Transition age youth and young adults analysis project
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Principals: Nancy Johnson Nagel, Ph.D. Diane Fox, Ph.D. Conducted by AboveTheData , Inc. Transition Age Youth and Young Adults Analysis Project. Initiative Coordinator: William Bane, MSW. Sponsored by the Office of Behavioral Health. Meeting Agenda. Sign-in, coffee, light breakfast

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Transition Age Youth and Young Adults Analysis Project

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Transition age youth and young adults analysis project


Nancy Johnson Nagel, Ph.D.

Diane Fox, Ph.D.

Conducted by AboveTheData, Inc.

Transition Age Youth and Young Adults Analysis Project

Initiative Coordinator:

William Bane, MSW

Sponsored by the Office of Behavioral Health

Meeting agenda

Meeting Agenda

  • Sign-in, coffee, light breakfast

  • Introduction

  • Project Description

  • Preliminary Results – Policies/Systems

  • Panel Discussion – Youth, Caregiver, Provider

  • Wrap-up

Project vision

Project Vision

  • A system of care that aids youth with serious behavioral health challenges to successfully transition to adulthood

Project mission

Project Mission

  • Compile quantitative and qualitative data to describe CO’s current services for TAY, and their impact on youth outcomes.

  • Create data driven recommendations for system improvement.

Project tasks

Project Tasks

  • Policy Review

  • Data Analyses

  • Focus Groups

  • Best Practice Review

  • Final Report and Recommendations

  • Presentation of Findings

Policy review

Policy Review

  • Evaluate Current Policies and Practices of Colorado’s Youth Serving Agencies based on:

    • Inclusion of System of Care Principles (Family-driven, Youth-guided, Culturally competent, Interagency, Developmentally appropriate)

    • Best Practice Constructs – Transition to Independence Process Domains (Education, Employment, Living Situation, Personal Effectiveness/Well-being, Community/Life functioning)

  • Identify Strengths and Gaps in Policy and Practice

Data analyses

Data Analyses

CCAR (MH client characteristics, symptoms, functioning, and outcomes) and DACODs (SUD client episodes of care) data analyzed retrospectively and prospectively to describe current characteristic, predictors, and outcomes of TAY served in the public behavioral health system

  • Analysis Sample

  • Any Youth Age 14-25

  • in

  • Public MH System FY 2010-11

Focus groups

Focus Groups

  • Regionalized Focus Groups

    • Comprised of:

      • Youth, Families, Service Providers, and Community Stakeholders

    • Addressing:

      • Service successes, accessibility, barriers, and gaps

Best practices review

Best Practices Review

  • Focus on both Treatment and Prevention Services at the National and Colorado Levels

  • Describe essential elements and challenges for implementation

  • Highlight current system barriers

Recommendations and presentation of findings

Recommendations and presentation of findings

  • Compile all project components into a report with concise actionable recommendations for system improvement

  • Present project findings at a forum that includes diverse representation of stakeholders

Policy program review results

Policy/program Review Results

Policy results overview

Policy results overview

  • An environmental scan of all child-serving human services agencies and community programs in Colorado with regard to System of Care principles and best practice elements was conducted.

  • Analysis is based upon best information available, primarily through organizational websites

  • Agencies/programs included: OBH (MH, SUD), CMHIs, CW, DD, DVR, CDE, DYC, DCJ, DOC, OCYF, DOL, CDPHE, Higher Ed, Chafee Funds, CMHCs, BHOs, Mile High United Way, Office of Homeless Youth Services, ACA, Family Voices Colorado, Faith-based Initiatives, Colorado FFCMH, SSA, Colorado Behavioral Health Transformation Council, Colorado Prevention Leadership Council

Policy results overview1

Policy results overview

  • Results:

    • Government agencies have rigorous eligibility requirements around ages, geographic areas, disability determination; services limited by earmarked funding

    • Community programs have more flexibility around age requirements, resource utilization; challenges with funding

    • There are multiple programs offering services for TAY, many with a behavioral health component; programs tend to operate in isolation

    • Transitions occur primarily directly from child to adult system; no entry point for young adults

Policy results overview2

Policy Results overview



Age-based eligibility

Inconsistent age definitions for “adult”

No coordinated transition in single or multiple systems

Programs operate in own paradigm; little interagency

TAY are a unique population

  • Many programs do address TIP components of education, employment, living situation, personal effectiveness/well-being, community/life functioning

  • Emerging awareness of TAY as a unique population

Panel discussion

Panel Discussion

Panel discussion1

Panel Discussion

  • Panel Discussion

  • Youth, Caregiver, Provider Perspectives

    • What is the experience of youth in transitioning from child, to young adult, to adult behavioral health services?

    • What is the experience for the service provider in the transition to adult services? Successes/barriers?

    • How are the desires/needs of youth balanced with parent and provider perspectives?

Wrap up

Wrap up

  • The result of this project will be actionable recommendations for system improvement for TAY with serious mental health conditions; these will be presented at the conclusion of the project in a public forum open to all stakeholders.

  • We would like to have all interested parties to continue their support for these youth, receiving updates on the progress and outcomes of this project. Participants may be contacted for focus group members.

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