For young people, families and case managers planning an adult support arrangement
What should we review when a young person using IHS approaches adulthood?
Review the person's priorities, expected living arrangement, daily schedule, service option and preferred family involvement. Do not assume an existing arrangement will continue unchanged or that a birthday creates an automatic new service. Use the transition conversation to identify decisions, responsible contacts and dates, while giving the young person a clear role in shaping the next routine.
Start with the life the person wants
Ask what the young person wants to keep, try or change. Their priorities may concern friends, time at home, work interests, community activities or managing everyday tasks. Start with those answers before turning the meeting into a review of agency paperwork.
Use a format that helps the person express a view: written choices, a conversation in advance, pictures they already use, or another preferred method. Separate their answers from family hopes. Both can be discussed, but a parent's concern should not silently become the person's goal.
Map the routine that is actually changing
Write a typical current week and the expected future week. Identify the hours that are structured now and what may replace them. The important question is not simply whether a program ends; it is what the person wants and needs during the time that opens up.
Mark uncertain activities as uncertain. A possible job, class or community program should not be treated as a confirmed daily arrangement. Record who is finding out more and when the team will revisit the question. That makes support planning less dependent on optimistic assumptions.
Ask the case manager to review the IHS option
DHS makes different IHS options available according to age, living arrangement and training needs. IHS with training is an adult option, while family training has its own circumstances and focus. A service review should consider the actual situation rather than treating the labels as automatic stages in a fixed progression.
Ask which parts of the existing support plan remain relevant, what requires new review, and which documents or authorizations may need updating. This guide does not decide legal authority, eligibility or the timing of a benefits change. Record those questions for the responsible professionals.
Make family involvement explicit
A young adult may want a parent at some conversations and prefer to handle others more privately. Ask what involvement they want and what communication arrangement applies. Where a legal representative is involved, ask the relevant professionals to explain the role and its scope rather than making assumptions from the family relationship.
Separate learning goals for the person from learning needs within the family. The person may want to practice making an appointment while the family wants guidance on stepping back from parts of the conversation. Both questions can be addressed without making family absence the sole measure of progress.
| Decision area | Person's question | Team's follow-up |
|---|---|---|
| Daily routine | What do I want my week to include? | Identify confirmed activities and open periods |
| Family participation | Who do I want involved in which conversations? | Clarify the communication arrangement |
| Skill practice | What would I like to learn next? | Discuss an appropriate goal and service option |
| Living arrangement | Where do I expect to live? | Review setting and support implications |
Prepare introductions instead of assuming continuity
If new workers or organizations will be involved, plan how the person wants to be introduced. A short description of preferences, strengths and current goals can be more useful than retelling their entire history at every meeting. Share additional records only through the agreed process.
Ask each incoming provider what they still need to review. A school contact, family member or existing worker saying someone is ready does not establish another provider's staffing or intake status. Keep introductions, service planning and confirmed starts as distinct entries.
Choose a transition review point
Set a practical date to review the unresolved questions before the anticipated routine changes. Assign one owner to each action rather than giving the whole list to the family. Include how the young person will receive updates and express a different preference.
After the change, revisit what actually happened. Some planned activities may not have started, while new interests may have emerged. Update the support conversation around the person's current life rather than preserving the first transition worksheet as if it were final.
Adulthood transition conversation planner
Complete with the young person and bring it to the planning team. Dates are coordination prompts, not legal or program deadlines.
Download worksheet (.txt)- Person's priorities
- What do they want to keep, try or change?
Illustrative entry: Keep seeing friends and explore one new community activity.
- Current and future week
- Which routines will change, and what is confirmed?
Illustrative entry: Current structured afternoons may change; future activity still exploratory.
- Living arrangement
- What setting is expected, and what needs review?
Illustrative entry: Plans to remain with family; service option to be discussed.
- Family involvement
- How does the person want relatives involved?
Illustrative entry: Parent joins planning meetings; person speaks first about chosen goals.
- Service question
- What must the case manager explain?
Illustrative entry: Which IHS option fits the proposed goals and circumstances?
- Action owner
- Who will resolve each open item?
Illustrative entry: Named contact will check the activity, another will review the service plan.
- Review point
- When will the team compare the plan with actual changes?
Illustrative entry: Meet before the routine changes and agree a follow-up afterward.
An optional discussion tool, not an official assessment, authorization, service plan, or emergency plan. Keep completed copies private and share through an agreed channel.
Worked example: an unconfirmed activity leaves a real question
A family's draft adult schedule assumes a new community activity will occupy three afternoons. The young person likes the idea, but no arrangement is confirmed. The transition planner labels it exploratory and records what the person would prefer during those afternoons if it does not start. The case manager reviews the service questions while the family checks the activity separately. The person chooses to practice handling part of the first information call, creating a concrete learning conversation without promising an outcome.
This example is invented to explain the worksheet; it is not a client story or a promised outcome.
Your next step
Bring the changing weekly routine and the person's priorities to the case manager before agreeing to a new provider schedule.
For a conversation with Clemens Health about your Twin Cities location, call (651) 354-1196 or send a referral. Service fit, authorization, and staffing need to be confirmed.
Minnesota resources
State resources explain program rules. The worksheet and examples are Clemens Health planning aids. Links were checked October 5, 2026; follow the current state guidance for eligibility and service questions.