Improving Youth Access to Mental Health Support through a Youth–Adult Partnership

Laurie Ross, Lindsay Carpenter Connors

Abstract


Mental and behavioral health disorders are major issues facing young people in the United States; yet, the majority of youth who need support do not get help. Young people tend not to get help for 2 interacting reasons: system barriers that prevent youth from seeking help, and personal reasons that can influence them to forgo treatment. Youth–Adult Partnerships (Y-APs) have the potential to improve mental health programming and increase service utilization because they create space to blend youth and service provider knowledge and experience. This article provides a detailed case study of a youth–adult partnership’s 2-year community assessment and strategic planning process that led to the development of an innovative mental health model that has been sustained for 15 years. This article highlights the practices that contributed to adult transformation and the importance of adults’ roles as boundary spanners in the implementation and sustainability of an intervention that addresses both system barriers and personal reasons youth forgo mental health treatment.


Keywords


youth–adult partnerships; mental health

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References


Akiva, T., Cortina, K., & Smith, C. (2014). Involving youth in program decision-making: How common and what might it do for youth? Journal of Youth and Adolescence, 43(11), 1844-1860. doi: 10.1007/s10964-014-0183-y

Alegría M., Atkins, M., Farmer, E., Slaton E., & Stelk, W. (2010). One size does not fit all: Taking diversity, culture and context seriously. Administration and Policy in Mental Health and Mental Health Services Research, 37(1-2), 48-60. doi: 10.1007/s10488-010-0283-2

Alegría, M., Vallas, M., & Pumariega, A. (2010). Racial and ethnic disparities in pediatric mental health. Child & Adolescent Psychiatric Clinics of North America, 19, 759-774. doi: 10.1016/j.chc.2010.07.001

Atkins, M. S., & Lakind, D. (2013). Usual care for clinicians, unusual care for their clients: Rearranging priorities for children’s mental health services. Administration and Policy in Mental Health and Mental Health Services Research, 40(1), 48-51. doi: 10.1007/s10488-012-0453-5

Barker G., Olukoya A., & Aggleton, P. (2005). Young people, social support and help-seeking. International Journal of Adolescent Medicine and Health, 17(4), 315-335. doi: 10.1515/IJAMH.2005.17.4.315

Bronfenbrenner, U. (1979). The ecology of human development: Experiments by nature and design. Cambridge, MA: Harvard University Press.

Burns, J,. & Birrell, E. (2014). Enhancing early engagement with mental health services by young people. Psychology Research and Behavior Management, 7, 303-312. doi: 10.2147/PRBM.S49151

Camino, L. (2005). Pitfalls and promising practices of youth–adult partnerships: An evaluator's reflections. Journal of Community Psychology, 33(1), 75-85. doi: 10.1002/jcop.20043

Campbell, D., & Erbstein, N. (2012). Engaging youth in community change: Three key implementation principles. Community Development, 43(1), 63-79. doi: 10.1080/15575330.2011.645042

Cargo, M., Grams, G. D., Ottoson, J. M., Ward, P., & Green, L. W. (2003). Empowerment as fostering positive youth development and citizenship. American Journal of Health Behavior, 27, S66-s79. Retrieved from http://researchoutputs.unisa.edu.au/1959.8/130904

Coates, D., & Howe, D. (2016). Integrating a youth participation model in a youth mental health service: Challenges and lessons learned. Child & Youth Services, 37(3), 1-27.doi: 10.1080/0145935X.2015.1119652

Corry, D. A. S., & Leavey, G. (2017). Adolescent trust and primary care: Help-seeking for emotional and psychological difficulties. Journal of Adolescence, 54, 1-8. doi: 10.1016/j.adolescence.2016.11.003

Finn, J., & Checkoway, B. (1998). Young people as competent community builders: A challenge to social work. Social Work, 4, 335-345. doi: 10.1093/sw/43.4.335

Fleiszer, A. R., Semenic, S. E., Ritchie, J. A., Richer, M. C., & Denis, J. L. (2015). The sustainability of healthcare innovations: A concept analysis. Journal of Advanced Nursing, 71(7), 1484-1498. doi: 10.1111/jan.12633

Frazier, S. L., Cappella, E., & Atkins, M. S. (2007). Linking mental health and after school systems for children in urban poverty: Preventing problems, promoting possibilities. Administration and Policy in Mental Health and Mental Health Services Research, 34(4), 389-399. doi: 10.1007/s10488-007-0118-y

Garinger, C. A., Reynolds, K. A., Walker, J. R., Firsten-Kaufman, E., Raimundo, A. S., Fogarty, P. C., & Leonhart, M. (2016). Mobilizing minds: Integrated knowledge translation and youth engagement in the development of mental health information resources. Gateways: International Journal of Community Research and Engagement, 9(1), 172-185. doi: 10.5130/ijcre.v9i1.4415

Gulliver, A., Griffiths, K., & Christensen, H. (2010). Perceived barriers and facilitators to mental health help-seeking in young people: A systematic review. BMC Psychiatry, 10(1), 113-122. doi: 10.1186/1471-244X-10-113

Harrison, M. E., McKay, M. M., & Bannon, W. M. (2004). Inner-city child mental health service use: The real question is why youth and families do not use services. Community Mental Health Journal, 40(2), 119-131. doi: 10.1023/B:COMH.0000022732.80714.8b

Hedemann, E. R., & Frazier, S. L. (2017). Leveraging after-school programs to minimize risks for internalizing symptoms among urban youth: Weaving together music education and social development. Administration and Policy in Mental Health and Mental Health Services Research, 44(5), 756-770. doi: 10.1007/s10488-016-0758-x

Heffernan, O. S., Herzog, T. M., Schiralli, J. E., Hawke, L. D., Chaim, G., & Henderson, J. L. (2017). Implementation of a youth‐adult partnership model in youth mental health systems research: Challenges and successes. Health Expectations, 20(6), 1183-1188. doi: 10.1111/hex.12554

Heflinger, C. A., & Hinshaw, S. P. (2010). Stigma in child and adolescent mental health services research: Understanding professional and institutional stigmatization of youth with mental health problems and their families. Administration and Policy in Mental Health and Mental Health Services Research, 37(1-2), 61-70. doi: 10.1007/s10488-010-0294-z

Huggett, D., Flynn, A., Jaouich, A., Taylor-Gates, M., & Davidson, S. (2017). Engaging youth in a mental health system improvement initiative in Ontario: Developing the Be Safe resource. Canadian Journal of Community Mental Health, 36(Special Issue), 121-131. doi: 10.7870/cjcmh-2017-019

Kaim, Z., & Romi, S. (2015). Adolescents at risk and their willingness to seek help from youth care workers. Children & Youth Services Review, 53, 17-23. doi: 10.1016/j.childyouth.2015.03.002

Kataoka, S. H., Zhang, L., & Wells, K. B. (2002). Unmet need for mental health care among US children: Variation by ethnicity and insurance status. American Journal of Psychiatry, 159(9), 1548-1555. doi: 10.1176/appi.ajp.159.9.1548

Kirshner, B. (2006). Apprenticeship learning in youth activism. In P. Noguera, S. Ginwright, & J. Cammarrota (Eds.), Beyond resistance: Youth activism and community change: New democratic possibilities for policy and practice for America’s youth (pp. 37-57). Oxford, UK: Routledge.

Kulbok, P. A., Meszaros, P. S., Bond, D. C., Thatcher, E., Park, E., Kimbrell, M., & Smith-Gregory, T. (2015). Youths as partners in a community participatory project for substance use prevention. Family & Community Health, 38(1), 3-11. doi: 10.1097/FCH.0000000000000061

Larson, R., & Angus, R. (2011). Adolescents' development of skills for agency in youth programs: Learning to think strategically. Child Development, 82, 277–294. doi: 10.1111/j.1467-8624.2010.01555.x

Larson, R., Walker, K., & Pearce, N. (2005). A comparison of youth-driven and adult-driven youth programs: Balancing inputs from youth and adults. Journal of Community Psychology, 33, 57-74. doi: 10.1002/jcop.20035

Leavey, G., Rothi, D., & Paul, R. (2011). Trust, autonomy and relationships: The help-seeking preferences of adolescents in secondary level schools in London (UK). Journal of Adolescence, 34, 685-693. doi: 10.1016/j.adolescence.2010.09.004

Lincoln, A. K., Borg, R., & Delman, J. (2015). Developing a community-based participatory research model to engage transition age youth using mental health service in research. Family & Community Health, 38(1), 87-97. doi: 10.1097/FCH.0000000000000054

Mahalik, J. R., Good, G. E., & Englar-Carlson, M. (2003). Masculinity scripts, presenting concerns, and help seeking: Implications for practice and training. Professional Psychology: Research and Practice, 34(2), 123. doi: 10.1037/0735-7028.34.2.123

Merikangas, K., He, J., Burstein, M., Swendsen, J., Avenevoli, S., Case, B., . . . Olfson, M. (2011). Service utilization for lifetime mental disorders in US adolescents: Results of the National Comorbidity Survey–Adolescent Supplement (NCS-A). Journal of the American Academy of Child & Adolescent Psychiatry, 50(1), 32-45. doi: 10.1016/j.jaac.2010.10.006

Mitra, D. L. (2005). Adults advising youth: Leading while getting out of the way. Educational Administration Quarterly, 41(3), 520-553. doi: 10.1177/0013161X04269620

National Institute of Mental Health. (n.d.). Mental illness statistics. Retrieved from https://www.nimh.nih.gov/health/statistics/mental-illness.shtml

Ogneva-Himmelberger, Y., Ross, L., Burdick, W., & Simpson, S. A. (2010). Using geographic information systems to compare the density of stores selling tobacco and alcohol: Youth making an argument for increased regulation of the tobacco permitting process in Worcester, Massachusetts, USA. Tobacco Control, 19(6), 475-480. doi: 10.1136/tc.2008.029173

Ramey, H. L., Lawford, H. L., & Vachon, W. (2017). Youth-adult partnerships in work with youth: An overview. Journal of Youth Development, 12(4), 38-60. doi: 10.5195/jyd.2017.520

Ramsey, H., & Rose-Krasnor, L. (2015). The new mentality: Youth–adult partnerships in community mental health promotion. Children and Youth Services Review, 50, 28–37. doi: 10.1016/j.childyouth.2015.01.006

Reed, S., & Miller, R. (2014). The benefits of youth engagement in HIV-preventive structural change interventions. Youth & Society, 46(4), 529-547. doi: 10.1177/0044118X12443372

Richards-Schuster, K., & Timmermans, R. (2017). Conceptualizing the role of adults within youth-adult partnerships: An example from practice. Children and Youth Services Review, 81, 284-292. doi: 10.1016/j.childyouth.2017.07.023

Rickwood, D. J., Deane, F. P., & Wilson, C. J. (2007). When and how do young people seek professional help for mental health problems? Medical Journal of Australia, 187(7), S35-9.

Rickwood, D. J., Mazzer, K. R., & Telford, N. R. (2015). Social influences on seeking help from mental health services, in-person and online, during adolescence and young adulthood. BMC Psychiatry, 15(1), 40. doi: 10.1186/s12888-015-0429-6

Rusch, D., Frazier, S. L., & Atkins, M. (2015). Building capacity within community-based organizations: New directions for mental health promotion for Latino immigrant families in urban poverty. Administration and Policy in Mental Health and Mental Health Services Research, 42(1), 1-5. doi: 10.1007/s10488-014-0549-1

Salerno, J. (2016). Effectiveness of universal school-based mental health awareness programs among youth in the United States: A systematic review. Journal of School Health, 86(12), 922-931. doi: 10.1111/josh.12461

Schwarz, S. W. (2009). Adolescent mental health in the United States: Facts for policymakers. New York, NY: National Center for Children in Poverty (NCCP) Mailman School of Public Health Columbia University.

U.S. Census Bureau, 2012-2016 American Community Survey 5-Year Estimates. Retrieved from https://factfinder.census.gov/faces/tableservices/jsf/pages/productview.xhtml?pid=ACS_16_5YR_S0101&prodType=table

Wallerstein, N. B., & Duran, B. (2006). Using community-based participatory research to address health disparities. Health Promotion Practice, 7(3), 312-323. doi: 10.1177/1524839906289376

Wong, N., Zimmerman, M., & Parker, E. (2010). A typology of youth participation and empowerment for child and adolescent health promotion. American Journal of Community Psychology, 46, 100–114. doi: 10.1007/s10464-010-9330-0

Yin, R. K. (2003). Case Study Research. Sage Publications: Thousand Oaks, CA.

Zeldin, S., Christens, B. D., & Powers, J. L. (2013). The psychology and practice of youth‐adult partnership: Bridging generations for youth development and community change. American Journal of Community Psychology, 51(3-4), 385-397. doi: 10.1007/s10464-012-9558-y.

Zeldin, S., Gauley, J., Krauss, S. E., Kornbluh, M., & Collura, J. (2017). Youth–adult partnership and youth civic development: Cross-national analyses for scholars and field professionals. Youth & Society, 49(7), 851-878. doi: 10.1177/0044118X15595153




DOI: https://doi.org/10.5195/jyd.2018.514

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