Double Whammy? Rural Youth with Serious Emotional Disturbance and the Transition to Adulthood

Autor/inn/en	Heflinger, Craig Anne; Hoffman, Cheri
Titel	Double Whammy? Rural Youth with Serious Emotional Disturbance and the Transition to Adulthood
Quelle	In: Journal of Rural Health, 25 (2009) 4, S.399-406 (8 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0890-765X
DOI	10.1111/j.1748-0361.2009.00251.x
Schlagwörter	Health Services; Group Membership; Rural Youth; Mental Retardation; Emotional Disturbances; Mental Health Programs; Behavior Disorders; Counties; Foster Care; At Risk Persons; Health Insurance; Mental Disorders; Regression (Statistics); Behavior Problems; Substance Abuse; Adults; Adjustment (to Environment); Tennessee + Suchen Sie Ihr Suchwort? Health service; Gesundheitsdienst; Gesundheitswesen; Gruppenzugehörigkeit; Rural area; Rural areas; Youth; Ländlicher Raum; Jugend; Jugendlicher; Geistige Behinderung; Gefühlsstörung; Pflegehilfe; Risikogruppe; Krankenversicherung; Mental illness; Geisteskrankheit; Regression; Regressionsanalyse; Drug use; Drug consomption; Drogenkonsum
Abstract	Context: All youth, especially those with serious emotional disturbances (SED), face challenges as they transition to adulthood. Little is known about rural youth at risk for transition problems. Purpose: To examine transition-age youth who use publicly funded services in rural and urban/suburban locations in Tennessee in order to describe youth at risk for transition difficulties who need policy and service planning. Methods: Using Medicaid enrollment and claims/encounter data, youth at high risk for transition difficulties were identified in the following groups: SED, at risk of or in foster care/state custody, intensive or frequent mental health services users, or diagnosed with major mental disorders, behavior disorders, mental retardation, or substance use. Membership in these groups was compared between youth living in rural and urban/suburban counties. Multivariate regression was used to examine factors related to multiple group membership. Findings: Rural youth were more likely to be in groups at high risk for problems transitioning to adulthood, and enrolled in Medicaid as uninsured/uninsurable, compared to their urban counterparts. The strongest factors associated with multiple risk group membership were being in state custody/foster care and receiving Supplemental Security Income (SSI). Conclusions: Services are needed to support the transition to adulthood for youth at high risk of behavioral and adjustment problems. Systems to support coordinated planning and accountability are needed, including data on populations and services, and research on transition-age youth. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10