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Understanding the Behavioral Determinants of Mental Health Service Use by Urban, Under-Resourced Black Youth: Adolescent and Caregiver Perspectives

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Abstract

Black adolescents with mental health problems are less likely than non-Black adolescents with mental health problems to receive treatment, primarily for non-financial reasons including negative perceptions of services and providers, and self-stigma associated with experiencing mental health problems. To better understand these obstacles, 16 adolescents and 11 caregivers, recruited from two K-8th grade elementary-middle schools, participated in four focus groups guided by the unified theory of behavior to explore mental health help-seeking behaviors and perceptions of mental health services. In the focus groups, caregivers acknowledged more positive attitudes about seeking mental health services than adolescents, but both expected the experience of actually doing so to be negative. Adolescents and caregivers also acknowledged social norms that inhibit their mental health help-seeking. Therefore, we conclude that interventions targeting expectancies and social norms might increase the connection of urban, under-resourced Black adolescents and their families to mental health services, and be particularly important given the long-term consequences of untreated mental health problems for this group.

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Acknowledgments

Dr. Lindsey was supported for his time in preparation of this manuscript by the University of Maryland Multidisciplinary Research Career Development Program—MCRDP (NIH K12RR023250; PI: Alan R. Shuldiner). Dr. Lindsey was awarded a personal competitive 5-year K12 scholar career development award as allocated under the institutional MCRDP K12 grant awarded to the University of Maryland.

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Authors and Affiliations

  1. School of Social Work, University of Maryland, 525 W. Redwood Street, Baltimore, MD, 21201, USA

    Michael A. Lindsey & Peggy Beall

  2. School of Medicine, Department of Psychiatry, University of Maryland, Baltimore, MD, 21201, USA

    Kerri Chambers & Alicia Lucksted

  3. School of Social Work, University of Southern California, Los Angeles, CA, 90089-0411, USA

    Cara Pohle

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  1. Michael A. Lindsey
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Correspondence to Michael A. Lindsey.

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Lindsey, M.A., Chambers, K., Pohle, C. et al. Understanding the Behavioral Determinants of Mental Health Service Use by Urban, Under-Resourced Black Youth: Adolescent and Caregiver Perspectives. J Child Fam Stud 22, 107–121 (2013). https://doi.org/10.1007/s10826-012-9668-z

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