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Community stakeholder feedback for development of a volunteer-coached behavioral activation for youth in a low-resource community

Author

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  • Choi, Namkee G.
  • Longley, Mark
  • Smith, Karen
  • Goldstein, Leslie
  • Corum, Annabelle
  • Poonawala, Robina
  • Fingerman, Karen

Abstract

Youth in low-resource communities have limited access to mental health (MH) services. This exploratory study reports community stakeholder feedback for stressors affecting youth MH and development of a volunteer-coach provided behavioral activation (BA) program for youth in a low-resource community. Eight focus groups with youth (n = 7) and adults (n = 35) were conducted during January-September 2023. Data analysis followed the inductive thematic analysis steps. Participants attributed the high prevalence of youth MH problems to high-pressure environment, lack of support, hopelessness about the future, and negative impact of social media. Youth participants expressed mistrust of MH professionals and were hesitant to endorse a volunteer-coached BA program. They stated the non-professionals will be better than professional therapists but mentioned the stigmatization of mental-health help-seeking and related fear of bullying. Adults were more supportive of the program but pointed out such practical barriers as lack of parental support and availability of youth time due to after-school extracurricular activities. Participants also provided suggestions to increase parents’ buy-in of the program. Stakeholder feedback illustrated multiple challenges for developing and implementing an evidence-based MH intervention program for youth in a low-resource community. MH literacy education and alleviation of stigma about MH help-seeking are essential steps.

Suggested Citation

  • Choi, Namkee G. & Longley, Mark & Smith, Karen & Goldstein, Leslie & Corum, Annabelle & Poonawala, Robina & Fingerman, Karen, 2024. "Community stakeholder feedback for development of a volunteer-coached behavioral activation for youth in a low-resource community," Children and Youth Services Review, Elsevier, vol. 166(C).
    • Handle: RePEc:eee:cysrev:v:166:y:2024:i:c:s0190740924005127
    DOI: 10.1016/j.childyouth.2024.107940
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    References listed on IDEAS

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    1. repec:plo:pone00:0228084 is not listed on IDEAS
    2. Mingli Liu & Kimberly E. Kamper-DeMarco & Jie Zhang & Jia Xiao & Daifeng Dong & Peng Xue, 2022. "Time Spent on Social Media and Risk of Depression in Adolescents: A Dose–Response Meta-Analysis," IJERPH, MDPI, vol. 19(9), pages 1-17, April.
    3. Choi, Namkee G. & Nathan Marti, C. & Choi, Bryan Y., 2024. "Serious suicidal thoughts, suicide plans, and mental health service use among youth during the COVID-19 pandemic," Children and Youth Services Review, Elsevier, vol. 161(C).
    4. Salima Meherali & Neelam Punjani & Samantha Louie-Poon & Komal Abdul Rahim & Jai K. Das & Rehana A. Salam & Zohra S. Lassi, 2021. "Mental Health of Children and Adolescents Amidst COVID-19 and Past Pandemics: A Rapid Systematic Review," IJERPH, MDPI, vol. 18(7), pages 1-16, March.
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