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