Youth, Caregiver, and Staff Perspectives on an Initiative to Promote Success of Emerging Adults with Emotional and Behavioral Disabilities

• Published in: The journal of behavioral health services & research 2016-10, Vol.43 (4), p.582-596
• Main Authors: Stein, Kathleen F., Connors, Elizabeth H., Chambers, Kerri L., Thomas, Charmaine L., Stephan, Sharon H.
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Adults; Affective Symptoms - therapy; Age; Attitude of Health Personnel; Behavior; Behavior disorders; Caregivers; Child development; Community and Environmental Psychology; Disabilities; Disability; Domains; Dropping out; Drug abuse; Emotional behavior; Emotional disorders; Emotional-Behavioural problems; Employment; Focus groups; Health care industry; Health Informatics; Health problems; Health Promotion and Disease Prevention; Health Psychology; Health services; Higher education; Homeless people; Homelessness; Humans; Imprisonment; Interagency collaboration; Interviews; Judicial system; Life transitions; Medicine; Medicine & Public Health; Mental disorders; Mental Disorders - therapy; Mental Health; Mental health care; Mental health services; Mental Health Services - organization & administration; Parents & parenting; Peer Group; Peers; Program evaluation; Psychiatry; Public Health; Qualitative analysis; Social services; Special education; Studies; Substance abuse; Suicide; Suicides & suicide attempts; Supervisors; System effectiveness; Teenagers; Unemployment; Young Adult; Young adults; Youth
• ISSN: 1094-3412; 1556-3308
• DOI: 10.1007/s11414-014-9426-7

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.