Social and Behavioral Sciences Commons^™

Assessing Trustworthiness: Marginalized Youth And The Central Relational Paradox In Treatment., Beth Sapiro

Department of Social Work and Child Advocacy Faculty Scholarship and Creative Works

Marginalized youth are at elevated risk for mental health difficulties, yet they encounter numerous barriers to engagement with mental health services. Past negative experiences with family, social workers, and systems of care contribute to distrust of service providers and ambivalence about engaging in trusting relationships with adults. This longitudinal qualitative study explored how marginalized youth living with mental health conditions make decisions about trust in their relationships with helping professionals. Semi-structured, open-ended indepth interviews were conducted with 13 young women living with a mood or anxiety disorder, exploring trust, mutuality, and disconnection in relationships between marginalized youth and helping professionals. …