Young Adults in Transition Case Management 101
What are reasons young people do not go in for services? • Stig ma / Guilt o r sha me • F ina nc e s • L a c k o f insig ht o n me nta l illne ss/ tra uma • L a c k o f kno wle dg e o f re so urc e s
Some Common Behavioral Health Challenges for Young Adults MAJOR DEPRESSION ANXIETY DISORDERS BIPOLAR DISORDER SCHIZOPHRENIA SUICIDALITY
MENTAL SYMPTOMS/ HOW YOU CAN HEALTH HELP BEHAVIORS DISORDERS MAJOR DEPRESSION Sad or irritable mood; Be mindful of mood shifts, alternative sleep patterns and (MD) Changes in sleep, appetite, or body when they seem most productive movement; Not interested in previous activities; Be able to differentiate self Guilt or worthlessness; harming behaviors versus Decreased energy; suicidality Frequent thoughts of death or suicide; Substance use may occur as an Difficulty in concentrating; attempt to reduce or modify Feeling like things are too much symptom experience or may be trouble or effort. associated with peer group influences.
MENTAL SYMPTOMS/ HOW YOU CAN HEALTH HELP BEHAVIORS DISORDERS ANXIETY DISORDER Excessive fear; Re-orient them to logic and problem solving methods Worry about things before they happen; Uneasiness that Encourage self regulating coping skills learned interferes with their daily Lives; Be patient and encourage Physical complaints; small victories Inability to relax; Lack of concentration; Frequent stomach aches, headaches, or other physical complaints; Irritability.
MENTAL SYMPTOMS/ How you can help HEALTH BEHAVIORS DISORDERS BIPOLAR DISORDER Cycling of manic and depressive Identify personal safety plan episodes. with client for different cycles Manic symptoms include: Irritability & agitation; Use protective factors and risk reduction support to minimize Sleep disturbance; potential dangers of any Distractibility / impaired impulsivity concentration; Grandiosity; Do not challenge grandiosity, Reckless behavior; be productive during active Impulsive behaviors, times Suicidal thoughts/active suicidality Educate on importance of medication compliance during either cycle
MENTAL SYMPTOMS/ How you can help HEALTH BEHAVIORS DISORDERS SCHIZOPHRENIA Little range of emotions; Few Do not challenge or add to facial expressions; Poor eye delusions/hallucinations contact; Delays in language, Encourage alternative coping Unusual motor behaviors; skills and treatment while also educating on support of Odd speech, both in content and medication. tone; May hear voices, ‘see’ things, https://youtu.be/PL8ZI3 problems with abstraction; Teach “check in, check out” dwLHc techniues to ground in reality, May demonstrate confusion, use their name as often as suspicion, paranoia; possible during episodes Unusual fears. Do not jump to hospitalizations for every episode
MENTAL SYMPTOMS/ How you can help HEALTH BEHAVIORS DISORDERS SUICIDALITY There are a constellation of Be direct with the question, signs and symptoms associated mindful of tone and language with suicidality, it is a complex used. phenomenon that is yet to b e fully understood. Do not elicit shame or guilt to Common signs: divert suicide attempts Statements of hopelessness, worthlessness and guilt Be able to separate self harm from suicidality Sudden happiness/high energy after prolonged periods of Be educated on resources and sadness/depression supports available in the community to offer your client Sudden interest or disinterest in religion Know difference between active and passive suicidality Many other signs!
Social Emotional Development Who am I? Where do I belong? - Identity development (gender, sexual, ethnic) - Self-esteem - Role of peer group How do I relate to others? - Social Skills - Emotional Intelligence
The Developing Brain, Adolescence and Vulnerability to Drug Abuse
Tool Kit Foundation Foundation of of Case Individual Management Rehab Community Integration
Community Inte g ra tion Community integration is generally viewed as a multidimensional construct, including both objective elements (activities outside the household, contact with neighbors, and others) and subjective elements (feelings about the meaningfulness of social contacts, attitudes about one’s sense of belonging, availability of help, feelings of influence, and emotional investment in the community and community members. Jivanjee, Pauline; Kruzich, Jean; Gordon, Lynw ood. “Community Integration of Transition Age Individuals”: View s of Young People w ith a Mental Health Disorder. The Journal of Behavioral Health Services and Research. Oct 2008 Physical Integration: Young Adults in Transitions ability to fulfill activities of daily living Social Integration: Young adults in Transition ability to engage in social interactions w ith community members (General Members) Psychological Integration: Young Adults in Transition having a sense of belonging in their community
Putting Community Integration and Life Domains into Practice Education: Have they completed HS, Living Situation: Building relationships relationships in the classroom, with neighbors, social, socializing with relationships with peers, ability to positive peer groups, completing complete task at hand in the classroom or activities of daily living, ability to Education Living Situations training environment, transitional young identify positive peer groups, feeling adults feeling apart or contributing to the apart and empowered by the community learning environment. Community life functioning:/Personnel Well Being Employment and Career: Out in the and Effectiveness: Young adults ability to balance community working, can they build independence & interdependency with family relationships at work, communicate at members, Dating skills & development/maintenance Employment and Career Community Life Functioning work, ability to complete required task of intimate relationships, Assertiveness skills & while at work, can they est and maintain + conflict resolution skills, Coping with stress & ability work relationships, YAT feeling apart of to relax, Recognizing when to see a physician. the workforce
Putting Case Management and Life Domains into Practice Case Life Domains Success Management
Advocating, linking and referring young Advocating , linking and referring people to local housing authority, young people to alterative education ODMHSAS Housing Options, centers, post secondary education, Independent Living Classes, education access points (career tech or Education Living Situation Yes I Can (Former Foster Youth). vocational services DRS) Case Management Advocate, link and Refer Advocating, linking and referring Advocating, linking and referring young people to local organizations young people to local Oklahoma that improve quality of life (YMCA, Workforce Investment Community Life Functioning support groups, alumni associations, Employment and Career Boards/Centers, employment peer driven groups ) agencies, employment advocacy organizations
Putting Individual Rehabilitation and Life Domains into Practice Ind Life Success Rehab Domains
Educating young people about Teaching young people independent different education options, teaching living skills, educating young people young people how to access about basic living skills and Education Living Situation education providers, teaching young techniques such as cleaning, locking people how to communicate with doors, and how to community with educators and build positive room mates relationships with peers Ind Rehab Educate, teach and taught Teaching young people how to Teaching young people about different balance life , mental illness and/or employment options to pursue, substance abuse disorders, how to educating them about positive work communicate with neighbors and place social skills, communication and Community Life Functioning Employment and Career landlords, teaching how to when and how to disclose personal problem solve, teaching and information (MH/SA) educating them how to improve their wellness and health.
Resources Education Resources Local Career Technology Centers http://www.okcareertech.org/technology-centers Alternative Education Programs/GED http://ok.gov/sde/ged-testing-centers Living Situations ODMHSAS Transitional Bridge Subsidy http://ok.gov/odmhsas/Mental_Health_/Specialized_Programs_and_Services/Housing_and_Homeless_Services/index.html ODMHSAS WAFA Transitional Bridge Subsidy http://ok.gov/odmhsas/Mental_Health_/Specialized_Programs_and_Services/Housing_and_Homeless_Services/index.html Local Housing Authorities http://www.hud.gov/offices/pih/pha/contacts/states/ok.cfm Oklahoma Housing Finance Agency http://www.ohfa.org/ Local Community Action Agencies http://okacaa.org/agencies/ Employment and Career Oklahoma Department of Rehabilitation Services http://www.okdrs.gov/seekers/seekers-vr.htm Oklahoma Workforce Investment Boards Centers http://www.mycareermychoice.org/ Community Life Functioning Local Community Action Agencies http://okacaa.org/agencies/ YMCA http://www.ymca.net/ Former Foster Youth http://www.okil.ou.edu/yes-i-can Former Foster Youth http://www.okil.ou.edu/
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