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Article
Publication date: 21 March 2016

Valentina Baltag and Chiara Servili

Mental health problems make a significant contribution to morbidity and mortality in adolescents worldwide. To address mental health in adolescents policy response should…

Abstract

Purpose

Mental health problems make a significant contribution to morbidity and mortality in adolescents worldwide. To address mental health in adolescents policy response should intertwine the life course approach and the ecological model that positions adolescents in the context of multifactorial influences. The purpose of this paper is to describe policy response at four levels: multisector policies and interventions, health systems policies and interventions, evidence-based clinical interventions and actions to monitor progress. It aims to analyse the implications for adolescent mental health of key recent global commitments including the sustainable development goals (SDGs) and the Global Strategy for Women’s, Children’s and AdolescentsHealth.

Design/methodology/approach

Multisector policies and interventions on determinants of adolescent mental health and well-being are drawn from the Global Strategy for Women’s, Children’s and AdolescentsHealth. Key health systems actions are derived from the Comprehensive Mental Health Action Plan (2013-2020). In both cases, policies and interventions are made specific for provisions relevant to adolescents. Examples of implementation of policies and interventions are drawn from a World Health Organization (WHO) review of national policy documents found in WHO MiNDbank. A list of indicators to monitor progress is being proposed based on Mental Health Atlas and WHO indicators for adolescent health.

Findings

With some notable exceptions, the mental health of adolescents is not adequately addressed by national health policies. There is a considerable body of evidence on the effectiveness of policies and interventions, and recent global commitments give new hope for promoting adolescent mental health through a multisectoral response, within which the health sector has an important role to play. Global reporting mechanisms, including the Mental Health Atlas, should be “adolescent-sensitive”, meaning that adolescent specific impact, outcomes, inputs and determinants should be measured, reported and acted upon.

Originality/value

This paper analyses the meaning specific to adolescents in the policies and interventions promoted in the SDGs, the Global Strategy for Women’s, Children’s and AdolescentsHealth and the Comprehensive Mental Health Action Plan (2013-2020). For the first time a four-levels policy response specific to adolescent mental health is put together: multisector policies and interventions, health systems policies and interventions, evidence-based clinical interventions and actions to monitor progress.

Details

Journal of Public Mental Health, vol. 15 no. 1
Type: Research Article
ISSN: 1746-5729

Keywords

Book part
Publication date: 21 September 2015

Thomas Christian Quinn and Rebecca L. Utz

This study set out to examine whether personal religiosity was in any way associated with adolescents’ propensity to seek out formal mental health care.

Abstract

Purpose

This study set out to examine whether personal religiosity was in any way associated with adolescents’ propensity to seek out formal mental health care.

Methodology/approach

Using the National Longitudinal Study of Adolescent Health (Add Health), this study uses logistic regression models to test for an association between personal religiosity and mental health services use net of depressive symptomology and demographic controls.

Findings

Results showed a negative, statistically significant relationship between personal religiosity and mental health services use. Highly religious adolescents had lower odds of having seen a mental health professional compared to their less religious counterparts even after controlling for depressive symptomology.

Research limitations/implications

Data restrictions required that we limit our analysis to one specific form of mental health services: talk therapy. Nevertheless, this study suggests that religiosity represents a potentially important consideration in addressing the mental health needs of adolescents.

Originality/value

To our knowledge, this is the first study in which a nationally representative sample of adolescents is used to examine the relationship between personal religiosity and mental health services use.

Details

Education, Social Factors, and Health Beliefs in Health and Health Care Services
Type: Book
ISBN: 978-1-78560-367-9

Keywords

Article
Publication date: 4 May 2023

Lorraine Chok, Joan-Carles Suris and Yara Barrense-Dias

Adolescence is an important life stage including physical, emotional and social changes that make adolescents vulnerable to mental health issues. To face these emotional and…

Abstract

Purpose

Adolescence is an important life stage including physical, emotional and social changes that make adolescents vulnerable to mental health issues. To face these emotional and behavioral problems, adolescents may use various coping strategies. This exploratory qualitative study aimed to better understand the coping strategies when adolescents face mental health difficulties, the reasons why some adolescents find it difficult to seek social support and/or professional care and which interventions they would find efficient to improve adolescents' mental health.

Design/methodology/approach

The study included 28 participants aged between 12–19 years old. Four online focus groups (FGs) separated by gender and age were performed between March and April 2021, during the third wave of the COVID-19 pandemic in Switzerland.

Findings

The results show that several strategies put forward by participants did not include talking about their problems with others. Reducing the stigma and taking the adolescents' mental health seriously would make it easier for adolescents to talk about their problems to other people. Overall, participants considered that doing leisure-time activities and going out with friends were the best way to reduce stressful situations and mental health problems. For all aspects of health, including the mental one, it is important that policies promote the access to sports and arts activities for all the adolescents.

Originality/value

This study explored adolescents' coping strategies and their opinions on intervention for dealing with potential mental health problems, an issue that is still taboo for some adolescents.

Details

Qualitative Research Journal, vol. 23 no. 4
Type: Research Article
ISSN: 1443-9883

Keywords

Article
Publication date: 14 October 2022

Lorraine Chok, Joan-Carles Suris and Yara Barrense-Dias

Mental disorders are the main cause of morbidity among 10–19 year-olds and current research indicates that youth mental health problems are rising, especially with the coronavirus…

Abstract

Purpose

Mental disorders are the main cause of morbidity among 10–19 year-olds and current research indicates that youth mental health problems are rising, especially with the coronavirus disease 2019 (COVID-19) pandemic. This exploratory qualitative study aimed to gather the opinions of adolescents in Switzerland on the emotional and behavioral problems the adolescents may currently face.

Design/methodology/approach

The authors' study included 28 participants aged between 12 and 19 years-old. Four online focus groups (FGs) separated by gender and age were performed between March and April 2021, during the third wave of the COVID-19 pandemic in Switzerland.

Findings

The concept of mental health was very vague for the participants. School was reported as a major source of stressors and may have negative effects on participants' mental health. This distress has been amplified with the COVID-19 pandemic and the perceived instability of participants' future. Furthermore, participants reported that poor body image was a major issue threatening the mental health of adolescents, especially among females and on social media. Finally, participants considered that social relations, more particularly friendships, were one of the main protective factors for mental health, even if peer pressure was also considered as a stress factor. Given the fact that the concept of mental health was very abstract for the participants, increased levels of mental health literacy are needed.

Originality/value

This study collects adolescents' opinions on current emotional issues adolescents may face without restricting the domains discussed and considering the particular pandemic and post-pandemic periods.

Details

Qualitative Research Journal, vol. 23 no. 2
Type: Research Article
ISSN: 1443-9883

Keywords

Article
Publication date: 21 June 2013

John Sinclair and Stephanie Holden

This article aims to demonstrate a different approach to identify and assess adolescents experiencing mental health problems, within a school setting. Presently we rely on primary…

Abstract

Purpose

This article aims to demonstrate a different approach to identify and assess adolescents experiencing mental health problems, within a school setting. Presently we rely on primary care professionals to identify mental health problems and adolescents are often reluctant to access such services. One of the benefits of utilising a mental health surveillance screening tool is to identify mental health problems in adolescents and to implement early intervention.

Design/methodology/approach

A cross‐sectional survey of school pupils from a secondary school was conducted, using the Paediatric Symptom Checklist for Youths (PSCY). The self‐administered questionnaire was completed and identified adolescents were then assessed by the Child and Adolescent Mental Health Services (CAMHS). Out of 247 pupils, 84 per cent of the adolescents completed the questionnaire.

Findings

From the screening tool, 25 per cent were identified for assessment. During their assessment 64 per cent of the young people were given self‐help guides and health promotion advice. The remaining 26 per cent of the adolescents were provided treatment sessions by CAMHS or by Children's Service Worker. Only 10 per cent of these adolescents had been previously seen within the CAMHS.

Research limitations/implications

The PSCY is a useful tool for identifying and assessing adolescents with mental health problems. However, these results are the preliminary findings of a feasibility study. This subject area is a rich source for future research.

Practical implications

Findings from this project will influence wider mental health surveillance of our adolescent population.

Social implications

This approach will also influence future service provision, for such a vulnerable population.

Originality/value

No comparative studies of this nature were found in the United Kingdom.

Details

Mental Health Review Journal, vol. 18 no. 2
Type: Research Article
ISSN: 1361-9322

Keywords

Article
Publication date: 27 October 2021

Arun Kaushal and Pallavi Dogra

This study aims to identify the critical factors affecting the perception of adolescent students toward interactive online mental health information available on health-related…

Abstract

Purpose

This study aims to identify the critical factors affecting the perception of adolescent students toward interactive online mental health information available on health-related websites.

Design/methodology/approach

The primary data was collected with the help of an online self–structured questionnaire. The questionnaire includes the identified variables extracted from previous literature related to the mental health information websites using the Likert scale. The respondents include the adolescent school students belonging to the northern region of India: semi-urban/rural locations of Uttar Pradesh (Agra and Mathura) and urban cities (Faridabad, Gaziabad, Delhi and NCR). The criteria for selecting respondents were that students must have visited any online health information-related websites at least once. Exploratory factor analysis was used to explore the factors with the help of SPSS.20.

Findings

The identified factors that include information delivery medium/mode, websites’ navigation structure, customized information or content, ability to form a virtual relationship and supplementary features of the websites may benefit the health communication system of any country and the health-care industry.

Research limitations/implications

There are some limitations such as a limited number of respondents and even on that sample was taken for teenagers; thereby creating fewer generalizations related to the present context. Further, only exploratory factor analysis is applied in the study to identify the factors but future researchers may proceed to develop the conceptual model of perception toward online information with the help of confirmatory factor analysis and structural equation modeling techniques.

Practical implications

The results of this study are useful for government officials especially those related to the ministry of health care and public health organizations of various countries, who usually invest in co-designing authentic, reliable and high interactive online information-sharing websites.

Social implications

The results of the study will facilitate the various social child welfare associations and non-governmental organizations that are usually involved in the holistic development of adolescents. The identified factors can be seriously taken into considerations by these associations while they are formulating any on line websites for sharing health-related information to adolescents.

Originality/value

The study is unique as it provides insight into the opinion of the adolescent students, primarily upon encountering the online mental health information concerning the Indian perspective. Future researchers, health-care policymakers and health-care professionals may use the study to capture a complete picture of a relevant phenomenon in their work.

Details

Information Discovery and Delivery, vol. 50 no. 4
Type: Research Article
ISSN: 2398-6247

Keywords

Article
Publication date: 12 March 2018

Juliette van der Kamp

The purpose of this paper is to describe the barriers and facilitators to an effective transition from Child and Adolescent Mental Health Services (CAMHS) to Adult Mental Health

Abstract

Purpose

The purpose of this paper is to describe the barriers and facilitators to an effective transition from Child and Adolescent Mental Health Services (CAMHS) to Adult Mental Health Services (AMHS). It also presents a new entry into considering how the transition can be improved.

Design/methodology/approach

Insights into the transition from CAMHS to AMHS were gathered through eight semi-structured interviews with mental health professionals. Two methods of data analysis were employed to explore the emerging themes in the data and the observed deficit approach to organisational development.

Findings

The findings identified a vast volume of barriers in comparison to facilitators to the transition. Adolescents who transition from CAMHS to AMHS initially experience difficulty adapting to the differences in the services due to the short duration of the transition period. However, despite the established barriers to the transition, adolescents tend to adapt to the differences between the services. Findings also showed a negative framing towards the transition amongst the mental health professionals which resembles a deficit approach to organisational development.

Originality/value

This paper explores mental health professionals’ perspectives regarding the transition in Dumfries and Galloway, Scotland. The transition is increasingly recognised as an area in health care that requires improvement. This research provides a new way to consider the transition by exploring the perceived deficit approach to organisational development in the services.

Details

Mental Health Review Journal, vol. 23 no. 1
Type: Research Article
ISSN: 1361-9322

Keywords

Article
Publication date: 17 September 2009

Sharon Leighton

This paper reports on research into adolescents' mental health literacy, focusing on their ability to recognise two diagnosable mental illnesses and three mental health problems…

Abstract

This paper reports on research into adolescents' mental health literacy, focusing on their ability to recognise two diagnosable mental illnesses and three mental health problems associated with loss. A vignette‐based questionnaire was developed and completed by a school‐based sample of adolescents. Different levels of understanding were identified for each vignette. Participants responded well, demonstrating the different levels of understanding. Grading of the responses provided an opportunity to explore and discuss differences between professional and lay understanding of mental health and illness. It was also useful when considering implications for practice. These were considered in relation to mental health promotion for young people and training the workforce across the child and adolescent mental health services (CAMHS) tiers.

Details

Journal of Public Mental Health, vol. 8 no. 2
Type: Research Article
ISSN: 1746-5729

Keywords

Book part
Publication date: 30 August 2019

Zinobia C. Bennefield

The purpose of this study was to examine whether girls of color (GOC) had more or less social support than their peers and whether that affected their likelihood of experiencing…

Abstract

Purpose

The purpose of this study was to examine whether girls of color (GOC) had more or less social support than their peers and whether that affected their likelihood of experiencing the symptoms of anxiety and depression.

Methodology/Approach

The National Comorbidity Survey – Adolescent Supplement (n = 10,123) is a nationally representative study of mental disorder in US adolescents. GOC made up roughly 10% of the sample (n = 1,016). Structural equation models were used to analyze the relationship between family support and psychological distress for the entire sample and then analyzed for GOC, boys of color, White girls and boys, and Latino girls and boys to compare across groups. Because of the inextricable relationship between socioeconomic status and race, three-way interactions between class, race, and gender were used to examine class differences within groups.

Findings

Path analysis revealed the following: (1) among adolescents with both low and high socioeconomic status, GOC had significantly less family support than their peers; (2) surprisingly, despite the fact that GOC had significantly less family support than their peers, they were not more likely to experience symptoms of anxiety and depression.

Research Limitations/Implications

Research limitations include cross-sectional data and limited measures. However, this study adds to the understanding of adolescent mental health and mental health of vulnerable adolescent populations. This is important because mental disorders, particularly anxiety and depression, are increasing in prevalence among American youth, and youth with multiple social disadvantages may be more likely to experience them.

Originality/Value of Paper

GOC, regardless of their socioeconomic backgrounds, were at a marked disadvantage regarding their perceptions of social support, a known buffer of anxiety and depression. Yet despite this disadvantage, GOC were no more likely to experience a mood disorder than their peers. These findings suggest the following: (1) family support may have less of a protective effect on the mental health of GOC than their peers; (2) GOC may be using other resources to protect their mental health; and (3) as mental health patients, GOC require unique interventions.

Details

Underserved and Socially Disadvantaged Groups and Linkages with Health and Health Care Differentials
Type: Book
ISBN: 978-1-83867-055-9

Keywords

Article
Publication date: 19 April 2011

Jano Havas, Jascha de Nooijer, Rik Crutzen and Frans Feron

The purpose of this paper is to examine the needs and views of adolescents regarding the development of online support for mental health problems.

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Abstract

Purpose

The purpose of this paper is to examine the needs and views of adolescents regarding the development of online support for mental health problems.

Design/methodology/approach

Semi‐structured qualitative focus group interviews were conducted with ten groups of Dutch adolescents (n=106), aged 12‐19 years, from four urban secondary schools offering different levels of education in the Southeastern part of The Netherlands. Interviews were verbally transcribed and analysed with Nvivo, using a classification based on the research questions.

Findings

The participants reported that they searched on the internet to get information or help for some mental health problems. They also expressed the need for a youth healthcare website offering information, self‐tests and anonymous help. They had different ideas about the layout of such a website, which were related to their educational level. Reliability of such a website was an important issue.

Practical implications

Adolescents reported a distinct need for online information and help for mental health problems. Youth healthcare organisations could meet this need by creating an innovative additional assistance method. These organisations should cooperate with website developers, taking into account that adolescents with different levels of education have different preferences regarding the interventions for online information and help.

Originality/value

This paper provides a conclusive examination of the needs and views of adolescents regarding development of online support for mental health problems.

Details

Health Education, vol. 111 no. 3
Type: Research Article
ISSN: 0965-4283

Keywords

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