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Characterizing And Predicting Canadian Adolescents’ Internalizing Symptoms In The First Year Of The Covid-19 Pandemic, Haley Elizabeth Green

Electronic Thesis and Dissertation Repository

Most studies of adolescents’ internalizing symptoms during the COVID-19 pandemic have included few data waves, limiting long-term conclusions about adolescents’ mental health during the pandemic. Collecting only a few waves of data precludes examination of intraindividual symptom variability, which may have implications for adjustment beyond mean symptoms. We characterized mean n = 192 adolescents’ internalizing symptoms from March 2020-April 2021 and used mixed effect location scale models to examine established risk factors as predictors of mean trends and intraindividual variability in adolescents’ internalizing symptoms. Adolescents’ symptoms were relatively stable and low over the first year of the pandemic; severity peaked …

An Examination Of Child And Youth Mental Health Service Urgency In Ontario, Valbona Semovski

Electronic Thesis and Dissertation Repository

Ontario’s capacity to treat children and adolescents in mental health crisis is outweighed by the number and needs of individuals requiring treatment. A lack of standardized assessments for prioritizing individuals has contributed to long wait times for treatment and a paucity of information to help prioritize those requiring urgent services. This study examined whether sector (e.g., school, hospital), sex, age, legal guardianship, interpersonal and school conflict, intellectual disability and comorbid health conditions predicted greater mental health service urgency in 61,448 children (ages 4 to 18 years) assessed using the interRAI Child and Youth Mental Health Screener. Additionally, differences in mental …

Predictors Of Re-Accessing Mental Health Services For Children And Adolescents, Catalina Sarmiento

Electronic Thesis and Dissertation Repository

The natural history of mental health disorders suggests that a substantial number of children experience persistent or recurrent problems and may need more than 1 episode of care. However, there is a paucity of research on recurrent service use. The present study examined the rates and predictors of re-accessing community-based care. Secondary data analyses were conducted on administrative and chart review data from 5 mental health agencies in southwest, eastern, and central Ontario. Approximately a third (30%) of children who had an episode of care re-accessed services again within 4 years; the median time to re-access was 13 months. Social …

Understanding And Promoting Help-Seeking Among Adolescents, Tessa Alexander

Electronic Thesis and Dissertation Repository

Social emotional skills have been associated with fostering positive youth development. This research considered the association between a social emotional learning program, entitled The Healthy Relationships Plus Program (HRPP), and behavioural intentions to seek help; an integral component of positive youth development. Self-report surveys prior to and after program implementation were collected from participants and focus groups were conducted to explore youth intentions to seek help. Results from this analysis demonstrated that youth intentions to seek help were influenced by fear of stigmatization. Furthermore, the HRPP demonstrated through repeated measures ANOVA analyses that an association between program participation and knowledge …

Defining And Predicting Dropout From Children’S Mental Health Services: A Novel Need-Based Definition Of Dropout, Kimberly Williams Dossett

Electronic Thesis and Dissertation Repository

Background: Dropout from children’s mental health services has negative impacts on children, families and community mental health agencies. In order to reduce dropout, it is essential to correctly define individuals as treatment dropouts, and understand the predictors of dropout. Methods: Manuscript 1 describes the development of a novel need-based definition of dropout and contrasts this definition to existing definitions of dropout in the literature. Manuscript 2 uses the need-based definition to examine predictors of dropout, and compares predictors of dropout using different definitions of dropout. Results: The need-based definition categorizes individuals differently from existing definitions of dropout. Caregiver needs are …

From Their Perspective: How Adolescents And Young Adults Experience And Conceptualize Life And Occupation Surrounding Parental Divorce Or Separation, Laura R. Hartman

Electronic Thesis and Dissertation Repository

Parental divorce affects adolescents’ emotions, routines, habits, occupations and relationships. The current body of research indicates that parental divorce leads to many unfavourable social, behavioural, and mental health outcomes for adolescents. This dissertation explores the daily lives and occupations of adolescents and young adults surrounding the transition of a parental divorce or marital separation.

This thesis contains four manuscripts in addition to the introductory and final reflection chapters. The first manuscript explores the current North American literature relating to adolescent life surrounding a parental divorce or marital separation, ranging form 1998 to 2014. The second manuscript provides an overview of …