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A Theory of Change for Positive Developmental Approaches to Improving Outcomes Among Emerging Adults with Serious Mental Health Conditions

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Abstract

Recent evidence attests to the shortcomings of typical services for improving outcomes among emerging adults with serious mental health conditions (SMHCs). Researchers and providers have responded by developing new programs and interventions for meeting the unique needs of these young people. A significant number of these programs and interventions can be described as taking a positive developmental approach, which is informed by a combination of theoretical sources, including theories of positive development, self-determination, ecological systems, and social capital. To date, however, there has been no comprehensive theoretical statement describing how or why positive change should occur as a result of using a positive developmental approach when intervening with this population. The goal of this article is to propose a general model that “backfills” a theory behind what appears to be an effective and increasingly popular approach to improving outcomes among emerging adults with SMHCs.

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Acknowledgments

This work was supported by funding from the National Institute of Disability and Rehabilitation Research, United States Department of Education, and the Center for Mental Health Services Substance Abuse and Mental Health Services Administration, United States Department of Health and Human Services (NIDRR grant H133B090019). The content does not necessarily represent the views or policies of the funding agencies. The author would like to thank all of the stakeholders who provided their insights and feedback for this work.

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The authors report no conflicts of interest.

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  1. Research and Training Center for Pathways to Positive Futures, Regional Research Institute, Portland State University, PO Box 751, Portland, OR, 97207, USA

    Janet S. Walker PhD

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Walker, J.S. A Theory of Change for Positive Developmental Approaches to Improving Outcomes Among Emerging Adults with Serious Mental Health Conditions. J Behav Health Serv Res 42, 131–149 (2015). https://doi.org/10.1007/s11414-015-9455-x

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