Over the course of the last two decades, improved practices in child and adolescent mental healthcare have led to a decreased environment of stigma, which also led to an increased identification and treatment of mental health disorders in children and youth. Considering that treatment and outcomes are improved with early intervention, this is good news. However, the success gained in the field of child and adolescent psychiatry leads to a new challenge: transitioning from adolescent care to adult care. It has been known for some time that children, adult, and geriatric patients all have unique needs where it comes to mental healthcare, yet limited work has been done where it comes to the shifting of the lifespan. Where it comes to the child-adult transition—defined as those in their late teens and early/mid-20s—there can be multiple barriers in seeking mental healthcare that stem from age-appropriate developmental approaches as well as include systems of care needs. Apart from increasing childhood intervention, the problem is exacerbated by the changing social dynamics: more youths are attending college rather than diving straight into the workforce, but for various reasons these youths can be more dependent on their parents more than previous generations. Technology has improved the daily lives of many, but it has also created a new layer of complications in the mental health world. The quality and amount of access to care between those with a certain level of privilege and those who do not have this privilege is sharp, creating more complicating factors for people in this age range. Such societal change has unfolded so rapidly that training programs have not had an opportunity to catch up, which has created a crisis for care. Efforts to modernize the approach to this unique age group are still young, and so no resource exists for any clinicians at any phase in their career. This book aims to serve as the first concise guide to fill this gap in the literature. The book will be edited by two leading figures in transition age youth, both of whom are at institutions that have been at the forefront of this clinical work and research. This proposed mid-sized guide is therefore intended to be a collaborative effort, written primarily by child and adolescent psychiatrists, and also with adult psychiatrists. The aim is to discuss the developmental presentation of many common mental health diagnoses and topics in chapters, with each chapter containing clinically-relevant “bullet points” and/or salient features that receiving providers, who are generally, adult-trained, should keep in mind when continuing mental health treatment from the child and adolescent system. Chapters will cover a wide range of challenges that are unique to transition-age youths, including their unique developmental needs, anxiety, mood, and personality disorders at the interface of this development, trauma and adjustment disorders, special populations, and a wide range of other topics. Each chapter will begin with a clinical pearl about each topic before delving into the specifics.

In the decade after high school, young people continue to rely on their families in many ways-sometimes for financial support, sometimes for help with childcare, and sometimes for continued shelter. But what about those young people who confront special difficulties during this period, many of whom can count on little help from their families? On Your Own Without a Net documents the special challenges facing seven vulnerable populations during the transition to adulthood: former foster care youth, youth formerly involved in the juvenile justice system, youth in the criminal justice system, runaway and homeless youth, former special education students, young people in the mental health system, and youth with physical disabilities. During adolescence, government programs have been a major part of their lives, yet eligibility for most programs typically ends between the ages of eighteen and twenty-one. This critical volume shows the unfortunate repercussions of this termination of support and points out the issues that must be addressed to improve these young people's chances of becoming successful adults.

Young adulthood - ages approximately 18 to 26 - is a critical period of development with long-lasting implications for a person's economic security, health and well-being. Young adults are key contributors to the nation's workforce and military services and, since many are parents, to the healthy development of the next generation. Although 'millennials' have received attention in the popular media in recent years, young adults are too rarely treated as a distinct population in policy, programs, and research. Instead, they are often grouped with adolescents or, more often, with all adults. Currently, the nation is experiencing economic restructuring, widening inequality, a rapidly rising ratio of older adults, and an increasingly diverse population. The possible transformative effects of these features make focus on young adults especially important. A systematic approach to understanding and responding to the unique circumstances and needs of today's young adults can help to pave the way to a more productive and equitable tomorrow for young adults in particular and our society at large. Investing in The Health and Well-Being of Young Adults describes what is meant by the term young adulthood, who young adults are, what they are doing, and what they need. This study recommends actions that nonprofit programs and federal, state, and local agencies can take to help young adults make a successful transition from adolescence to adulthood. According to this report, young adults should be considered as a separate group from adolescents and older adults. Investing in The Health and Well-Being of Young Adults makes the case that increased efforts to improve high school and college graduate rates and education and workforce development systems that are more closely tied to high-demand economic sectors will help this age group achieve greater opportunity and success. The report also discusses the health status of young adults and makes recommendations to develop evidence-based practices for young adults for medical and behavioral health, including preventions. What happens during the young adult years has profound implications for the rest of the life course, and the stability and progress of society at large depends on how any cohort of young adults fares as a whole. Investing in The Health and Well-Being of Young Adults will provide a roadmap to improving outcomes for this age group as they transition from adolescence to adulthood.

This comprehensive book thoroughly addresses all aspects of health care transition of adolescents and young adults with chronic illness or disability; and includes the framework, tools and case-based examples needed to develop and evaluate a Health Care Transition (HCT) planning program that can be implemented regardless of a patient’s disease or disability. Health Care Transition: Building a Program for Adolescents and Young Adults with Chronic Illness and Disability is a uniquely inclusive resource, incorporating youth/young adult, caregiver, and pediatric and adult provider voices and perspectives. Part I of the book opens by defining Health Care Transition, describing the urgent need for comprehensive transition planning, barriers to HCT and then offering a framework for developing and evaluating health care transition programs. Part II focuses on the anatomic and neuro-chemical changes that occur in the brain during adolescence and young adulthood, and how they affect function and behavior. Part III covers the perspectives of important participants in the HCT transition process – youth and young adults, caregivers, and both pediatric and adult providers. Each chapter in Part IV addresses a unique aspect of developing HCT programs. Part V explores various examples of successful transition from the perspective of five key participants in the transition process - patients, caregivers, pediatric providers, adult providers and third party payers. Related financial matters are covered in part VI, while Part VII explores special issues such as HCT and the medical home, international perspectives, and potential legal issues. Models of HCT programs are presented in Part VIII, utilizing an example case study. Representing perspectives from over 75 authors and more than 100 medical centers in North America and Europe, Health Care Transition: Building a Program for Adolescents and Young Adults with Chronic Illness and Disability is an ideal resource for any clinician, policy maker, caregiver, or hospitalist working with youth in transition.

Jamie J. Fader documents the transition to adulthood for a particularly vulnerable population: young inner-city men of color who have, by the age of eighteen, already been imprisoned. How, she asks, do such precariously situated youth become adult men? What are the sources of change in their lives? Falling Back is based on over three years of ethnographic research with black and Latino males on the cusp of adulthood and incarcerated at a rural reform school designed to address “criminal thinking errors” among juvenile drug offenders. Fader observed these young men as they transitioned back to their urban Philadelphia neighborhoods, resuming their daily lives and struggling to adopt adult masculine roles. This in-depth ethnographic approach allowed her to portray the complexities of human decision-making as these men strove to “fall back,” or avoid reoffending, and become productive adults. Her work makes a unique contribution to sociological understandings of the transitions to adulthood, urban social inequality, prisoner reentry, and desistance from offending.

On the Frontier of Adulthood reveals a startling new fact: adulthood no longer begins when adolescence ends. A lengthy period before adulthood, often spanning the twenties and even extending into the thirties, is now devoted to further education, job exploration, experimentation in romantic relationships, and personal development. Pathways into and through adulthood have become much less linear and predictable, and these changes carry tremendous social and cultural significance, especially as institutions and policies aimed at supporting young adults have not kept pace with these changes. This volume considers the nature and consequences of changes in early adulthood by drawing upon a wide variety of historical and contemporary data from the United States, Canada, and Western Europe. Especially dramatic shifts have occurred in the conventional markers of adulthood—leaving home, finishing school, getting a job, getting married, and having children—and in how these experiences are configured as a set. These accounts reveal how the process of becoming an adult has changed over the past century, the challenges faced by young people today, and what societies can do to smooth the transition to adulthood. "This book is the most thorough, wide-reaching, and insightful analysis of the new life stage of early adulthood."—Andrew Cherlin, Johns Hopkins University "From West to East, young people today enter adulthood in widely diverse ways that affect their life chances. This book provides a rich portrait of this journey-an essential font of knowledge for all who care about the younger generation."—Glen H. Elder Jr., University of North Carolina at Chapel Hill "On the Frontier of Adulthood adds considerably to our knowledge about the transition from adolescence to adulthood. . . . It will indeed be the definitive resource for researchers for years to come. Anyone working in the area—whether in demography, sociology, economics, or developmental psychology—will wish to make use of what is gathered here."—John Modell, Brown University "This is a must-read for scholars and policymakers who are concerned with the future of today's youth and will become a touchpoint for an emerging field of inquiry focused on adult transitions."—Jeanne Brooks-Gunn, Columbia University

A volume in the American Sociological Association's Rose Series in Sociology West Baltimore stands out in the popular imagination as the quintessential “inner city”—gritty, run-down, and marred by drugs and gang violence. Indeed, with the collapse of manufacturing jobs in the 1970s, the area experienced a rapid onset of poverty and high unemployment, with few public resources available to alleviate economic distress. But in stark contrast to the image of a perpetual “urban underclass” depicted in television by shows like The Wire, sociologists Karl Alexander, Doris Entwisle, and Linda Olson present a more nuanced portrait of Baltimore’s inner city residents that employs important new research on the significance of early-life opportunities available to low-income populations. The Long Shadow focuses on children who grew up in west Baltimore neighborhoods and others like them throughout the city, tracing how their early lives in the inner city have affected their long-term well-being. Although research for this book was conducted in Baltimore, that city’s struggles with deindustrialization, white flight, and concentrated poverty were characteristic of most East Coast and Midwest manufacturing cities. The experience of Baltimore’s children who came of age during this era is mirrored in the experiences of urban children across the nation. For 25 years, the authors of The Long Shadow tracked the life progress of a group of almost 800 predominantly low-income Baltimore school children through the Beginning School Study Youth Panel (BSSYP). The study monitored the children’s transitions to young adulthood with special attention to how opportunities available to them as early as first grade shaped their socioeconomic status as adults. The authors’ fine-grained analysis confirms that the children who lived in more cohesive neighborhoods, had stronger families, and attended better schools tended to maintain a higher economic status later in life. As young adults, they held higher-income jobs and had achieved more personal milestones (such as marriage) than their lower-status counterparts. Differences in race and gender further stratified life opportunities for the Baltimore children. As one of the first studies to closely examine the outcomes of inner-city whites in addition to African Americans, data from the BSSYP shows that by adulthood, white men of lower status family background, despite attaining less education on average, were more likely to be employed than any other group in part due to family connections and long-standing racial biases in Baltimore’s industrial economy. Gender imbalances were also evident: the women, who were more likely to be working in low-wage service and clerical jobs, earned less than men. African American women were doubly disadvantaged insofar as they were less likely to be in a stable relationship than white women, and therefore less likely to benefit from a second income. Combining original interviews with Baltimore families, teachers, and other community members with the empirical data gathered from the authors’ groundbreaking research, The Long Shadow unravels the complex connections between socioeconomic origins and socioeconomic destinations to reveal a startling and much-needed examination of who succeeds and why.

Is Gen Z resistant to growing up? A leading developmental psychologist and an expert in the college student experience debunk this stereotype and explain how we can better support young adults as they make the transition from adolescence to the rest of their lives. Experts and the general public are convinced that young people today are trapped in an extended adolescence—coddled, unaccountable, and more reluctant to take on adult responsibilities than previous generations. Nancy Hill and Alexis Redding argue that what is perceived as stalled development is in fact typical. Those reprimanding today’s youth have forgotten that they once balked at the transition to adulthood themselves. From an abandoned archive of recordings of college students from half a century ago, Hill and Redding discovered that there is nothing new about feeling insecure, questioning identities, and struggling to find purpose. Like many of today’s young adults, those of two generations ago also felt isolated and anxious that the path to success felt fearfully narrow. This earlier cohort, too, worried about whether they could make it on their own. Yet, among today’s young adults, these developmentally appropriate struggles are seen as evidence of immaturity. If society adopts this jaundiced perspective, it will fail in its mission to prepare young adults for citizenship, family life, and work. Instead, Hill and Redding offer an alternative view of delaying adulthood and identify the benefits of taking additional time to construct a meaningful future. When adults set aside judgment, there is a lot they can do to ensure that young adults get the same developmental chances they had.

Highly practical resource for professionals that addresses the larger-than-ever number of adolescents and young adults with autism in need of successful transition planning.