Youth in Transition

Although sexuality education is delivered in schools, Chinese adolescents’ preferred sources may still be inconsistent with where they currently receive sex education. Based on two theories (Objectivism and Sex-Positivity) that emphasize the use of information and rational choice in seeking information with a desire to learn more, this explanatory study analyses survey data on sexual health topics, the sources Chinese adolescents used and preferred, and the gender differences in how they seek information on sexual topics. From 17 secondary schools, Chinese adolescents in Hong Kong, aged 14–18 (n = 4869), took a 51-question survey on sexual risks and sex education sources conducted by a local agency. Using the secondary dataset, a discrepancy score was computed by matching 15 actually used and 15 preferred sources for getting sexual knowledge listed in the survey. The discrepancy scores were shifted along the X-axis to eliminate negative values and create the dependent variable, ‘Discrepancy-S’, which ranged from 1 to 11, where 1 = no discrepancy, and 11 = wide discrepancy (Cronbach Alpha = 0.750). The higher the score, the higher the discrepancy. Regression results indicated that the youth’s prior coitus and different information sources (except school) could explain the “use–prefer” discrepancy. Although these adolescents regarded parents as the primary sex educators, most did not consult with their families. They preferred electronic media and peers as their top “go-to” choices. Sex education should come from sources that teenagers rely on and choose to access. Personal responsibility must be explicitly discussed in various sexual health sources as teens prepare for transitions to adulthood. Full article

The transition from secondary to post-secondary levels has been seen as challenging and significant among adolescents, in particular adolescents with disabilities (ADWs). Given the increasing trend of students with disabilities pursuing higher education under the integrated education policy, it is unclear whether these students can receive appropriate support to enhance their learning and career exploration. This study investigated the experiences of ADWs during this transition. A group of 40 adolescents took part individually in a 1 h semi-structured interview. The interview data was analyzed with reference to five levels using an ecological model from microsystem, mesosystem, exosystem, macrosystem and chronosystem. Facilitating factors at each level were extracted, e.g., adequate use of assistive technologies helping them overcome their perceived limitations caused by disabilities, and accommodation in learning and assessments also helped unleash their potentials. However, difficulties were also identified, e.g., poor interaction with academic peers, issues with disability disclosure, and schools’ rigid arrangements. The results from this study corroborate the different systems as suggested by the ecological model and also align with the different components of the taxonomy of transition: (a) student-focused development and planning; (b) family involvement and support; and (c) the importance of interagency collaboration. It was recommended that a supporting network should be established between secondary schools and post-secondary institutions to enhance a smooth transition across different education sectors. Full article

Truth-telling, a community intervention to increase reconciliation after systemic injustices, has been employed recently to increase public awareness of harms perpetuated by the child welfare industry in the U.S. Guided by participatory action research principles, we examined a public truth telling initiative over two years which was co-designed by a trans-experiential team of emerging adults with lived expertise and child welfare system professionals in Kentucky. The aims of the truth-telling events were to raise awareness about the experiences of Black American youth in the Kentucky child welfare system and generate ideas for improvements. We conducted a longitudinal collaborative autoethnography (n = 9, 2 time points) to examine our collective experience of developing and hosting the truth-telling circles and supporting activities. Key themes included the transformative impact on the alumni of receiving validation and acknowledgement, as well as forming social and professional connections. Some concerns related to timing of activities and group dynamics also were reported. In addition, the four lived expert truth-tellers engaged in a systematic consensus workgroup process to select a list of 10 priority practice and policy recommendations, such as child welfare system alumni being hired to provide emotion regulation and self-advocacy skills training directly to youth. Full article

Objective: This study focuses on selected potential determinants of self-harm in adolescents of two age groups. The considered factors are depression, sex, and parental cohabitation. The aim of the study is to reveal the association between the mentioned factors and self-harm in younger and older adolescents. A secondary goal is to identify the prevalence of self-harm in two age groups. Self-harm is defined as the repeated occurrence of its physical forms. Methods: In the non-experimental research study, the respondents (N = 1285) were primary and secondary school pupils from Slovakia and made up two age cohorts (12–15 and 16–18 y). A battery of questionnaires consisted of the CDI, Self-Harm Inventory and a demographic questionnaire. Procedures of statistical analysis including the logistic regression were applied for data processing. Results: Depression as a risk factor for physical forms of self-harm was recognised in both age cohorts. In terms of sex as a predictor (girls), it proved to be a strong determinant of development of self-harm in the younger group. Conclusions: The results demonstrate the relevance of the need for a separate study of self-harm in boys and girls, as well as in the context of developmental peculiarities in adolescence. Full article

(1) Background: While Hong Kong is renowned for being a multicultural city, its South and Southeast Asian population has experienced disadvantages in various aspects of life, particularly career development. This study adopts the Systems Theory Framework (STF) to investigate the school-to-work transition of Pakistani, Nepalese, Filipino, and Indian youths in the Hong Kong Chinese context. (2) Methods: A qualitative approach using individual and focus group interviews was employed to uncover and critically examine educational and career aspirations and contextual factors in the transition pathways of educational and career advancement experienced by these ethnic groups. (3) Results: Findings show that career aspirations among South and Southeast Asian youths undergoing the school-to-work transition are comparatively lower than those of their counterparts who remain in secondary education. This disparity is attributed to a range of contextual factors, particularly shortcomings in education policy and limited cultural competence within Hong Kong Chinese society, both of which contribute to the erosion of occupational outlook among these underrepresented groups. (4) Conclusions: This study demonstrates the critical impact of contextual factors on the ethnic inequality of school-to-work transition, which are more overwhelming than can be overcome by personal and family efforts. If these issues are not addressed, achieving racial equality and equal opportunity in school-to-work transition will remain a persistent challenge. Full article

Transition-age youth exiting foster care (TAY) are at high risk for housing instability, with nearly half experiencing homelessness before age 26. Multi-level factors are associated with greater risk, including individual, social, and geographic contexts. This study explored experiences of TAY in a large region of Texas to identify drivers of housing stability during the transition out of care. Youth aged 18–25 who were connected to the region’s foster care transition center were recruited to participate in a mixed-methods, semi-structured interview (n = 25). Youth were prompted to identify networks of up to 20 people who had provided support over the past year. Interview questions explored what happened when youth turned 18, including changes in their housing situations, and delved into relationships with the network members. An iterative coding process was used to create a matrix to examine housing transitions and social supports within and across cases, then identify themes and subthemes. Housing instability was common, with 13 of 25 participants reporting episodes of homelessness after turning 18. Abrupt transitions were driven by systemic factors related to placement settings, strict rules, and a lack of available housing options. Social network data illuminated the close link between housing and the social network, along with the importance of “housing-capable” adults who helped prevent homelessness. Findings call for the development of more youth-friendly housing options for TAY transitioning out of care and interventions that help to build enduring social supports. Full article

Transracial adoption (TRA) places children across racial or national borders into non-biological families, raising complex questions about the adoptee’s racial identity. Guided by the bicultural identity integration theory, integrative racial and adoptive identity is defined as a developmental process with transformative variations. Method: With a mixed-design method, this study examines how Asian adoptees and non-Asian American adoptive parents navigated their racial and cultural adjustment journeys. A small and non-representative sample (N = 21) (14 parents and seven adoptees) was recruited for the survey. Eleven participants (seven parents and four adoptees) attended an individual semi-structured interview to describe TRA needs and obstacles. Results: (1) Even though adoptees and parents were comfortable sharing their adoption experiences through social media, adoptees continued their racial identity inquiries, while parents thought of being role models. (2) Integrative findings show adoptees wanted to learn about their “cultural socialization” at a younger age with parental guidance and normalize “reculturation” as they continued exploring their racial identities through external support. Their TRA journeys engage families in a support network appreciating racial/cultural differences and experiencing identity shifts as a part of reculturation. Implications: A social work platform is needed to provide justice-oriented opportunities for adoptees to share integrative identity journeys and for parents to hear adoptees about their lived experiences. Their engagement in mutual communication will help them show appreciation for each other’s efforts in the adjustment process. Full article

Background: Adolescence is a critical period of rapid physical and psychological change, yet it is also when many health and well-being problems first emerge, often setting limits on lifelong opportunities and achievements as youth transition into adulthood. The ground-breaking adverse childhood experiences (ACEs) study has significantly shaped the development of programs and policies aimed at fostering adolescent health. Nonetheless, there has been limited exploration into the heterogeneity among individuals experiencing a high number of ACEs, such as four or more. This study employs Latent Profile Analysis (LPA) to examine the diverse outcome profiles of adolescents who have been exposed to a substantial number of ACEs. Method: The data were from participants who experienced at least four ACEs by age 9 in the Future of Families and Child Wellbeing Study (N = 1427; 54% male; 59% Black; 15.3% Hispanic; 2.4% other). We applied LPA using the manual three-step method within Mplus 8 to establish profiles based on six developmental indicators at age 15. These indicators included optimism, perseverance, academic performance, internalizing and externalizing behavioral competence, and social skills. The full information maximum likelihood method was used to handle missing data. Results: The study identified three distinct profile groups according to model fit indices and interpretability: Multidimensional Competence Group (61.0%), Low Personality and Social Competence Group (23.8%), and Low Behavioral Competence Group (15.2%). Racial and ethnic backgrounds were significant predictors of membership in these different profile groups. Conclusions: In a research landscape often focused on the cumulative harm of ACEs, our study underscores the heterogeneity of trauma profiles among adolescents with substantial ACE exposure. Given that adolescence is a critical stage when health and well-being challenges emerge, tailored early interventions are important to supporting a successful transition into adulthood. We advocate for the importance of comprehensive screening for social-cognitive and behavioral health difficulties in trauma-affected youth, enabling practitioners to implement timely prevention strategies and tailored interventions that foster resilience and long-term well-being. Full article

Social changes have significantly impacted the educational system at various levels, for example, through legislative reforms, and have consequently guided the teaching–learning process. One of the emerging methodologies is Service-Learning (SL), which directly affects student competence and promotes habits related to physical activity and health. The present quasi-experimental study examined the impact of an SL program on secondary school students (n = 112). The aim of the 16-session SL program, which was part of the Physical Education course, was to improve the physical condition and health of 18 sedentary older adults. The influence of this program on motivation, the prosocial climate, and the importance that the students attribute to the subject of Physical Education was assessed. The most significant results were found to be those related to the School Prosocial Climate linked to empathy (p < 0.05) and the motivational variable of Intrinsic Motivation for Stimulating Experiences (p < 0.01). In conclusion, it was determined that the implementation of a methodology based on SL has positive effects on students’ empathy and intrinsic motivation. Full article

Background: Afterschool programs (ASPs) funded under the 21st Century Community Learning Center (CCLC) Act were designed to provide a safe environment for students to engage in extracurricular programming. COVID-19 disrupted the school environment leading to numerous negative outcomes for students and parents, as well as teachers and school administration. The effects of COVID-19 continue to be felt as educational disparities persist, creating opportunities for afterschool programming to help lessen the gaps. Methods: Based on the lasting impact of COVID-19 and the lack of literature on ASPs, the purpose of this study is to compare the effectiveness of a 21st CCLC ASP from spring 2019 to spring 2020 to account for the initial effects of the global COVID-19 pandemic. Our aims were to (1) examine the differences in student ratings of various ASP outcomes the semester before and semester during which COVID-19 began, and (2) determine if student grade level impacts ratings of various ASP outcomes. Findings: Results showed that family involvement significantly increased from before to during COVID-19 and that early adolescents had significantly worse outcomes related to family, friends, grades, and overall opinions of the ASP during the pandemic than those in younger grades. Conclusions and Implications: Recommendations for ways to increase engagement in ASPs for both families and youth transitioning to higher grade levels are discussed. Full article

The transition to adulthood is challenging for all youth, but this developmental period can present substantial difficulties for youth involved in child-serving systems due to a constellation of adversities and a lack of protective factors present in their lives. Notably, many system-involved youth are disconnected from important relationships and are tasked to navigate the increased demands of adulthood without sufficient support. There is a spectrum of services available for youth transitioning out of system-involvement, but the majority focus on independent living skills, which alone are often insufficient to facilitate a successful transition to adulthood. This paper provides details regarding the importance of building relational permanence—relationships with permanent-supportive individuals—among young adults transitioning out of system involvement. Authors review evidence-based approaches, used by community agencies, which build relational permanence for system-involved youth, while discussing future directions to improve the rigor of research on relational permanence, and action for necessary policy change. Full article

(1) Background: Adolescents living with HIV (ALHIVs) experience significant challenges in adhering to treatment and remaining engaged in care as they transition from pediatric to adult HIV care programs. The aim of this qualitative evidence synthesis (QES) was to review qualitative studies that describe how ALHIVs experience transition practices in low- and middle-income countries. (2) Methods: The following databases were searched: PubMed, Wiley Library Online, EbscoHost (PsychARTICLES, MEDLINE, Scopus, CINAHL), the WHO database, Google Scholar, and reference mining of the included studies. The inclusion criteria were as follows: ALHIV 10–19 years old, interventions on the transition period or studies describing transition practices, published between 2012 and 2023, conducted in low- and middle-income countries, English language, and qualitative and mixed-method studies. This review adheres to the PRISMA guidelines. CASP and MMAT were used for methodological quality assessment, and GRADE CERQual was used for the confidence in review findings. (3) Results: Seven articles were included in the final review. The five overarching themes described: (1) transition readiness during the pre-transition phase; (2) structural (health systems) barriers and treatment literacy as challenges during the transition period; and (3) provided accounts of successful post-transition experiences and recommendations for improving the transition process (when these were not experienced as positive), while also describing the individual and collective contexts in which transition took place, as they outlined (4) individual (psychological) barriers and the facilitative role that (5) a supportive environment played in the outcome of the transition process. There was a high level of confidence in transition readiness, while the other themes were assessed as having moderate confidence due to methodological limitations and minor concerns about adequacy or relevance. (4) Conclusions: There is a dearth of qualitative studies on the transition experiences of ALHIVs and on how the transition process impacts adherence, retention in care, and mental well-being. We recommend the development of interventions in the form of a guided transition protocol to improve the transition experiences of ALHIVs. Full article

Background: Former foster youth frequently experience housing instability, which hinders their transition to adulthood and affects key life outcomes including education, employment, mental health, and social connections. Objective: This scoping review explores housing stability and identifies barriers to stable housing. Method: Following the Arksey and O’Malley framework and PRISMA guidelines, a comprehensive search of peer-reviewed literature was conducted using PubMed, PsycINFO, and Academic Search Complete. Studies published in English within the last ten years were screened and selected based on relevance to housing stability and former foster youth outcomes. Nine studies met the inclusion criteria and were thematically analyzed. Results: Findings reveal that a significant proportion of youth aging out of foster care lack adequate preparation, face systemic barriers such as unaffordable housing and limited services, and often experience repeated episodes of instability. Promising strategies include transitional planning, extended housing support, trauma-informed services, and youth engagement in program design. Flexible funding and targeted support for high-risk subgroups are also crucial. Conclusion: Housing stability is foundational to the well-being of former foster youth. Addressing systemic gaps through youth-centered, supportive housing interventions is essential for promoting resilience and successful transitions to independence. Full article