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Challenges with Transition to Adulthood

  • Ami BearEmail author
  • Raegan Smith
  • Charlotte Alverson
Chapter

Abstract

Transition to adulthood is a vulnerable time for all individuals. Typically, this period is supported by multiple systems, including the home and family environment, educational systems, community programs and participation, and medical care. For individuals who experience TSRDs, these systems are particularly crucial. Even if these systems are all currently in place for an individual—and in many cases, often they are not—it takes a great deal of sophistication to smoothly coordinate these systems. When an individual has a TSRD, these individuals require much more intensive supports as they emerge as young adults. Various professional groups have created guidelines highlighting the importance of thoughtful, comprehensive, and coordinated transition planning, but, all too often, these guidelines are not met. We seek to achieve a high standard level of care for youths with either or both mental health disorders and neurodevelopmental disabilities. This standard applies to a minimum level of community support, care coordination, and psychosocial intervention needed for successful transition, whether the challenges arise from TSRD or ASD, or other mental health or developmental disorders. Integrated treatments are needed in order to appropriately serve the needs of individuals with complex clinical presentations. Regardless of whether challenges are attributable to trauma-inflicted injuries or genetically predisposed biological anomalies, treatment plans and supports should include an individually tailored array of evidence-based and “off-label” practices, tailored to functional assessment of the individual.

References

  1. 1.
    US Department of Education. Topic: secondary transition. http://idea.ed.gov/explore/view/p/,root,dynamic,TopicalBrief,17,.html. Accessed 12 Mar 2017.
  2. 2.
    Prior M, McManus M, White P, Davidson L. Measuring the “triple aim” in transition care: a systematic review. Pediatrics. 2014;134(6):e1648–61.CrossRefGoogle Scholar
  3. 3.
    Lotstein DS, Ghandour R, Cash A, McGuire E, Strickland B, Newacheck P. Planning for health care transitions: results from the 2005–2006 National Survey of Children With Special Health Care Needs. Pediatrics. 2009;123:e145–52.CrossRefGoogle Scholar
  4. 4.
    A Consensus Statement on Health Care Transitions for Young Adults With Special Health Care Needs American Academy of Pediatrics. American Academy of Family Physicians. American College of Physicians-American Society of Internal Medicine Pediatrics. Dec 2002; 110(3):1304–1306.Google Scholar
  5. 5.
    Fogler JM, Burke D, Lynch J, Barbaresi WJ, Chan E. Topical review: transitional services for teens and young adults with attention deficit and hyperactivity disorder: a process map and proposed model to overcoming barriers to care. J Pediatr Psychol. 2017;42(10):1108–13.CrossRefGoogle Scholar
  6. 6.
    Cheak-Zamora NC, Farmer JE, Mayfield WA, Clark MJ, Marvin AR, Law JK, Law PA. Health care transition services for youth with autism spectrum disorders. Rehabil Psychol. 2014;59(3):340–8.CrossRefGoogle Scholar
  7. 7.
    McManus MA, Pollack LR, Cooley WC, McAllister JW, Lotstein D, Strickland B, Mann MY. Current status of transition preparation among youth with special needs in the United States. Pediatrics. 2013;131:1090–7.  https://doi.org/10.1542/peds.2012-3050.CrossRefPubMedGoogle Scholar
  8. 8.
    Shattuck PT, Wagner M, Narendorf S, Sterzing P, Hensley M. Post-high school service use among young adults with an autism spectrum disorder. Arch Pediatr Adolesc Med. 2011;165:141–6.CrossRefGoogle Scholar
  9. 9.
    Reale L, et al. Mental disorders and transition to adult mental health services: a scoping review. Eur Psychiatry. 2015;30(8):932–42.CrossRefGoogle Scholar
  10. 10.
    Myers E, Davis BE, Stobbe G, et al. Community and social participation among individuals with autism spectrum disorder transitioning to adulthood. J Autism Dev Disord. 2015;45:2373.  https://doi.org/10.1007/s10803-015-2403-z.CrossRefPubMedGoogle Scholar
  11. 11.
  12. 12.
    Preventing maltreatment with a community-based implementation of PCIT. https://link.springer.com/article/10.1007/s10826-012-9708-8.
  13. 13.
    Lang R, Regester A, Lauderdale S, Ashbaugh K, Haring A. Treatment of anxiety in autism spectrum disorders using cognitive behavior therapy: a systematic review. Dev Neurorehabil. 2010;13(1):53–63.CrossRefGoogle Scholar
  14. 14.
    Danial JT, Wood JJ. Cognitive behavioral therapy for children with autism: review and considerations for future research. J Dev Behav Pediatr. 2013;34(9):702–15. http://www.ncbi.nlm.nih.gov/pubmed/23917373. Retrieved 17 Aug 2016.CrossRefGoogle Scholar
  15. 15.
    Saxe GN, Ellis BH, Kaplow JB. Collaborative treatment of traumatized children and teens. New York: Guilford; 2006.Google Scholar
  16. 16.
    Olsson NC, Flygare O, Coco C, Gorling A, Rade A, Chen Q, Lindstedt K, Berggren S, Serlachius E, Jonsson U, Tammimies K, Kjellin L, Bolte S. Social skills training for children and adolescents with autism spectrum disorder: a randomized controlled trial. J Am Acad Child Adolesc Psychiatry. 2017;56(7):585–92.CrossRefGoogle Scholar
  17. 17.
    PEERS. Treatment planning for person-centered care: the road to mental health and addiction recovery. San Diego, CA: Elsevier Academic Press; 2005. xxi, 291 pp.Google Scholar
  18. 18.
    Wood J, Drahota A, Sze K, Har K, Chiu A, Langer DA. Cognitive behavioral therapy for anxiety in children with autism spectrum disorders: a randomized, controlled trial. J Child Psychol Psychiatry. 2009;50(3):224–34. Sofronoff et al. (2005) in the same journal (pp. 1152–1160).CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2018

Authors and Affiliations

  1. 1.Child Development and Rehabilitation CenterOregon Health and Science UniversityEugeneUSA
  2. 2.College of EducationUniversity of OregonEugeneUSA

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