School-based health centers and mental health stigma before and during the pandemic

The mental health of children, and especially adolescents, has been a global public health priority for decades. School-based health centers (SBHCs) are health clinics established in close proximity to elementary and secondary schools for the purpose of increasing access to medical, and particularly...

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Main Authors: Dara Shifrer, Suzy Pappas (Fly), Rachel Springer, Xuan Dinh
Format: Article
Language:English
Published: Elsevier 2024-12-01
Series:SSM: Qualitative Research in Health
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Online Access:http://www.sciencedirect.com/science/article/pii/S2667321524001124
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author Dara Shifrer
Suzy Pappas (Fly)
Rachel Springer
Xuan Dinh
author_facet Dara Shifrer
Suzy Pappas (Fly)
Rachel Springer
Xuan Dinh
author_sort Dara Shifrer
collection DOAJ
description The mental health of children, and especially adolescents, has been a global public health priority for decades. School-based health centers (SBHCs) are health clinics established in close proximity to elementary and secondary schools for the purpose of increasing access to medical, and particularly mental health services, for children and adolescents. Yet, like other health clinics, SBHCs struggle to overcome structural and interpersonal stigma related to mental health conditions and support. Then, the pandemic threatened the sustainability and efficacy of SBHCs just as youth's mental health needs skyrocketed. We use Stangl et al.’s (2019)framework for health-related stigma to analyze data from 36 interviews with SBHC Coordinators in Oregon and their Educator Partners to investigate: 1) What implications does mental health-related stigma have for SBHCs' delivery of mental health services to children and adolescents? 2) How did these factors change during the pandemic? Consistent with Stangl et al.’s (2019) framework for health-related stigma, mental-health-related stigma is evident in this study in terms of the secondary stigma youth are reported to experience from peers and families in terms of visiting a SBHC for mental health services, as well as in limitations in the quantity and quality of resources dedicated to providing mental health services. The pandemic had contradictory effects, both increasing and reducing stigma along two axes: cultural perceptions of mental health problems and telehealth.
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spelling doaj-art-03d86f8aba3745df9a3f72cfbbf54aa22025-08-20T01:59:34ZengElsevierSSM: Qualitative Research in Health2667-32152024-12-01610050310.1016/j.ssmqr.2024.100503School-based health centers and mental health stigma before and during the pandemicDara Shifrer0Suzy Pappas (Fly)1Rachel Springer2Xuan Dinh3Portland State University, Department of Sociology, 1721 SW Broadway Ave, Portland OR, 97201, USA; Corresponding author.Portland State University, Department of Sociology, 1721 SW Broadway Ave, Portland OR, 97201, USAPortland State University, Department of Sociology, 1721 SW Broadway Ave, Portland OR, 97201, USAPortland State University, Department of Psychology, 1825 SW Broadway Ave, Portland OR, 97201, USAThe mental health of children, and especially adolescents, has been a global public health priority for decades. School-based health centers (SBHCs) are health clinics established in close proximity to elementary and secondary schools for the purpose of increasing access to medical, and particularly mental health services, for children and adolescents. Yet, like other health clinics, SBHCs struggle to overcome structural and interpersonal stigma related to mental health conditions and support. Then, the pandemic threatened the sustainability and efficacy of SBHCs just as youth's mental health needs skyrocketed. We use Stangl et al.’s (2019)framework for health-related stigma to analyze data from 36 interviews with SBHC Coordinators in Oregon and their Educator Partners to investigate: 1) What implications does mental health-related stigma have for SBHCs' delivery of mental health services to children and adolescents? 2) How did these factors change during the pandemic? Consistent with Stangl et al.’s (2019) framework for health-related stigma, mental-health-related stigma is evident in this study in terms of the secondary stigma youth are reported to experience from peers and families in terms of visiting a SBHC for mental health services, as well as in limitations in the quantity and quality of resources dedicated to providing mental health services. The pandemic had contradictory effects, both increasing and reducing stigma along two axes: cultural perceptions of mental health problems and telehealth.http://www.sciencedirect.com/science/article/pii/S2667321524001124Mental healthstigmaYouthHealth practitioners
spellingShingle Dara Shifrer
Suzy Pappas (Fly)
Rachel Springer
Xuan Dinh
School-based health centers and mental health stigma before and during the pandemic
SSM: Qualitative Research in Health
Mental health
stigma
Youth
Health practitioners
title School-based health centers and mental health stigma before and during the pandemic
title_full School-based health centers and mental health stigma before and during the pandemic
title_fullStr School-based health centers and mental health stigma before and during the pandemic
title_full_unstemmed School-based health centers and mental health stigma before and during the pandemic
title_short School-based health centers and mental health stigma before and during the pandemic
title_sort school based health centers and mental health stigma before and during the pandemic
topic Mental health
stigma
Youth
Health practitioners
url http://www.sciencedirect.com/science/article/pii/S2667321524001124
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