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Author(s): David Kealy [sup.1] , Shelly Ben-David [sup.2] , Daniel W. Cox [sup.3] Author Affiliations: (1) grid.17091.3e, 0000 0001 2288 9830, Department of Psychiatry, University of British Columbia, , Vancouver, [...], Meaning in life is an important aspect of wellbeing for young adults transitioning into new roles. While research suggests young adults' quality of family environments is associated with meaning, few studies have examined mechanisms that explain how early parental support may facilitate young adults' sense of meaning. Understanding factors that contribute to the development of meaning can shape helping practices for young adults, particularly those lacking in earlier parental support. The present study explored the relationship between young adults' appraisals of childhood parental support and present meaning in life, through mediation effects of dispositional optimism and identity commitment. A sample of 120 young adults aged 18-25 completed assessments of early parental support, optimism, identity commitment, and meaning in life. Parallel mediation was used to examine the hypothesized model, controlling for neuroticism. Analyses supported the association between early parental support and meaning in life being mediated by optimism and identity commitment. The findings may inform prevention and intervention practices in support of healthy development and wellbeing among youth.

Aim: Integrated youth services (IYS) have been identified as a national priority in response to the youth mental health and substance use (MHSU) crisis in Canada. In British Columbia (BC), an IYS initiative called Foundry expanded to 11 physical centres and launched a virtual service. The aim of the study was to describe the demographics of Foundry clients and patterns of service utilization during this expansion, along with the impact of the COVID‐19 pandemic. Methods: Data were analysed for all youth (ages 12–24) accessing both in‐person (April 27th, 2018‐March 31st, 2021) and virtual (May 1st, 2020‐March 31st, 2021) services. Cohorts containing all clients from before (April 27th, 2018‐March 16th, 2020) and during (March 17th, 2020‐March 31st, 2021) the COVID‐19 pandemic were also examined. Results: A total of 23 749 unique youth accessed Foundry during the study period, with 110 145 services provided. Mean client age was 19.54 years (SD = 3.45) and 62% identified as female. Over 60% of youth scored 'high' or 'very high' for distress and 29% had a self‐rated mental health of 'poor', with similar percentages seen for all services and virtual services. These ratings stayed consistent before and during the COVID‐19 pandemic. Conclusions: Foundry has continued to reach the target age group, with a 65% increase in number of clients during the study period compared with the pilot stage. This study highlights lessons learned and next steps to promote youth‐centred data capture practices over time within an integrated youth services context. [ABSTRACT FROM AUTHOR]

As a framework for understanding the structural factors that affect health, the social determinants of health (SDoH) have particular significance during the developmental stage of adolescence. When the global coronavirus pandemic (COVID-19) began, public health measures (PHMs) implemented to curb its spread shifted adolescents' daily lives and routines, initiating changes to their mental health. The purpose of this study was to apply the SDoH to investigating the impacts of the pandemic-related PHMs on the mental health of adolescents in Canada. Using a youth engagement approach, interviews were conducted with 33 adolescents aged 14–19 years from two sites in Alberta, Canada. Participants shared their experiences of adjusting to the PHMs and how these shaped their mental health. Findings indicate that PHMs particularly affected the social determinants of education, access to health services, employment and income security, and social support amongst adolescents as online schooling, loss of connection with peers, income instability, and limited health services affected their mental health. Most commonly, adolescents expressed feeling greater anxiety, depression, or loneliness as the SDoH shifted with the PHMs. As we continue to understand the mental health impacts of the pandemic, the SDoH framework can be used to identify salient social determinants and evaluate these determinants post-pandemic. This study draws attention to the need for policies and programs that protect access to key SDoH at such a critical life stage as adolescence and promote their mental health resilience in shifting SDoH contexts. [ABSTRACT FROM AUTHOR]

BackgroundDespite advances that the psychosis "clinical high-risk" (CHR) identification offers, risk of stigma exists. Awareness of and agreement with stereotypes has not yet been evaluated in CHR individuals. Furthermore, the relative stigma associated with symptoms, as opposed to the label of risk, is not known, which is critical because CHR identification may reduce symptom-related stigma.MethodsThirty-eight CHR subjects were ascertained using standard measures from the Center of Prevention and Evaluation/New York State Psychiatric Institute/ Columbia University. Labeling-related measures adapted to the CHR group included "stereotype awareness and self-stigma" ("Stereotype awareness", "Stereotype Agreement", "Negative emotions [shame]"), and a parallel measure of "Negative emotions (shame)" for symptoms. These measures were examined in relation to symptoms of anxiety and depression, adjusting for core CHR symptoms (e.g. attenuated psychotic symptoms).ResultsCHR participants endorsed awareness of mental illness stereotypes, but largely did not themselves agree with these stereotypes. Furthermore, CHR participants described more stigma associated with symptoms than they did with the risk-label itself. Shame related to symptoms was associated with depression, while shame related to the risk-label was associated with anxiety.ConclusionBoth stigma of the risk-label and of symptoms contribute to the experience of CHR individuals. Stereotype awareness was relatively high and labeling-related shame was associated with increased anxiety. Yet limited agreement with stereotypes indicated that labeling-related stigma had not fully permeated self-conceptions. Furthermore, symptom-related stigma appeared more salient overall and was linked with increased depression, suggesting that alleviating symptom-related shame via treating symptoms might provide major benefit.

Public health measures (PHMs) implemented during the COVID-19 pandemic introduced sudden changes to adolescents' everyday routines and required adolescents to repeatedly adapt their routines at a critical developmental stage. While meant to protect physical health, the PHMs destabilized mental health. Using a youth-engaged approach and interpretive description, this study explored adolescents' perspectives on their mental health in relation to the COVID-19 pandemic-related PHMs in Canada from March 2020 to the time of data collection in March 2022. Four Youth Research Collaborators contributed an adolescent lens to informing study activities, and a total of 33 high-school aged adolescents ages 14 to 19 completed individual interviews. Findings suggest an overarching concept of a "timeline" through which adolescents described their experiences. Most adolescents described their mental health as worsening during the initial lockdown, although some adolescents experienced positive mental health outcomes. Several adolescents felt their mental health had not recovered after the PHMs were fully lifted. This study contributes young Canadians' unique voices to the literature on the pandemic-related PHMs and adolescent mental health. It is essential that the impacts of the pandemic on adolescent mental health continue to be a focus of research and programming to better understand and address its ongoing effects. [ABSTRACT FROM AUTHOR]

The present study used thematic analysis to explore participants' subjective experiences of two group approaches targeting emerging adults' possible selves. Eighty-six emerging adults were randomly assigned to one of the interventions and responded to four open-ended questions following the completion of the group program. The themes that materialized from the researchers' interpretation of the data were organized into three overarching categories. These categories included psychosocial changes (four themes), experiences that facilitated group processes (nine themes), and experiences that hindered group processes (five themes). Themes were associated with one or both interventions. The researcher's analyses of participant experiences highlighted both shared and distinct aspects of the interventions. Findings from the present inquiry provided further support for group intervention as a promising means of strengthening possible selves in emerging adulthood. Moreover, they suggest different possibilities for group counsellors to consider when offering such programming to emerging adult clients. [ABSTRACT FROM AUTHOR]

Although compassionate and reassuring self‐responding has been consistently linked with wellbeing, the involvement of identity dysfunction in this association is unclear. This study examined the interaction of self‐reassurance and identity dysfunction in relation to severity of psychological distress and social impairment among 243 clients attending mental health clinics. Participants completed measures of self‐reassurance, identity dysfunction, psychological distress, and social functioning; correlation and regression analyses were used to examine associations and interaction effects. The interaction between self‐reassurance and identity dysfunction was significant in relation to both distress and impairment, with the negative association between self‐reassurance and distress and impairment stronger as identity dysfunction diminished from high to moderate and to low levels of severity. Thus, higher self‐reassurance was most strongly associated with lower distress and impairment among clients with relatively stable identity, indicating the importance of considering identity dysfunction in counseling to enhance clients' compassionate and reassuring self‐responses. [ABSTRACT FROM AUTHOR]

Objective: With the development of 75% of mental health disorders before age 25, it is alarming that service use among youth is so low. Little theoretically driven research has explored the decision-making process youth make when accessing services. This study utilized a decision-making framework, the Unified Theory of Behavior (UTB), to understand service use among youth attending Foundry, a network of integrated youth services centres designed to support the health and wellbeing of youth. Methods: Forty-one participants were recruited from one Foundry centre in an urban community in Canada. Semi-structured interviews with participants aged 15 -- 24 explored the relationship between UTB constructs and service use. Youth and parent advisory teams were engaged in the research process. Analysts used content analysis methodology to develop a taxonomy of the top categories for each construct. Results: Categories with the most salient and rich content were reported for each construct. The impact of emotions on service use was most commonly discussed in relation to the framework. The UTB constructs 'self-efficacy' and 'knowledge' were found to be interrelated. Differences in UTB categories emerged by symptom severity. Findings pointed towards a dynamic nature of service use, whereby service use experiences, may lead youth to consider future decisions surrounding service use within Foundry. Conclusions: This study contributes to a new understanding of integrated youth services utilization. The results can help shape the development of interventions to increase service access and retention, in addition to informing the design of systems of care that are accessible to all. [ABSTRACT FROM AUTHOR]

Aim: Identity‐related concerns represent an important aspect of young people's experience in early psychosis. Knowledge regarding clinicians' perspectives on this issue, however, is limited. Thus, the present study was developed to understand Canadian clinicians' perspectives on personal identity‐related concerns in early psychosis. Methods: An online survey was distributed to 331 multiprofessional clinicians working in early psychosis intervention programs in a Canadian province. Clinicians were asked about their opinions regarding the salience of identity in early psychosis using Likert‐rated items and open response questions. Results: Nearly all of the clinicians agreed that identity is an important issue for clinical attention, yet only half of the clinicians endorsed a high level of confidence in their ability to address issues related to identity in treatment. Although several clinical strategies were identified, specific evidence‐based approaches for strengthening identity in early psychosis remain lacking. Conclusions: Findings indicate a need for early psychosis programs to invest in identity‐ related training for clinicians. [ABSTRACT FROM AUTHOR]

The rights of people with intellectual and developmental disabilities to be included in research is increasingly being recognised. Given this, there is a need for further understanding of the extent to which inclusive research practices with self-advocates have been successful in creating meaningfully collaborative research teams. The following review examined how often descriptions of methods and practice have aligned in inclusive research with people with intellectual and developmental disabilities, using the categories of advisory, leading and controlling, and collaborative group. Did the description of the research process fit the type of inclusive approach intended? A sample of 53 studies was systematically selected. Findings indicated that 48 of the 53 studies described their research process in terms of the advisory (n = 3), leading and controlling (n = 4), or collaborative group category (n = 41) and matched their intention, while 5 of the 53 studies described a collaborative group approach but enacted an advisory group approach. While the majority of articles described their process as congruent with the intentions that they set out, improvement in inclusive research practices is still needed. The use of a collaborative approach dominated, and leadership and control by people with intellectual and developmental disabilities was rare. Future research should explore the potential for self-advocates to lead. Also, the majority of the studies tended to collaborate with individuals with mild to moderate intellectual and developmental disabilities. Future research should consider a commitment to including individuals with severe to profound intellectual and developmental disabilities. [ABSTRACT FROM AUTHOR]