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While globally advances have been made to recognize children as social actors in their own right, for psychiatrized young people their experiences of distress are often seen as a limitation and thus used as a justification for denying their meaningful participation in matters of concern to their lives. However, what would it mean if 'mental illness' was not seen as a 'limitation', but rather as an 'epistemological position' from which the social world is experienced, understood and acted upon? What would it mean if our theories about 'distress' and 'helping' were premised on the subjugated knowledges of psychiatrized children and youth? The consumer/survivor-led research movement has made significant gains in answering these questions for the adult, but not necessarily for the child and youth mental health field. The purpose of this article is to critically examine the significance of psychiatrized young people setting and executing their own research and, ultimately, practice agendas. Presented are the outcomes of an evaluation of a participatory action research project examining the stigma of mental illness conducted with seven psychiatrized youth, 14 to 17 years old. The outcomes suggest our roles as practitioners and researchers need to shift from being 'agents' working on behalf of to 'allies' working in solidarity with young people to change the social conditions of their marginalization. The article concludes with the limits of consumer/survivor-led research for addressing adultism and, instead, ends with a call for decolonizing children's mental health.

In this research note, we present a critical moment we had as a research team in our work preparing qualitative data for its analysis in which an unanticipated social justice issue was triggered. The moment was related to determining the best ways to anonymize the information—in particular, how to replace what were perceived as "male" and "female" gendered names, family relationships, and roles with the labels of "she/her/mother/daughter" or "he/his/father/son". The paper begins with a review of the main "do's and don'ts" of data preparation, followed by our reflections of the social justice issue. Through our differently positioned reflections, we complicate the task of data preparation by revealing the ways in which cis-dominance is upheld by cis-normativity, cis-genderism, and heteronormativity. We end with recommendations for practices that uphold the values and goals of social justice by resisting cis-dominance and challenging the erasures of peoples with fluid genders and identities. [ABSTRACT FROM AUTHOR]

COVID-19 hit and instantaneously research using in-person methods were paused. As feminist and critical social work scholars and researchers, we began to consider the implications of pausing our ongoing project exploring the provisioning and resilience of youth living in low-income, lone mother households. Reflexively, we wondered how the youth, families, and issues we were connected to would be impacted by the pandemic. We were pulled into both ethical and methodological questions. While the procedural ethics of maintaining safety were clear, what became less clear were the relational ethics. What was brought into question were our own social positions and our roles and responsibilities in our relationships with the youth. For both ethical and methodological reasons, we decided to expand the original research scope from in-person interviews to include a photovoice to be executed using online, remote methods. In this article, we discuss those ethical and methodological tensions. In the first part, we discuss the relational ethics that propelled us to commit to expanding our work, while in the second part, we discuss our move to combining photovoice and remote methods. [ABSTRACT FROM AUTHOR]

Broadly, social work epistemology—what we know and how we know what we know—in child and adolescent mental health is dominated by professional discourses about the merits of evidence-based practice (EBP). As an approach to client-work and professional decision making, EBP is promoted as 'the' standard for an effective, efficient and ethical practice. Yet, as a discipline, have we failed to consider the ways our adoption of EBP may inadvertently contribute to potentially harmful social constructions of young people and their experiences of distress? Particular to mental health work, have we failed to consider the ways EBP may contribute to young people's psychiatrisation and the stigma of mental illness? Towards answering these questions, the purpose of this paper is to explore social work's epistemology and adoption of EBP in children's mental health against the backdrop of psychiatrisation and stigma. In two parts, first, we review the principles of EBP and the application to children's mental health. Second, we examine the particular social constructions to emerge about young people and their experiences of distress and how they relate to psychiatrisation and stigma. We conclude with a call for social justice research to inform social work practice. [ABSTRACT FROM AUTHOR]

The aim of this article explores structural stigma in child and youth mental health. The focus is on the experiences of caregivers with children between 12 and 22 years old in their encounters with the systems involved with their families for their children's mental health. The outcomes are presented of a study based on analysis of 10 transcripts-two focus group and eight interview transcripts-with 15 caregivers with children involved with mental health services. Two main themes emerged: (a) structural stigma as denigrating encounters within and across service systems (i.e., child and youth mental health, education, child protection, and criminal justice) and (b) fragmentation of the service delivery system as a significant factor exacerbating stigmatizing encounters. The implications for mental health practice with families are considered. [ABSTRACT FROM AUTHOR]

The purpose of this paper is to critically examine family stigma as one form of the stigma of mental illness in child and youth mental health. Presented are the outcomes of a thematic content analysis of in-depth, semi-structured interviews conducted with seven ( n = 7) young siblings, ages 13 to 21 years old, with a brother or sister identified as having a mental-health issue. The focus of the interviews was on the ways the siblings experienced their other sibling's mental health and how those experiences shaped their sense of self and family. From the analysis, young siblings had predominately negative experiences, struggled with making sense of their brother or sister and the family as 'flawed' against the mental illness as 'bad' and experienced considerable family stress and overt family stigma. Current practice theories fail to consider the complexity of these factors and, in doing so, fail to adequately explain the nature and extent to which stigmatization occurs for immediate family members. The importance of peer support and understanding stigma in social work practice with children and their families is discussed. [ABSTRACT FROM AUTHOR]

Generally, within the Canadian context, scholarship on police encounters with persons living with mental illness has focused on the experiences of adults and not children and youth. In this article, we present preliminary work of a secondary data analysis of intake statistics collected over a 5-year period (2009–2014) and a thematic content analysis of qualitative intake notes collected over a 2-year period (2009–2011) about police involvement among a community sample of children and youth accessing mental health services. Of 8,920 intakes completed, 1,449 children and youth, birth to 24 years old, had had police involvement at the time of accessing mental health services. Over the 5 years, the average number of young people with police involvement at the time of accessing mental health services was 16%, or one in six children and youth. Analysis of the qualitative intake notes revealed two main reasons for police involvement: (1) support in the home for a distressed child, and (2) concerns about a child’s conduct and behaviors in the community. The implications for social work practice and future research are discussed. [ABSTRACT FROM PUBLISHER]

Based on the analysis of qualitative, semi-structured interviews conducted with 92 welfare-reliant lone mothers living across Canada, this article explores the "micro-aggressions" experienced by these women in their interactions with the social welfare system. Micro-aggressions refer to the verbal and nonverbal, relational exchanges that send denigrating messages to persons of marginalized and discriminated against social groups. From the analysis, we conclude that class and gender become sites, intersecting and interlocking, where micro-aggressions as a form of interpersonal violence and discrimination occur against women/lone mothers living in poverty that act to diminish the agency and sense of public worthiness of these women, in turn limiting their access to contesting these constructions. [ABSTRACT FROM AUTHOR]

In this article, as a child and family mental health therapist, I connect the feminist concept of 'provisioning' and the experiences of 'young carers' to critically examine the family care contributions made by older children living in poverty. I present the findings of a qualitative study consisting of two focus groups in which ten ( n = 10) welfare-reliant lone mothers living in Toronto, Canada described the nature and significance of the contributions made by their older children (11-17 years old) to help their families 'make ends meet'. Using grounded theory, two main categories emerged: (1) the nature of the provisioning by older children, and (2) the significance of the contributions. The implications of the findings suggest that mental health approaches with older children living in poverty inappropriately misrepresent and pathologise their emotional distress and family contributions. [ABSTRACT FROM AUTHOR]

Recently in Canada the issue of police encounters among persons living with a mental health issue has received considerable public attention; however, the focus has been primarily on the experiences of adults and not of children and youth. In this paper, we explore police encounters in child and youth mental health by presenting the outcomes of 14 qualitative interviews conducted with seven caregivers and seven siblings and two focus groups conducted with eight caregivers about their experiences of having a child/sibling, 13–21 years old, living with a mental health issue. There were two main themes identified: (1) the need for police support to deescalate a high conflict situation involving a distressed child/sibling, and (2) the stigmatisation and criminalisation of the distressed child, parents and families. Based on these outcomes, a model of support is proposed whereby parents would be provided with crisis intervention training informed by an understanding of the stigma of mental illness as a structural condition of their personal experiences. Such training could provide caregivers with support for identifying and responding to crisis and for developing safety plans that may or may not involve police, but could minimise and/or divert the need for their involvement. [ABSTRACT FROM PUBLISHER]

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This paper explores the life circumstances and mental health experiences of welfare-reliant lone mothers, utilizing data from the Lone Mothers: Building Social Inclusion project, a Canada-wide research program. On the basis of qualitative interviews conducted with 43 welfare-reliant lone mothers living in Toronto, Ontario, we examine the conditions of their lives and the ways in which mental health, poverty, and single motherhood intersect. These intersections reveal the problematic nature of the traditional mental health system's response to these women. Required is a broader understanding of the ways that impoverished lone mothers' mental health is structurally situated, and requires population-based rather than individualized responses. [ABSTRACT FROM AUTHOR]