Interactions between youth and mental health professionals: The Youth Aware of Mental health (YAM) program experience
Open accessAbstract
THE YOUTH AWARE OF MENTAL HEALTH (YAM) EXPERIENCE: Youth stand at the core of much mental health promotion, yet little is written about their experiences of such efforts. We aimed to take this on by interviewing youth after they participated in Youth Aware of Mental Health (YAM), a universal mental health promotion program. YAM has a non-anticipatory methodology that provides youth with a safe space for reflection, role-play, and discussion. Addressing everyday mental health, YAM invites the experiences and issues relevant to the youth present to influence the program in a slightly different direction every time. The YAM instructor guides the participants but does not present the youth with given formulas on how to solve their problems. Like any mental health promotion, YAM appeals to some more than others in its intended audience and individuals engage with the program in many different ways. We set out to learn more about these experiences. CONVERSATIONS ABOUT MENTAL HEALTH: Thirty-two semi-structured interviews were conducted with 15-17 year olds in Estonia, Italy, Romania and Spain. In these interviews, the researchers made an effort to discuss mental health in terms relevant to youth. Still, wide-ranging levels of motivation, ease with engaging in dialogue with mental health professionals, and comfort with the format and content of YAM were detected. The youth were clustered in five different groups relating to their positioning vis-à-vis the researcher during the interview. The following evocative labels were used: "interested", "foot in the door", "respect for authority", "careful", and "not my topic". Corresponding labels were devised for their YAM experience: "engaged", "initially hesitant", "cautious", "eager to please", or "disengaged". We also observed that the researchers brought their own expectations and employed a variety of approaches that led to anticipating answers, stating the obvious, or getting along better with some of the youth. These modes of interaction were categorized under: "favoritism", "familiarity", "frustration", "out of sync", and "insecurity". Similar power dynamics likely transpire in other encounters between youth and researchers, including interventions such as YAM. YOUTH AND MENTAL HEALTH PROFESSIONALS: NOTICING THE DYNAMICS AT PLAY: As mental health professionals, we need to be aware of the professional habits and biases that sometimes obstruct us in understanding the experiences of youth. By initiating dialogue and listening closely to youth we can find a way to those experiences. Qualitative research can help bring the underlying interplay between mental health professionals and youth to the surface while also orienting the conversation towards topics that matter to youth. Some youth are more interested or feel more at ease in speaking openly with mental health professionals, while others find such exchanges less appealing or almost intolerable. Future mental health promotion initiatives would benefit from involving youth in the design of interventions to create an inclusive atmosphere and engage with topics that appeal to youth with diverse experiences of mental health.
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Negative attitudes towards people living with depression, and stigma and discrimination, are associated across several world regions with negative outcomes: low help-seeking, poor treatment adherence and poor treatment outcomes, low quality of life, and risk of suicidal thoughts and behaviour.
“Negative attitudes towards people living with depression, and stigma and discrimination, are associated across several world regions with negative outcomes: low help-seeking, poor treatment adherence and poor treatment outcomes, low quality of life, and risk of suicidal thoughts and behaviour. 339-341”
From Time for united action on depression: a Lancet–World Psychiatric Association Commission (2022) · cites this paper as [340]
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- Authors
- Wasserman, C., Postuvan, V., Herta, D., Iosue, M., Värnik, P., & Carli, V.
- Affiliations
- Karolinska Institutet (SE)
- Iuliu Hațieganu University of Medicine and Pharmacy (RO)
- University of Molise (IT)
- Estonian-Swedish Mental Health and Suicidology Institute (EE)
- Corresponding author
- Wasserman, Camilla
- Venue
- PLOS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2018-02-08
- Volume
- 13
- Issue
- 2
- Pages
- e0191843
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC5805239
- OpenAlex
- W2793613706
- Cited by
- 45
- References
- 54
- Citations by year
- 2026: 6 · 2025: 8 · 2024: 2 · 2023: 2 · 2022: 9 · 2021: 7 · 2020: 4 · 2019: 6 · 2018: 1
- FWCI
- 6.11
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS ONE (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Karolinska Institutet
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
- Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
- Keywords
- youth mental health promotion, power dynamics in research, researcher bias, role play, program engagement, Italy, Romania, Spain, adolescents
- MeSH terms
- Adolescent, Female, Health Personnel, Humans, Male, Mental Health
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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