The Prince Georges County Transition Age Youth and Young Adults (PGCTAY) Healthy Transitions project will serve 275 transition-aged youth and young adults (TAY), aged 16 to 25, in Prince Georges County (PGC), Maryland, who either have, or are at risk for developing, serious mental health conditions. The majority (85%) of the target population are Black non-Hispanics or Hispanic. The PGC Health Department will lead the project. Key partners are the PGC Departments of Social Services and Department of Juvenile Services; a child and an adult outpatient mental health clinic, respectively; a large, non-profit mental health, special education, substance use, developmental disability, and social services provider; the Maryland Coalition of Families, a family-led behavioral health advocacy non-profit; an evidence-based supported employment and homeless services provider; the Prince Georges Public County Schools; and the Local Behavioral Health Authority. Implementation strategies include ongoing TAY behavioral health needs assessment; training and technical assistance on evidence-based trauma and grief -informed behavioral health interventions for providers; interagency agreements that support the transition from pediatric to adult services and deliver case management, care coordination, supportive services, peer support, referral and linkage to substance abuse treatment and services that mitigate social determinants of health to TAY; and an awareness campaign that includes messaging on suicide prevention among TAYs. An Advisory Council, composed of TAY, their family members, health and social service providers, and other stakeholders who work with/advocate for TAY will provide guidance on project operations.
The goals we will achieve by 8/31/29 are:
• Goal 1: Expand and increase access to TAY treatment recovery and support services including strengthen evidenced-based practices that address all life domains for the population of focus.
• Goal 2: Increase the self-efficacy and meaningful participation in transition plans of TAY aged 16-25 who have mental health and or co-occurring substance use disorder (SUD).
• Goal 3: Increase community buy-in and responsiveness to TAY service needs and outcomes.
• Goal 4: Develop and implement county-wide social marketing and education messaging to reduce stigma about getting help for mental health and co-occurring SUD.
Key expected outcomes to be achieved by 8/31/29 are:
• A cadre of local behavioral health providers will receive training on evidence-based and evidence informed interventions and promising practices;
• The project will launch a TAY-led, multi-lingual, multimedia social marketing campaign to raise awareness about mental health and co-occurring SUD among TAY and the importance of accessing available services, and how to do so;
• 275 TAY will receive evidence-based care coordination, case management, life skills, peer-to-peer support, positive youth enrichment activities, recovery support, and linkages to services identified in a personalized transition plan that will enable them to transition seamlessly from the pediatric to the adult behavioral healthcare systems; and
• at least 20 TAY will be trained as Peer Support Specialists and 12 TAY will complete leadership training and assume positions that promote positive outcomes for TAY with serious behavioral health conditions.