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Transition for Youth with Mental Health Needs

#3 of 10 in Series

Reviewed December 2025

Integrated transition planning is a path to living a full, meaningful, and connected life as a community member. It means planning for what will change as your child becomes an adult. Everyone is different, so every idea might not be right for your family.

Did You Know? Many mental health conditions like schizophrenia, bipolar disorder and major depression may not be diagnosed until a person is in their late teens or twenties. These conditions make the time of transition, ages 18 to 21, more complex as a young adult’s needs might not be fully known.

Crisis Services

The Suicide and Crisis Lifeline is a national network of local crisis centers that provides free and confidential emotional support to people in suicidal crisis or emotional distress 24 hours a day, 7 days a week. Call 988 or visit 988lifeline.org.

Two Paths to Supports and Services

Path 1: If a youth adult’s primary diagnosis is an Intellectual or Developmental Disability (IDD), with co-occurring mental health needs, their transition services likely will include the following:

      • Start by contacting your county’s Aging and Disability Resource Center (ADRC) to request an eligibility determination for adult long-term care programs like Family Care or IRIS.
      • Apply or re-apply for Supplemental Security Income (SSI). Even if a child did not qualify before, they might be eligible as an adult. SSI only looks at the individual’s income starting at age 18.
      • Talk with your young adult’s doctor and medical specialists about transitioning to adult providers. Your Children’s Resource Center, CLTS service coordinator, Family Care Managed Care Organization or IRIS consultant can help find providers. Look for providers who:
          • are in network with your child’s health insurance.
          • have experience working with adults who have a disability and also mental health needs.

Path 2: If a young adult’s diagnosis is solely mental health related, their path will look different. You’ll find that services may vary depending on the county where you live. Here are some steps to follow:

      • Contact your county’s Human Services Department to learn about county-based, adult mental health programs and resources.
      • Apply, or reapply, for SSI. Understand that denials are common and you can appeal the decision.
      • Talk with your young adult’s mental health providers about transitioning to adult providers. Adult programs and services may be available starting at age 18 or 21.

Community Supports for Youth

Children’s Long-Term Support Program (CLTS)

Young adults with intellectual or developmental disabilities typically transition from CLTS and move into Family Care or IRIS around age 18, but young adults with mental health diagnoses may not qualify for Family Care or IRIS. If this is the case, consider asking your CLTS coordinator about having your young adult continue to participate in the CLTS program until age 21.

Intensive Mental Health Programs

For young adults living with serious mental health challenges, intensive community-based programs offer a wide array of supports. These include Comprehensive Community Services (CCS) and Community Support Programs (CSP). These programs offer care coordination, medication management, employment, therapy, family education, and other services. If a youth is enrolled in a county mental health program, they may be able to continue services or transition to an adult program at age 18.

Tip for Families

Teens will need to decide if, and when, they tell others about their mental health diagnosis. They may feel most comfortable keeping it to themselves, but this also means they might not receive the support they need to stay healthy. Talk with your teen about how, when, and to whom they choose to disclose their diagnosis.

Informal Support and Connections

Many young adults and their families find peer support an important way to stay healthy. Support groups let you connect with others facing similar issues and often are free, and you can attend whenever it works best for you. NAMI Wisconsin has a variety of virtual supports groups. To find a group visit namiwisconsin.org/being-together.

Plan for Every Piece of Transition

A young adult’s school IEP team can offer support to plan for college, other post-secondary options, and employment. Thier primary care provider can offer support to plan for the transition to adult medical provider.

Education: Individuals with Disabilities Education Act (IDEA) supports will end when a young adult leaves high school. Colleges aren’t required to provide support for those with mental health needs. However, many have disabled student programs and services and other campus-based mental health services.

Employment: Families and school IEP teams can request a referral to the Division of Vocational Rehabilitation (DVR). DVR offers support to prepare youth to work in their community. See the Planning for Employment fact sheet.

Health and Wellness: Work closely with your youth’s primary care provider to make sure they have what they need to stay healthy. Also, if your child takes medications, be sure they understand the importance of taking them on time, refilling them, and not mixing them with other drugs or alcohol.


INFORMATION AND RESOURCES 

Wisconsin Wayfinder: Children’s Resource Network, 877-WiscWay (877-947-2929): Wisconsin Wayfinder offers families one name and phone number to find services for children with special health care needs. Wayfinder connects you to a resource guide at one of the five Children’s Resource Centers in your area. 

Do you need a resource in another format or a printed copy? Contact Lynn@fvofwi.org.

Family Voices of Wisconsin, 2023©  |  familyvoiceswi.org 

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