This study elicited the perspectives of youth, caregivers, service providers and researchers to explore how communities can best support the transition to adulthood for youth ages 16–21 with mental health and functional impairments, who are at risk of disconnecting from health and human services. Framed by Relational Systems Evaluation (RSE) and Positive Youth Development (PYD), our study demonstrates the importance of engagement with youth experts. Group Concept Mapping (GCM), a collaborative multiphase mixed-methods approach, was used as a systematic process for participants to make meaning of qualitative data using multidimensional scaling and hierarchical cluster analysis (Kane and Trochim in Concept mapping for planning and evaluation, Sage Publications Inc., Thousand Oaks, 2007). Across all participant groups, Life Skills were perceived as highly important and highly feasible for a successful transition to adulthood. However, Positive Social Support & Connectedness were viewed as less important and less feasible by all groups. When examined closely, youth perspectives differed from caregiver and provider perspectives in the factors they prioritized and deemed feasible. Our findings have implications for community mental health services and positive youth development program practitioners.

这项研究征求了青少年、护理人员、服务提供者和研究人员的观点，探讨社区如何才能最好地支持 16-21 岁有心理健康和功能障碍的青少年向成年过渡，这些青少年面临着与健康和公共服务脱节的风险。我们的研究以关系系统评估（RSE）和积极青年发展（PYD）为框架，证明了与青年专家接触的重要性。群体概念图 (GCM) 是一种协作式多阶段混合方法方法，被用作参与者使用多维尺度和层次聚类分析来理解定性数据意义的系统过程（Kane 和 Trochim 在《用于规划和评估的概念图》中，Sage Publications公司，千橡市，2007 年）。在所有参与者群体中，生活技能被认为对于成功过渡到成年期非常重要且非常可行。然而，所有群体都认为积极的社会支持和联系不太重要且不太可行。仔细研究后发现，青少年的观点与看护者和提供者的观点在优先考虑和认为可行的因素上有所不同。我们的研究结果对社区心理健康服务和积极的青少年发展计划从业者具有影响。