Improving the Health, Safety, and Well-Being of Young Adults Workshop Summary (2013) / Chapter Skim
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6 Mental Health
6 Mental Health
Pages 49-58
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From page 49... ...
• The disconnect between child and adult mental health sys tems inhibits good quality and continuous mental health care. (Davis)
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From page 50... ...
MENTAL HEALTH IN YOUNG ADULTS Young adults are disproportionately affected by mental health conditions, observed Maryann Davis, research associate professor with the Center for Mental Health Services Research in the University of Massachusetts Medical School's Department of Psychiatry. In 2004 the World Health Organization published a global burden of disease study, which Gore et al.
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From page 51... ...
For example, child mental health target population, definitions, and eligibility criteria are different from those of adult mental health systems, which tend to be much narrower. Even some young people who have been receiving intensive children's mental health services as an adolescent will not get in the door of adult services once they age out of the juvenile system.
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From page 52... ...
However, Davis expressed concern about whether young adults with mental health problems are going to be well served. Those who have well-developed safety net systems will be covered, "but for those who don't, they are still going to be running out of health care." Research can help demonstrate how best to reach young adults.
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From page 53... ...
For example, young adults with a disorder were twice as likely to report regular smoking, four times as likely to report police contact, twice as likely to have been fired from a job, three times as likely to have defaulted on a financial obligation, and four times as likely to be in a violent relationship. This constellation of problems can make it much more difficult for these individuals to achieve the customary milestones of young adulthood.
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From page 54... ...
Young adults are transitioning out of their childhood homes, which explains part of this drop in services, because their parents are no longer 60 45 Prevalence 30 15 0 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 Childhood Young Adulthood Service use Conditional service use FIGURE 6-2 The use of services by those with mental health conditions falls from approximately 50 percent to about 25 percent when adolescents become young adults. SOURCE: Copeland, 2013.
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From page 55... ...
"These folks are falling off of a bit of a cliff as they enter young adulthood." SCHIZOPHRENIA AND OTHER PSYCHOTIC DISORDERS Larry Seidman, professor of psychology in the Department of Psychiatry at Harvard Medical School, discussed a particular set of mental health disorders to demonstrate their effects on young adults: schizophrenia and other psychotic disorders. Schizophrenia has occurred throughout history in all countries.
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From page 56... ...
More research is clearly needed, but the results to date suggest a 10 percent conversion rate to psychosis in treated subjects compared with 30 percent in untreated subjects. "There is a beginning sense that we could actually prevent psychoses and certainly reduce disability." Mental health literacy about schizophrenia and other psychotic disorders is very low.
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From page 57... ...
"With schizophrenia, someone should be watching you," she said. "You leave someone with schizophrenia in a cell with sheets, with anything they could possibly hang themselves with, that means you weren't doing your job."
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