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Presented at the 18th Annual Research Conference

Using the NCS to Answer Questions about the Transition to Adulthood

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Session Number: 29 Room: Salon A

Presentation Type: symposium

Chair: Maryann Davis Discussant: Steven Banks

Synopsis: This symposium provides an overview of the National Comorbidity Study, which is a publicly available nationally representative household study of 15-55 year olds conducted in 1990-1992 that assessed psychiatric diagnoses, extensive background variables, and current functioning. This study has much to offer in answering questions about adolescence and the transition to adulthood. This symposium will provide examples of questions about the transition period that have important service implications that can be addressed with these data. The symposium will also discuss the study's limitations, with an eye towards utilization of the NCS2 which will become public in the near future.

Date: Tuesday, March 8, 2005

Session Time: 10:15 AM - 11:45 AM

Overview of the NCS Methodology

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Presenting: Bernice Fernandes; Valerie Williams

All Authors for this paper: Bernice Fernandes; Valerie Williams

Presentation Type: element of symposium

Synopsis: Conducted from 1990 to 1992, the NCS survey was designed to assess the prevalence and correlates of DSM-III-R disorders and was administered to a nationally representative household sample of non-institutionalized, civilian persons in the 48 contiguous states. NCS data have been one of the main sources of estimates of treatment need in the United States (U.S. Department of Health and Human Services, 2000) and have been used to address a range of other research questions. This paper will provide an overview of the study's methods.

Development Doesn't Stop at 18: Developmental Differences Between Young and Less Young Adults

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Presenting: Maryann Davis; Valerie Williams

All Authors for this paper: Maryann Davis; Valerie Williams

Presentation Type: element of symposium

Synopsis: The present study examined a rationale for specialized young adult programming within adult mental health services by comparing areas of functioning that those services typically address between younger (ages 15-30) and mature adults (ages 35-55) with psychiatric diagnoses. Decomposed Chi-squares were used to examine whether age-related differences were greater in younger compared to older age groups. Age-related differences in daily activities (student, worker, homemaker) were greater in younger than older groups. Time with friends and marriage rates changed markedly in younger adults and were unvarying among mature adults. Implications for adult mental health services will be discussed.

The Consequences of Trauma for Mothers in the Transition Years

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Presenting: Joanne Nicholson; Valerie Williams

All Authors for this paper: Joanne Nicholson; Valerie Williams

Presentation Type: element of symposium

Synopsis: Analyses of NCS data indicate the onset of PTSD (average age = 16.8 years) precedes average age at birth of first child (21.1 years), providing both opportunities for prevention and early intervention for transition-aged women with PTSD, 70% of whom become mothers, to improve parenting, and prevent child abuse and family disruptions. Mothers with PTSD, those with PTSD and co-occurring disorders, and those with no disorders are described and compared regarding background characteristics, histories of abuse and trauma, the circumstances of parenthood, and potential outcomes of child abuse and relationship with the child. Implications for prevention and intervention strategies are discussed.

Psychiatric Disorders, Substance Abuse and Serious Trouble with the Law in Emerging Adults.

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Presenting: William Fisher; Steven Banks

All Authors for this paper: William Fisher; Steven Banks

Presentation Type: element of symposium

Synopsis: The transition from adolescence to adulthood is often marked by expressions of social deviance, some of which are illegal. The complexity of social adjustment at this age can be exacerbated by a serious emotional disorder; both the disorders themselves and societal responses to them exert profound effects on individuals' propensity to offend. This presentation examines age-specific 12-month rates of "serious trouble with law" and the effects of psychiatric and substance abuse disorder on those rates. Limitations of the NCS for examining this issue are discussed, as well as strategies for enhancing research capabilities in this area.