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Applying What is Known About Adolescent Development to Improve School-Based Mental Health Literacy of Depression Interventions: Bridging Research to Practice

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Abstract

Rates of depression are the highest in adolescence in comparison to any other period of the life course. Yet, when depressed, the majority of adolescents do not seek formal help to treat their suffering. School-based mental health literacy of depression interventions aim to improve adolescents’ help-seeking for depression, by enhancing their knowledge about depression, fostering positive attitudes toward depression and help-seeking, and encouraging behavioral self-efficacy in help-seeking. While widespread, the effectiveness of these programs is inconsistent, and when properly evaluated, they only increase depressed adolescents’ help-seeking behavior at modest rates. This review argues that these interventions lack consideration of several important domains of adolescent development, as well as what is known about decision-making in the depressed adolescent mind. Accordingly, the specific cognitive and socio-emotional processes involved in adolescent decision-making are reviewed in order to highlight avenues for improving mental health literacy and help-seeking in depressed young people. Specific recommendations for program delivery are discussed.

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Acknowledgements

This review benefitted from conversations and feedback from Drs. Jennifer McGrath, Erin Barker, Norman Segalowitz, and June Chaikelson.

Funding

This review was supported by a Joseph-Armand Bombardier Canada Graduate Doctoral Scholarship to the first author.

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  1. Department of Psychology, Concordia University, 7141 Sherbrooke West, Montreal, QC, H4B 1R6, Canada

    Sarah E. Newcomb-Anjo

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Newcomb-Anjo, S.E. Applying What is Known About Adolescent Development to Improve School-Based Mental Health Literacy of Depression Interventions: Bridging Research to Practice. Adolescent Res Rev 4, 235–248 (2019). https://doi.org/10.1007/s40894-018-0083-6

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  • DOI: https://doi.org/10.1007/s40894-018-0083-6

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