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Failure to Launch-Across the Lifespan
Louise Stanger Ed.D. LCSW. CIP
Founder, All About Interventions
MINT Trainer of Trainers
President Sydney D. Holland Foundation
Faculty SDSU Interwork and USD
OBJECTIVESDescribe , Explain , Define and Discuss Failure to Launch (Emerging Adulthood)
Compare and Contrast What Failure to Launch, Boomerang, Helicopter Parents etc means Across the Lifespan from 18-72
Demonstrate by Case Examples differential ways the families and behavioral health care may address these ever emerging populations
Failure To Launch- Boomerang
FTL “is an unofficial name for a common problem seen among young adults .It can be defines as the inability either from desire or lack of preparation to leave home and begin a journey toward self supported life “
“Description of the difficulties young adults face when transitioning into the next phase of development -a stage that involves greater independence and accountability “
On A New Schedule- The Changing Tides Of
Adulthood 1960 , 77 % of women and 65 % of all men by the time they were 30 passed all 5 milestones
medium age for marriage was 21 for women and 23 for men
Today 13% of adult children between 18-29 move back in with parents after attempt to live alone
Emerging Adulthooda new developmental stage
Brain maturation -age 25 NIMH longitude study 1991
Lag between Prefrontal cortex -and growth of limbic system where emotions originate and prefrontal cortex that manages
Limbic system explodes at puberty while it takes 10 plus years for prefrontal cortex
Cerebellum (higher level cognition)
Parents must ponder is their MORE GOOD , LESS BAD in this
Cultural ShiftsArnett Clark University
Need for more education in a technology world
Fewer entry level jobs even after schooling
less rush to marry
Birth control, premarital sex
Parents expectations and memories -If only I had
Maybe only Car rental agencies have things right (25)
20 somethings 2015Average age of being married is now 28 women and 32 for men
American parents give an average of 10% of their income to their children no matter what their income is ( McArthur Foundation )
40% Move back home at least once
Go through an average of 7 jobs in their 20s
2/3 live with a romantic partner without being married
Census Bureau 1980- now
American Community SurveyForeign born young adults
doubled since 1980
1-4 adults speaks a language other the English at home
1-5 adults live in poverty (13.5 million up from 8.4 million inn 1980
22% have college degrees up from 1in 7
Prior served in armed services 9% were veteran in 1980 , 2% today
Generation Y, Echo Boomers or Milleniums
1-9 have credit card signed by parents
Less Brand loyal
Technology savvy
Immune to traditional sales pitches
More racially diverse
Parents Dilemma“More Good-Less Bad”
DO What I didn't do-Divorce-Dead end jobs--Disappointments
Explore-Travel- Volunteer
Don’t settle down
WE will help whether rich or poor
Emotional Intensiity
Hula Hoop
Meet The Parents EMOTIONAL INTENSITY
FINISH SENTENCES
BAIL OUT
FINANCIAL SUPPORT
FOOD, CLOTHING SHELTER
FEAR of FAILURE
ABCD
What does this mean in the Behavioral Health
Care Field A= AGE OF FIRST USE
B=BIG CHANGES
C=CO-EXISTING MENTAL / BEHAVIORAL HEALTH ISSUES
DNA-FAMILY HISTORY
Meet Doug age 30
A- AOD Issues since jr high, “7 rehabs always rehabs fault”
B - Legal -DUI Medical, College
C-Relational Attachment issues, Hep C
Family History - one of 3 brothers , FH of ETHOL , Helicopter parent- Parents cannot withstand pain
Harry-Age 25 Body Dysmorphia Substance
Abuse MaleParents both work- Perfectionists-History of ABCD in Family of Origin
Emotional Intensity of parents coupled with The Age of Entitlement
6 Different Treatment centers since age 13
Attachment -Trauma-SA
30-50 year olds
Intimacy versus Isolation Love
Generatively versus Stagnation (Growing Up , Supporting Oneself
Sandwich Generation
Erik Erikson
Meet Rob age 45 and His Divorced Mother $$$$
Meet My Youngest son he’s 42
and I am a widow SA/ MH
The Emerging Tsunami The Greying Of America
The Emerging Tsunami The Greying Of America
Number of American over 65 will double by middle of century
2050, 87.5 million americans will be 65 or older compared with 43.1 million in 2012
1 in 5 adults will be aging !!!
Retirement communities are growing -Brookdale Homes Nashville
Aging epidemic in prisons people over 50 are expected to increase to 1/3 of all Cost $64,000 -as opposed to $34,000
Major Issues in agingGrief-Loss-Thoughts of Self Harm-SI Ideation
$$$$
Difficulty Sleeping- Eating-Incontenience
Increasing Use in Mind Altering Substances-Disorientation
Poor Hygiene -Poor Nutrition
Idiopathic Seizures
Major Issues In AgingBasic needs (Food, clothing, Shelter)
Medical (Hips, Knees, Heart, Arthritis, Injuries, Increase Physical complaints ,Falls , burns , Bruises
Transportation
Caregiver and Respite care
Home repair and modifications
Elder Maltreatment
End of Life-Advanced Directives
Late Onset SA and MH
Cognition Problems, Difficulty making
Opportunities for Community Engagement- ageism
New Facts About AgingDecrease in smoking- increase in longevity
Americans who were 65 for example in 1972 could expect to live 15.2 more years in 2010 increased to 19.2 years
Medical advances, Heart, Knees , Hips , cataracts , noninvasive techniques.
NY Times May, 2014 and venus Bureau
Depression-Suicide-Anxiety
CDC - People in this age range consume 2-6 prescription to nonprescription pills prepay
by 2020 prediction 4.4 million
14.4 million older adults experience a MH
Fatality rate for suicide is higher 1 in 4 compared to 1 in 20 for all age groups Anxiety Frequent dx-Phobias, Social anxiety PTSD, OCD, Panic ( Geriatric Mental Health Foundation
1 in 8 adults over age 65 has dementia -Alzheimers 10% Dementia
Substance Abuse & Aging Proportion of people admitted for SA Treatment has doubled between 1992 and 2008 (SAMSHA)
3/4 started using before age 25
Late onset usage Up
ETHOL #1 increases Heroin, Cocaine x4 , MJ,prescription drug
Women late onset ETHOL, at greater risk, outlive men
Getting Back to the ABC’s and Failure to Launch
Meet Arthur
Entitled
Never Had to Work
College Education
Enmeshed Family System
Meet Sally age 62FTL and Relaunch
92 yo father supports her
In Hospital- Staf infection from shooting up Dilantin
Divorced , lost job as home health aide
Daughter and her husband live with her smoke pot do not work-5 dogs
2 step sisters
whats a family to do ?
There is a big Difference between able older people and economically valuable
older people55 Hispanic gay male
Lives with Mother
Sylist hair dresser
20 years-sobriety car accident-pain pills.
Lost job ,lost income , lost everything
Mother age 75
Meet a former PHDA = 20
B + Bad Marriage-Children gone- Childhood Moves-
C= BD / anxiety
DNA= Family History
E= Enmeshed and Failure to Relaunch -
Parents age 73
Meet Sylvia age 69 Embezzlement
A= 30 Valium from Mom
B= Suicide adopted son. Divorce, two daughters, Fractured family,
C- Cognition Problems / Mental Health/ SA R/O/early dementia
DNA- three sisters, hx of SA, MH three generations
Families Remember The 7 C’s (Cause, Cure, Control, Change, Courage ,Competent , Connection Celebrate
Hula Hoop Theory
Invite Change
Listen / Learn Engage in possibility
5 Magic Words- yes, no really, oh , whatever
What’s a Family To Do?
Be Open
Explore Possibilities
Be Curious
Be Discerning
Be Hopeful,Forgiving, Grateful
Be Powerful
YOU CAN BE THE CHANGE
Treatment Solutions Must have multiple entry points for intervention
Professionals must be trained in complexity
Treatment centers built to accommodate populations special needs of young adults and older adults
Age /gender appropriate mixing
Thinking outside the box-collaborating with large scale Senior Developments
ResourcesSAMSHA
Census Bureau American Community Survey Then and Now
NYTimes -Network on Transitions to Adulthood -Failure to Launch 2012-Henig
Institute of Medicine -2014 Aging Reprt Center for Disease Control
Ted Fisher Shock of Grey Points
The Crisis of Americans Aging 2014 Osbourne Association for Florence V. Burden Association
Forbes Magazine Failure to Launch Children Moving Back Home Adam Dunn 2014
John D & Catherine Mcarthur Foundation-Network on Transitions to Adulthood
NIMH Longitudinal study of brain Dr. Jay Giedd PI 1991-2012
Pew Social Trends 2009 Growing Old in America
Arnett, When Will My Kid Grow Up