Increase in Untreated Cases of XXXX During the Transition to Adulthood.

@entity1 @entity734 @entity146
UNASSIGNED: Objective: During the transition to adulthood, youths face challenges that may limit their likelihood of obtaining services for @entity146 problems. The goal of this analysis was to estimate changes in rates of service use and untreated @entity146 during the transition from adolescence to adulthood. Methods: In a prospective, population-based study, @entity1 were assessed up to four times in adolescence (ages 13-16; 3,983 observations of 1,297 @entity1 , 1993-2000) and three times in young adulthood (ages 19, 21, and 24-26; 3,215 observations of 1,273 @entity1 , 1999-2010). Structured diagnostic interviews were used to assess service need ( @entity1 meeting DSM-IV diagnostic criteria for a @entity146 ) and use of behavioral services in 21 service settings in the past three months. Results: During young adulthood, 28.9% of cases of @entity146 were associated with some treatment, compared with a rate of 50.9% for the same @entity1 during adolescence. This decrease included a near-complete drop in use of educational and vocational services as well as declines in use of specialty behavioral services. Young adults most frequently accessed services in specialty behavioral or general medical settings. Males, African Americans, @entity1 with @entity734 , and @entity1 living independently were least likely to get treatment. For cases of @entity146 among young adults, insurance and poverty status were unrelated to likelihood of service use. Conclusions: Young adults were much less likely to receive treatment for @entity146 problems than they were as adolescents. Public policy must address gaps in service use during the transition to adulthood.
