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Bridging Culture, Context, and Technology: Redefining the Help-Seeking Model for Black Adolescents with Internalizing
Aijah K B Goodwin1, Marketta A Adams2, Eleanor Wu1,3
1Department of Psychiatry, University of Maryland School of Medicine.
Summary
Black adolescents increasingly use digital tools for mental health support, preferring them over community resources. This study introduces a new model to understand their help-seeking behaviors.
Area of Science:
- Psychiatry and Mental Health
- Adolescent Health
- Digital Health
Background:
- Rising rates of internalizing concerns (depression, anxiety, suicidality) among Black adolescents in the U.S.
- Limited understanding of digital technology's role in mental health help-seeking for this demographic.
- Need to update existing models of help-seeking to incorporate technology's influence.
Purpose of the Study:
- To update the cultural and contextual model of help-seeking for Black adolescents.
- To incorporate the role of digital technology in the mental health help-seeking process.
- To understand help-seeking stages: problem recognition, decision to seek help, and support selection.
Main Methods:
- Mixed methods sequential explanatory study design.
- Quantitative phase: 372 Black adolescents (ages 14-18) with moderate to severe internalizing concerns.
- Qualitative phase: Subset of 21 participants for in-depth exploration.
Main Results:
- Black adolescents reported higher past use of digital and informal help sources.
- Stronger future intentions to seek help from digital, informal, and formal sources.
- Lower intentions to utilize community-based supports; qualitative data revealed technology's role across help-seeking phases.
Conclusions:
- Digital technology plays a significant role in how Black adolescents seek mental health support.
- Introduction of the Adolescent Cultural, Contextual, and Technological (ACCT) Mental Health Help-Seeking Model.
- The ACCT model centers the unique needs and digital engagement patterns of Black adolescents with internalizing concerns.
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