. Common factors approach to improving mental health services. Mental Health Services Research 2005; 7(1): 1-4.
Armstrong R, Jensen, JA, McCaffrey RF, et al. The accuracy of self-reported class rank. National ACAC Journal 1976, 21: 37-42.
Laing J. Self-report: Can it be of value as an assessment technique? Journal of Counseling & Development 1988; 67: 60-61.
Acknowledgments
We are grateful for our partnerships with Way Station, Inc, the Maryland Mental Hygiene Administration, and Frederick and Washington County Core Service Agencies, without whom this research would not be made possible. We would particularly like to thank Steven Reeder and Tom Merrick, from the MHA, for their support.
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The authors have no conflicts of interest to report.
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Stein, K.F., Connors, E.H., Chambers, K.L. et al. Youth, Caregiver, and Staff Perspectives on an Initiative to Promote Success of Emerging Adults with Emotional and Behavioral Disabilities. J Behav Health Serv Res 43, 582–596 (2016). https://doi.org/10.1007/s11414-014-9426-7
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DOI: https://doi.org/10.1007/s11414-014-9426-7