Reimagining accessibility in adolescent mental health: PESoMind, a dance-based framework for wellness promotion

Adolescent mental health challenges are rising globally, yet structural barriers around cost, geographic limitations, provider shortages, and stigma prevent significant portions of the population from accessing traditional services. This Perspective argues for a paradigm shift toward accessible, multi-modal, low-barrier interventions that complement clinical care. We introduce PESoMind, a dance-based framework intentionally designed for accessibility: requiring no specialized training, minimal time (10-15 min expert-led or under 5 min self-directed), and deliverable via digital platforms. Drawing from a proof-of-concept workshop at SXSW EDU 2025 (N = 12 adult stakeholders), we illustrate how integrating physical activity, emotional expression, social connection, and mindfulness through dance creates multiple entry points for diverse adolescents. The digital platform (jivetothrive.com) utilizing this framework now reaches 500+ students, illustrating scalability potential. We discuss implications for public health practice, arguing that equity-focused innovation requires rethinking not just what interventions we offer, but who can access them and under what conditions. This framework offers a model for designing mental health promotion tools that meet adolescents where they are, both literally and figuratively.