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Historically, children and adolescents who identify as Black, Indigenous, and other people of Color (BIPOC) have had inequitable access to mental healthcare, and research shows that they are significantly less likely than their white American counterparts to utilize available services. Research identifies barriers that disproportionately impact racially minoritized youth; however, a need remains to examine and change systems and processes that create and maintain racial inequities in mental health service utilization. The current manuscript critically reviews the literature and provides an ecologically based conceptual model synthesizing previous literature relating to BIPOC youth barriers for service utilization. The review emphasizes client (e.g. stigma, system mistrust, childcare needs, help seeking attitudes), provider (e.g. implicit bias, cultural humility, clinician efficacy), structural/organizational (clinic location/proximity to public transportation, hours of operation, wraparound services, accepting Medicaid and other insurance-related issues), and community (e.g. improving experiences in education, the juvenile criminal-legal system, medical, and social service systems) factors that serve as barriers and facilitators contributing to disparities in community mental health service utilization for BIPOC youth. Importantly, we conclude with suggestions for dismantling inequitable systems, increasing accessibility, availability, appropriateness, and acceptability of services, and ultimately reducing disparities in efficacious mental health service utilization for BIPOC youth. [ABSTRACT FROM AUTHOR]

This preliminary investigation explored associations between African American students' perceptions of racial fairness, dimensions of school engagement (behavioral, emotional, cognitive) and school discipline (office discipline referrals, out-of-school suspensions), and the role of gender as an important social context for these associations. In this cross-sectional investigation, participants were 151 (78 girls; 73 boys) high school students from the southeastern United States who reported on their perceptions of the school's racial fairness and their engagement. Discipline outcomes were retrieved from school record data. For girls, results revealed a significant indirect relationship (small to medium effect) between perceived racial fairness and office discipline referrals through emotional engagement. For boys, a significant indirect association of perceived racial fairness on office discipline referrals (medium effect) and out-of-school suspensions (large effect) through behavioral engagement was found. Implications for our findings are discussed for the work of school psychologists. [ABSTRACT FROM AUTHOR]

Objective: Examine the impact of maladaptive coping style on the association between source of stress (academic, interpersonal, intrapersonal, environmental) and alcohol use (consumption, heavy episodic drinking, driving under the influence) among college students. Participants: 1,027 college students completed an online survey in April 2014. Methods: To test the mediating effects of maladaptive coping on the association between academic stress and alcohol use variables, indirect effects were examined using the PROCESS analytical framework for SPSS. Results: Maladaptive coping and academic stress were associated with alcohol use outcomes. Moreover, maladaptive coping mediated the relationship between academic stress and two of three alcohol use outcomes (consumption, heavy episodic drinking). Conclusions: Among college students, the association between academic stress and alcohol use may be driven by maladaptive coping. College students may benefit from interventions that seek to improve coping skills, potentially alleviating the burden of academic stress and decreasing problematic alcohol use. [ABSTRACT FROM AUTHOR]

Background:Alcohol use and sexual risk behaviors (SRBs) are significant problems on college campuses. College women are at particularly high risk for negative consequences associated with sexually transmitted infections (STIs) and unwanted pregnancy. Methods:The current study (n = 160) examined the effect of a brief, web-based alcohol intervention (n = 53) for college women on reducing SRBs compared to an assessment only control (n = 107) with a randomized controlled trial. Outcome measures included condom use assertiveness and number of vaginal sex partners and data were collected at baseline and three-month follow-up. Results:Regression analyses revealed that the alcohol intervention was associated with higher levels of condom use assertiveness at a three-month follow-up. Additionally, more alcohol use was associated with less condom use assertiveness for those with more significant sexual assault histories. Conclusions:These findings suggest that alcohol interventions may impact college women’s beliefs but not behavior, and future interventions should more explicitly target both alcohol and sexual risk to decrease risky behaviors. [ABSTRACT FROM PUBLISHER]

Though studies show that alcohol use and sexual activity increase during emerging adulthood, few studies examine within–ethnic group differences, particularly among African American college students. This investigation utilized a latent class analytic methodology to identify risk behavior profiles of alcohol use (frequency and amount of alcohol consumed), sexual activity (number of intimate partners), and co-occurring risk behaviors (drinking before sexual intercourse) among 228 African American college students. This investigation also examined whether identified risk behavior profiles were associated with stress (interpersonal, intrapersonal, academic, and environmental), experiences of racial discrimination, and social support (from family, friends, and the college community). Results identified five distinct profiles within this sample: (a)High Sexual Risk—above-average sexual activity; (b)Abstainers—below-average alcohol use and sexual activity; (c)Low Risk—average alcohol use and sexual activity; (d)Alcohol Risk—above-average alcohol use and below-average sexual activity; and (e)Co-Occurring Risk—above-average alcohol use and sexual activity. Identified profiles differed across interpersonal and environmental stress, and self-reported frequency of experiences with racial discrimination. Implications for prevention programs and interventions aimed at reducing alcohol and sexual activity for African American college students are discussed. [ABSTRACT FROM PUBLISHER]

The mental health status of Black youth is a complex interplay of resilience in the face of risk. Basic and applied research on cultural considerations for Black youth and their families has proliferated over the past few decades – elucidating a number of protective and promotive factors. Nevertheless, there remains a very significant gap between what research and practice say concerning culturally relevant processes and what is routinely done in clinical practice. This article is offered as an attempt to assist applied researchers and clinicians in reducing this gap. To that end, we 1) review the extant literature on culturally relevant factors that positively impact Black youth mental health; 2) articulate how applied research and clinical guidelines have attempted to incorporate these factors into therapeutic practice; and 3) outline a set of recommendations and best practices to optimize the evidence base concerning Black youth, setting the stage for optimal mental health outcomes for these youth and their families. [ABSTRACT FROM AUTHOR]

Objective: Trauma exposure is common, with estimates of 28% to 90% of adults reporting at least one traumatic event over their lifetime. Those exposed to traumatic events are at risk for alcohol misuse (i.e., binge drinking), posttraumatic stress disorder (PTSD), or both. A potential underlying mechanism for this comorbidity is increased impulsivity—the tendency to act rashly. Little work to date has examined the impact of different impulsogenic traits on this comorbidity. Methods: This study (n = 162) investigated trauma-exposed young adults (aged 21-30) who had endorsed a lifetime interpersonal trauma. In addition, three impulsogenic traits (motor, nonplanning, and attentional) were measured. Results: Over and above the covariates for age, gender, race, and traumatic events, greater attentional impulsivity was associated with greater likelihood of meeting criteria for PTSD and binge drinking, compared to meeting criteria for PTSD, binge drinking, or neither. Neither nonplanning impulsivity nor motor impulsivity exerted unique effects. Conclusions: Young adults who report difficulty attending to immediate stimuli within their environment may be unable to think about and/or process the traumatic event, potentially increasing risk for PTSD and maladaptive coping skills to manage this distress (e.g., alcohol misuse, binge drinking). [ABSTRACT FROM AUTHOR]