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At-Risk Children and Youth Social Issue Talk

At-Risk Children and Youth Social Issue Talk. wednesday , April 4, 2012. Michael Frieze. Chairman of the Board of Directors, Gordon Brothers Group. Susan Musinsky. Director, Social Innovation Forum. Dr. Maryann Davis.

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At-Risk Children and Youth Social Issue Talk

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  1. At-Risk Children and Youth Social Issue Talk wednesday, April 4, 2012

  2. Michael Frieze Chairman of the Board of Directors, Gordon Brothers Group

  3. Susan Musinsky Director, Social Innovation Forum

  4. Dr. Maryann Davis Research Associate Professor and Director of Learning and Working During the Transition To Adulthood Rehabilitation Research and Training Center at the Center for Mental Health Services Research of UMass Medical School

  5. Supports for Individuals with Mental Health Conditionson the Threshold of Adulthood Maryann Davis, Ph.D. Research Associate Professor Center for Mental Health Services Research Department of Psychiatry University of Massachusetts Medical School

  6. http://labs.umassmed.edu/transitionsRTC/ Research and Training Center: Learning and Working During the Transition to Adulthood Commonwealth Medicine Maryann Davis, Marsha Ellison, Charles Lidz, Jonathan Delman

  7. Mental Health is THE Health Issue of the Young

  8. Overview • Uniqueness of the transition period • Psychosocial Development • Functional Development • Family Development • Services and Service Systems • For children OR adults • Not appealing or appropriate

  9. Youth in Transition to Adulthood; Older Adolescents and Emerging Adults

  10. Young Adult Changes

  11. Cognitive Abilities Change Even to Age 30 • Anticipation of Consequences (Steinberg,et al., 2009) • Complex strategic planning (Albert & Steinberg, 2011) • Behavior control towards emotional stimuli (Hare et al., 2009, Liston et al., 2006) • Cognitive control over distracting stimuli (Christakou et al., 2009)

  12. Psychosocial Development Adolescence to Adulthood Developmental change on every front Identity Formation Youth with serious mental health conditions experience delays in all areas of psychosocial development Cognitive Moral Sexual Social

  13. Complete schooling & training Contribute to/head household Develop a social network Become financially self-supporting Be a good citizen Developmental Changes Underlie Abilities to Function More Maturely Obtain/maintain rewarding work

  14. Youth with SMHC Struggle as Young Adults Valdes et al., 1990; Wagner et al., 1991; Wagner et al., 1992; Wagner et al., 1993; Kutash et al., 1995; Silver et al., 1992; Embry et al., 2000; Vander Stoep, 1992; Vander Stoep and Taub, 1994; Vander Stoep et al., 1994; Vander Stoep et al., 2000; Davis & Vander Stoep, 1997; Newman et al., 2009

  15. Common Co-occurring Substance Abuse/Dependence • Young adults ages 18-25 with a serious mental illness • 48% report past-year illicit substance use • 36% meet criteria for a Substance Use Disorder (SAMHSA, 2003)

  16. Other Important Characteristics Research on use of internet to support transition age youth with SMHC (N=207) Most Enjoyable Features of Social Networking Sites Feature % MH % No MH Making new friends 39.8 19.0*** Having shared interests 38.3 19.0 ** Planning social activities 32.0 45.6* Blogging 31.3 1.3 *** • #1 purpose; Ability to connect and socialize (87%) Gowen & Gruttadaro2012

  17. Each Generation has its Youth Culture "In America, a flapper has always been a giddy, attractive and slightly unconventional young thing who, in [H. L.] Mencken's words, 'was a somewhat foolish girl, full of wild surmises and inclined to revolt against the precepts and admonitions of her elders.'"6

  18. Typical Changes in Family Relations Young people and parents must adjust to the growing need for independence while remaining emotionally related.

  19. Family Characteristics of Youth with SMHC • History of separation from family • Single-parent & poverty (Wagner et al., 2006) • Youth and parents rate their families as more chaotic and lower in emotional bonding (Prange et al., 1992) • Parental mental health, incarceration, substance use

  20. Services and Service Systems

  21. CHILD SYSTEM ADULT SYSTEM Housing Vocational Rehabilitation Substance Abuse Adult Mental Health Child Mental Health Juvenile Justice Criminal Justice Medicaid Medicaid Education Child Welfare Labor 18-21 Yrs. Birth AGE        Death

  22. The current evidence base

  23. Transition Age Youth Quickly Lost from Treatment

  24. What is Needed • Programs that are developmentally tailored • Programs that are appealing • Programs that support development of adult functioning • Programs that can continue work as youth mature

  25. Katie Barnett Lead Consultant, Social Innovation Forum

  26. Yolanda Ortiz Program Director, Tempo Young Adult Resource Center

  27. Q&A Dr. Maryann Davis and Yolanda Ortiz

  28. Thank You! Our Track Sponsor: Our Host:

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