There is a high prevalence of mental health challenges among immigrant-origin youth (IOY) as a consequence of unique stressors and risk factors, disparities in access to mental health services, and distress associated with the COVID-19 pandemic. Educators and school staff are in need of effective, accessible, and culturally relevant mental health literacy (MHL) training to accurately recognize and appropriately respond to these mental health concerns. The main goal of this pilot study was to examine initial evidence on the effectiveness, utility, acceptability, and cultural fit of the virtual format of the Youth Mental Health First Aid (YMHFA) training program among educators who work with IOY. A mixed-methods approach was employed through quantitative online surveys at pre-training, post-training, and three-month follow-up as well as qualitative virtual focus groups querying educator and school staff’s perspectives. Descriptive and inferential analyses were used to quantitatively analyze survey data. Thematic analysis was used to analyze qualitative data. Findings obtained from a total of 36 educators and school staff working predominantly IOY revealed significant improvements in participants’ mental health knowledge, confidence to help, and attitudes towards mental illness that were sustained at three-month follow-up, with some variability based on race, prior mental health training experience, and professional role. The content and format of the virtual YMHFA was also found to be highly rated in its utility and acceptability. Themes related to utility included (a) crisis response skills and knowledge and (b) flexible scope of use of the training. Themes related to acceptability included the (a) presentation of information, (b) accessibility and convenience, (c) interactive nature of the training, (d) timing and scheduling, and (e) limited content. Themes highlighting the strengths and weaknesses associated with the cultural relevance of the training included (a) inclusivity and specificity and (b) cultural sensitivity and awareness. Themes related to recommendations to improve the cultural relevance of the training included (a) additional knowledge and resources, (b) improving representation in scenarios and videos, and (c) tailoring content to a target audience. Based on these initial findings, several implications for implementation of YMHFA training in schools, improving the cultural relevance of YMHFA for IOY, and future directions in research are discussed.

Disparities in mental health service use among People of Color (POC) adolescents with depression is a serious public health concern. Engaging and retaining POC adolescents in treatment is imperative to improving mental health outcomes. Parents/caregivers play a critical role in POC adolescent engagement in the therapeutic process, yet POC adolescents’ and parents’/caregivers’ preferences for parental participation engagement (PPE) in depression treatment are unknown. The goal of this dissertation was to investigate POC adolescents’ and parents’/caregivers’ preferences for PPE in adolescent depression treatment. A qualitative approach was used through individual semi-structured interviews with POC adolescents and parents/caregivers. A brief quantitative preferences questionnaire was also administered. Questionnaire data were analyzed via descriptive statistics. Qualitative data were analyzed via thematic analysis procedures. Results indicated that teen and parent/caregiver preferences for PPE included: (a) direct parental involvement, (b) indirect parental involvement, and/or (c) limited involvement. The quality of the teen-parent relationship and logistical factors informed teen and parent/caregiver preferences for PPE, with therapists having a key role in influencing these preferences and facilitating the initiation and continuation of PPE. Factors associated with the quality of the teen-parent relationship included: (a) parent mindsets and behaviors, (b) teen and parent perceptions of adolescent development, and (c) severity of teen symptoms. Themes related to the perceived outcomes of PPE included: (a) improved teen-parent communication, (b) improved parental support behaviors, (c) improved teen-parent connection and trust, (d) negative outcomes, and, (e) treatment retention. Based on these findings, implications for clinical practice and future research are discussed.

An autism spectrum disorder (ASD) diagnosis in childhood comes with inherent vulnerability to adverse experiences. For some, the developmental process of adolescence overwhelms their altered neural system, exacerbating this vulnerability. Adolescence presents an opportunity to mitigate the negative effects of adverse childhood experiences (ACEs) on the developing brain. However, little is known about children who have both ASD and a history of ACEs. This study, first sought to understand the prevalence of ACEs among adolescents with ASD and whether those who have experienced ACEs are placed at further risk for other social and emotional challenges, impacting their transition into adulthood. With adolescents being highly sensitized to their environment, opportunities for intervention in their environments may mitigate the long-term consequences of ACEs. Due to adolescents spending a great deal of their time in school, developing interventions to support those with ASD that can be implemented within the school would be beneficial. Thus, the second aim of this study was to understand how schools can serve as a place for trauma-informed intervention. The Whole School, Whole Community, Whole Child (WSCC) model served as the conceptual framework for this mixed-methods study. Data from the 2020 National Survey of Children’s Health (NSCH) were examined to determine the prevalence of ACEs and further risk for social-emotional issues in adolescents with ASD. Focus groups and semi-structured interviews were conducted with school personnel in public schools to understand how they respond to typically developing and ASD students who have experienced ACEs. The findings showed that 60% of adolescents with ASD had experienced ACEs. Additionally, significant associations were found between the experience of ACEs and a diagnosis of anxiety, depression and ADHD. Furthermore, the experience of ACEs was associated with being bullied, however, no significant association was found with their ability to make friends. Great variability exists in the way schools respond to ACEs, if at all, and lack consistency and clarity in their SEL practices. Therefore, there is a need to identify the school climate components that are needed to provide trauma-informed interventions and determine how to scale these interventions. Further, with the heterogeneity of the ASD profile, identifying which factors are associated with this risk will be helpful in providing tailored interventions, specifically in the school environment.

Virtual group therapy offers multiple unique advantages to improving access to mental health care for Canadian youth and families. However, virtual environments may hinder the development of the type of relationships within groups that promote positive treatment outcomes. The present study explores the extent to, and ways in which, service providers working in the youth and family mental health sector in Eastern Ontario adapt to the unique characteristics of virtual environments in order to communicate effectively and develop therapeutic relationships. Secondary quantitative and qualitative data were analyzed using a mixed-methods design. Survey responses (n = 58) and interview recordings (n =12) collected from service providers involved in the delivery of virtual groups for youth and families in response to COVID-19 were analyzed using a concurrent triangulation design. Descriptive statistics indicate service providers achieved moderate satisfaction regarding their ability to communicate and develop relationships within virtual groups, and that this ability was perceived as approximating in-person processes. Thematic analysis suggests that while virtual group environments involve unique challenges and and elevated complexity, facilitators adapt to virtual delivery by both employing diverse strategies and accepting certain limitations. The present study suggests that the unique challenges and complexities involved in virtual group-based therapy need not deter the implementation of virtual groups as a means of better addressing the mental health needs of Canadian youth and families.

Homelessness in the youth population is associated with elevated rates of mental illness, substance abuse, and suicidality compared to the housed population in the United States (Berdahl, Hoyt, and Whitbeck, 2005; Hodgson, Shelton, Van den Bree, 2014; Hughes et al., 2010). With a survival-focused perspective, exacerbating issues, stigmatization, and transience housing; homeless youth require special consideration to meet their diverse health needs. When barriers impede homeless youth's access to necessary health resources, their health concerns are left untreated and impound until emergency services are required. This review of literature is focused on identifying and synthesizing barriers and facilitators for homeless youth to access and utilize mental health care services. When untreated mental illness reaches a crisis point, it becomes more expensive to treat (Taylor, Stuttaford, and Vostanis, 2006). For youth experiencing homelessness, various factors influence their decisions to wait until a crisis to reach out to emergency services. Within the literature, barriers and facilitators were bracketed into personal, social, and structural factors. These factors ranged from financial concerns, communication with health care providers and between health care service locations, stigmatization, lack of awareness, and administrative requirements. While further research is required, evidence from the literature shows promise in developing and altering interventions and communication to meet homeless youth's mental health and substance abuse needs.

No description available.

The literature indicates that engaging parents in child/youth mental health services is crucial for achieving positive outcomes. Yet, little research exists on how providers and organizations might hinder or facilitate parental engagement. This study aims to address this gap in literature by answering three research questions: (1) how do service providers working in child and youth mental health services define parental engagement? (2) Why does engaging parents in treatment remain a challenge for service providers? (3) What organizational- and provider-level factors contribute to this challenge? To facilitate this aim, semi-structured interviews were conducted with four service providers, including those working in community-based or outpatient child and youth mental health services. Participants were recruited using a snowball sampling recruitment method. Interviews were audio-recorded, transcribed and analyzed following principles of Constructivist Grounded Theory. Study results highlighted system- (e.g., access), organizational- (e.g., expectations and constraints), provider- (e.g., stance) and parental-level (e.g., shame) factors impacting parental engagement in services. These findings coincide with the documented impacts of neoliberalism and New Public Management on shaping mental health services. This study thus challenges traditional conceptualizations of engagement and underscores the interplay of complex factors that occur between service-levels. An expanded definition of parental engagement is therefore warranted if providers and organizations intend on holistically engaging parents in their child/youth’s care. / Thesis / Master of Social Work (MSW)

Recent South African research has confirmed that there is reason to be concerned about the mental health status and well-being of our youth. School-going youth are engaging in a wide array of risk behaviours that seriously threaten their well-being and hamper their chances of experiencing success in the future. The aim of this research was to explore factors relating to risk, resilience and health promoting schools in order to enhance the well-being of youth in South Africa.

Recent South African research has confirmed that there is reason to be concerned about the mental health status and well-being of our youth. School-going youth are engaging in a wide array of risk behaviours that seriously threaten their well-being and hamper their chances of experiencing success in the future. The aim of this research was to explore factors relating to risk, resilience and health promoting schools in order to enhance the well-being of youth in South Africa.

Philosophiae Doctor - PhD / Recent South African research has confirmed that there is reason to be concerned about the mental health status and well-being of our youth. School-going youth are engaging in a wide array of risk behaviours that seriously threaten their well-being and hamper their chances of experiencing success in the future. The aim of this research was to explore factors relating to risk, resilience and health promoting schools in order to enhance the well-being of youth in South Africa. / South Africa