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Dying to Ask for Help: An Overlooked Crisis in Mental Health Services Education

This article highlights the crisis in mental health services education and discusses the impact of toxic masculinity on boys' mental health. It also explores the unique symptoms of depression in black adolescents and examines the disparities in mental health service use based on race/ethnicity. The article emphasizes the importance of addressing mental health for academic success and presents research, advocacy, and policy recommendations. Published in May 2019 by Michael A. Lindsey, PhD, MSW, MPH, Executive Director of NYU McSilver Institute for Poverty Policy and Research.

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Dying to Ask for Help: An Overlooked Crisis in Mental Health Services Education

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  1. Dying to Ask for Help: An Overlooked Crisis in Mental Health Services Education Writers Association – May 2019 Michael A. Lindsey, PhD, MSW, MPH Executive Director, NYU McSilver Institute for Poverty Policy and Research NYU Silver School of Social Work Aspen Health Innovator Fellow, The Aspen Institute

  2. Rylan Thai Hagan

  3. Gabriel Taye Seven Bridges Carl Joseph Walker-Hoover January 2019 2009 2017

  4. From: Suicide Trends Among Elementary School-Aged Children in the United States From 1993 to 2012 JAMA Pediatrics, 2015;169(7), doi: 10.1001/jamapediatrics.2015.0465

  5. Toxic Masculinity: We rear boys differently • “Toxic” Messages • Man up • Fight it off • Be tough • Boys “externalize” behaviors • Antisocial behaviors and attitudes mask depression • Misinterpret symptoms as conduct problem Lindsey, Brown, & Cunningham, 2017

  6. Depression Looks Different • Surveyed 800+ Black adolescents in DC, Baltimore, Philly, Chicago, and St. Louis • What depression symptoms look like among Black adolescents • somatic complaints • interpersonal relations • positive affect • depressed affect • “I felt sad” • “I felt lonely” Lu, Lindsey, Irsheid, & Nebbitt, 2017

  7. Lifetime Disorder-Specific Mental Health Service Use by Race/Ethnicity (Merikangas et al., 2011)

  8. Setting-Specific Mental Health Service Use by Race/Ethnicitya(Costello et al., 2014)

  9. 465 ninth-graders in Baltimore City (M = 14.78) • Half of sample had identified MH needs; only 20% rec’d MH tx • NETWORK INFLUENCE • + association between perception of network’s support and SMH service use. • SMH services for internalizing MH problems higher for youth larger social networks.

  10. PES in Philadelphia, PA: n=1,621 Black adolescents • 73% voluntarily arrived • Odds of a voluntary arrival increased as the level of impairment decreased • Arrival based on non-urgent reasons

  11. It Matters: Mental Health and Academic Outcomes 3× 83% 10% The absentee and tardy rates than students without mental health disorders Score below the mean in reading, writing, and math Of high school terminations attributable to mental health disorders

  12. Launched on April 30, 2019 on Capitol Hill Research, Advocacy and Policy Articles appearing in…

  13. Congressional Taskforce Members • Bonnie Watson Coleman (NJ-12), Chair • Alma Adams (NC-12) • Emanuel Cleaver II (MO-05) • Danny Davis (IL-07) • Alcee Hastings (FL-20) • Jahana Hayes (CT-05) • Eddie Bernice Johnson (TX-30) • Barbara Lee (CA-13) • John Lewis (GA-05) • Ilhan Omar (MN-05) • Ayanna Pressley (MA-07) • Frederica Wilson (FL-24)

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