Top

The Journal of Behavioral Health Services & Research

Published in:

01-04-2015

Implementation of a Positive Development, Evidence-Supported Practice for Emerging Adults with Serious Mental Health Conditions: The Transition to Independence Process (TIP) Model

Authors: Karyn Dresser, PhD, Hewitt B. Clark, PhD, BCBA, Nicole Deschênes, RN, M Ed

Published in: The Journal of Behavioral Health Services & Research | Issue 2/2015

Abstract

Transition into adulthood represents a particularly challenging period for youth and young adults with serious mental health conditions and related needs. The Transition to Independence Process (TIP) model is based on a positive development approach and has been demonstrated to be an evidence-supported practice for preparing emerging adults in their movement into employment/career, education, living situation, personal effectiveness/well-being, and community-life functioning—and to be responsive to their families. This article describes the TIP model from a positive youth development framework, its empirical underpinnings, and the fidelity and outcome tracking tools that have been developed for use with transition sites for implementation and sustainability. A research study on the fidelity tools showed their reliability and validity and a second study presents progress and outcome findings for youth and young adults at a new TIP model site. The implications of the TIP model and these findings are discussed.

Davis M, Green M, Hoffman C. The services system obstacle course for transition age youth and young adults. In: HB Clark, K Unruh (Eds). Transition of youth and young adult with emotional or behavioral difficulties: An evidence-supported handbook. Baltimore: Brookes Publishing, 2009, pp. 47-94.

White CR, O’Brien KO, White J, et al. Alcohol and drug use among alumni of foster care: decreasing dependency through improvement of foster care experiences. Journal of Behavioral Health Services & Research 2008; 35(4): 419-434.CrossRef

Wagner M, Kutash K, Duchonowski AJ, et al. The children and youth we serve: a national picture of the characteristics of students with emotional disturbances receiving special education. Journal of Emotional and Behavioral Disorders 2005; 13(2): 79-96.CrossRef

Davis M, Koroloff N. The great divide: how public mental health policy fails young adults. In: WH Fisher (Ed). Research on community based-mental health services for children and adolescents, Oxford, UK: Emerald Group Publishing Limited, 2006, pp. 53-74.CrossRef

Hoffman C, Heflinger CA, Athay M, et al. Policy, funding, sustainability: issues and recommendations for promoting effective transition systems. In: HB Clark, DK Unruh (Eds). Transition of youth and young adults with emotional or behavioral difficulties: an evidence-supported handbook. Baltimore: Brookes Publishing, 2009, pp. 263-290.

Davis M, Banks S, Fisher W, et al. Longitudinal patterns of offending during the transition to adulthood in youth from the mental health system. Journal of Behavioral Health Services & Research 2004; 31(4): 351-366.CrossRef

Clark HB, Hart K. Navigating the obstacle course: An evidence-supported community transition system. In: HB Clark, DK Unruh (Eds). Transition of youth and young adult with emotional or behavioral difficulties: An evidence-supported handbook. Baltimore: Brookes Publishing, 2009, pp. 47-94.

Karpur A, Clark HB, Caproni P, et al. Transition to adult roles for students with emotional/behavioral disturbances: a follow-up of student exiters from steps-to-success. Career Development for Exceptional Individuals 2005; 28: 36–46.CrossRef

Clark HB, Foster-Johnson L. Serving youth in transition into adulthood. In: BA Stroul (Ed). Children’s mental health: creating systems of care in a changing society. New York: Brookes Publishing Co., 1996, pp. 533-551.

10.

Walker JS, Gowen LK. Community-based approaches for supporting positive development in youth and young adults with serious mental health conditions. Portland, OR: Research and Training Center for Pathways to Positive Futures, Portland State University, 2011.

11.

Seligman EP, Berkowitz MW, Catalano RF, et al. The positive perspective on youth development. In: DL Evans, EB Foa, RE Gur, et al. (Eds). Treating and preventing adolescent mental health disorders: what we know and what we don’t know. New York: Oxford University Press, 2005, pp. 498-527.

12.

National Research Council and Institute of Medicine. Community programs to promote youth development. Washington, DC: National Academy Press, 2002.

13.

Clark HB. Transition to Independence Process (TIP) model overview. Available online at http://tipstars.org/OverviewofTIPModel.aspx. Accessed February 3, 2014.

14.

Arnett JJ. Emerging adulthood: the winding road from the late teens through the twenties. New York: Oxford University Press, 2004.

15.

Cohen P, Kasen S, Chen H, et al. Variations in patterns of developmental transmissions in the emerging adulthood period. Developmental Psychology 2003; 39(4), 657-669.PubMedCrossRef

16.

Miller WR, Rollnick S. Motivational interviewing: preparing people for change. 2 edn. New York, London: Guilford Press, 2002.

17.

Cohen J, Mannarino A. Trauma focused cognitive behavioral therapy (TF-CBT; Overview and resources). Available online at http://nctsnet.org. Accessed on May 12, 2014.

18.

Fixsen DL, Naoom SF, Blase KA, et al. Implementation research: a synthesis of the literature. Available online at http://nirn.fpg.unc.edu/resources/implementation-research-synthesis-literature. Accessed on February 3, 2014.

19.

Showers B, Joyce B. The Evolution of Peer Coaching. Educational Leadership 1996; 53(6), 12-17.

20.

Bond GR, Evans L, Salyers M, et al. Measurement of fidelity in psychiatric rehabilitation research. Mental Health Services Research 2000; 2(2): 75-87.PubMedCrossRef

21.

Teague GB, Monroe-DeVita M. Not by outcomes alone: Using peer evaluation to ensure fidelity to evidence-based assertive community treatment (ACT) practice. In: JL Magnabosco, RW Manderscheid (Eds). Outcomes measurement in the human services: Cross cutting issues and methods, 2 edn. Washington, D.C.: National Association of Social Workers Press, 2013.

22.

Deschênes N, Clark HB. Fidelity assessment protocol for Transition to Independence Process (TIP) model. Tampa FL: Department of Child & Family Studies, University of South Florida, 2013.

23.

Patton MQ. Qualitative research and evaluation methods, 3 edn. Thousand Oaks, CA: Sage Publications, 2002.

24.

Yin RK. Case study research: design and methods,4 edn. Thousand Oaks, CA: Sage Publications, 2009.

25.

Deschênes N, Herrygers J, Clark HB. The development of fidelity measures for youth transition programs. In: C Newman, C Liberton, K Kutash, et al. (Eds). The 20th Annual Research Conference Proceedings: A System of Care for Children’s Mental Health: Expanding the Research Base. Tampa, FL: University of South Florida. The Louis de la Parte Florida Mental Health Institute, Research and Training Center for Children’s Mental Health, 2008.

26.

Clark HB, Dresser K. Assessor user guide: fidelity quality improvement tools for implementing and sustaining transition programs. Tampa, FL: National Network on Youth Transition for Behavioral Health, 2013.

27.

Unruh D, Clark HB. Futures focus: Practice, program, system, policy, and research. In: HB Clark, DK Unruh (Eds). Transition of youth and young adult with emotional or behavioral difficulties: An evidence-supported handbook. Baltimore: Brookes Publishing, 2009, pp. 325-343.

28.

Clark HB, Pschorr O, Wells P, et al. Transition into community roles for young people with emotional behavioral difficulties: Collaborative systems and program outcomes. In D Cheney (Ed.) Transition of secondary approaches for positive outcomes. Arlington, VA: The Council for Children with Behavioral Disorders and The Division of Career Development and Transition, Divisions of The Council for Exceptional Children, 2004, pp. 201-226.

29.

Clark HB, Deschênes N, Sieler D, et al. Services for Youth in Transition to Adulthood in Systems of Care. In: BA Stroul, GM Blau (Eds). The System of Care Handbook: Transforming Mental Health Services for Children, Youth, and Families. Baltimore, MD: Paul H. Brookes, 2008, pp. 517-543.

30.

Lyons JS. Communimetrics: a communication theory of measurement in human service settings. New York: Springer, 2009.CrossRef

31.

Lyons JS, Griffin E, Fazio M. et al. Child and adolescent needs and strengths: an information integration tool for children and adolescents with mental health challenges (CANS-MH) manual. Chicago, IL: Buddin Praed Foundation, 1999.

32.

Lyons JS, Walton BA. Adult Needs and Strengths Assessment (ANSA): an information integration tool for adults with behavioral health challenges. Chicago, IL: Buddin Praed Foundation, 2013.

33.

Hodges K. Child and adolescent functional assessment scale. Ypsilanti, MI: Eastern Michigan University, 1997.

34.

Clark HB. Transition to Adulthood Program Information System (TAPIS) Progress Tracker v. 5. Tampa, FL: National Network on Youth Transition for Behavioral Health, 2014.

35.

Karpur A, Clark HB, Deschênes N, et al. Transition to Adulthood Program Information System (TAPIS). In: C Newman, C Liberton, K Kutash, et al. (Eds). The 19th Annual research conference proceedings: A System of Care for Children’s Mental Health: Expanding the Research Base. Tampa, FL: University of South Florida, the Louis de la Parte Florida Mental Health Institute, Research and Training Center for Children’s Mental Health, 2007, pp. 255–260.

36.

Dresser K, Zucker PJ, Orlando RA, et al. Collaborative approach to quality improvement in process, progress, and outcomes: sustaining a responsive and effective transition system. In: HB Clark, DK Unruh (Eds). Transition of youth and young adult with emotional or behavioral difficulties: An evidence-supported handbook. Baltimore: Brookes Publishing, 2009, pp. 291-321.

37.

Clark HB, Unruh DK. Transition of youth and young adult with emotional or behavioral difficulties: An evidence-supported handbook. Baltimore: Brookes Publishing, 2009.

Title: Implementation of a Positive Development, Evidence-Supported Practice for Emerging Adults with Serious Mental Health Conditions: The Transition to Independence Process (TIP) Model
Authors: Karyn Dresser, PhD
Hewitt B. Clark, PhD, BCBA
Nicole Deschênes, RN, M Ed
Publication date: 01-04-2015
Publisher: Springer US
Published in: The Journal of Behavioral Health Services & Research / Issue 2/2015
Print ISSN: 1094-3412
Electronic ISSN: 2168-6793
DOI: https://doi.org/10.1007/s11414-014-9438-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Implementation of a Positive Development, Evidence-Supported Practice for Emerging Adults with Serious Mental Health Conditions: The Transition to Independence Process (TIP) Model

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 2/2015

Meeting the Transition Needs of Urban American Indian/Alaska Native Youth through Culturally Based Services

Introduction to the Special Issue: Empirically-based Interventions for Emerging Adults with Serious Mental Health Conditions

Better Futures: a Randomized Field Test of a Model for Supporting Young People in Foster Care with Mental Health Challenges to Participate in Higher Education

Erratum to: Reducing Recidivism and Symptoms in Emerging Adults with Serious Mental Health Conditions and Justice System Involvement

Erratum to: Hospital Readmission Among Medicaid Patients with an Index Hospitalization for Mental and/or Substance Use Disorder

Reducing Recidivism and Symptoms in Emerging Adults with Serious Mental Health Conditions and Justice System Involvement