Therapist Voices on a Youth Mental Health Pilot: Responsiveness to Diversity and Therapy Modality

Fiona Mathieson (), Sue Garrett, Maria Stubbe, Jo Hilder, Rachel Tester, Dasha Fedchuk, Abby Dunlop and Anthony Dowell
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Fiona Mathieson: Department of Psychological Medicine, University of Otago, School of Medicine and Health Sciences, Wellington 6242, New Zealand
Sue Garrett: Department of Primary Health Care and General Practice, University of Otago, School of Medicine and Health Sciences, Wellington 6242, New Zealand
Maria Stubbe: Department of Primary Health Care and General Practice, University of Otago, School of Medicine and Health Sciences, Wellington 6242, New Zealand
Jo Hilder: Department of Primary Health Care and General Practice, University of Otago, School of Medicine and Health Sciences, Wellington 6242, New Zealand
Rachel Tester: Department of Primary Health Care and General Practice, University of Otago, School of Medicine and Health Sciences, Wellington 6242, New Zealand
Dasha Fedchuk: Department of Psychology, Massey University Wellington, Wellington 6140, New Zealand
Abby Dunlop: Department of Primary Health Care and General Practice, University of Otago, School of Medicine and Health Sciences, Wellington 6242, New Zealand
Anthony Dowell: Department of Primary Health Care and General Practice, University of Otago, School of Medicine and Health Sciences, Wellington 6242, New Zealand

IJERPH, 2023, vol. 20, issue 3, 1-18

Abstract: This article explores therapists’ views on a large youth mental health pilot project (for 18–25-year-olds), which included an individual cognitive behavior therapy (CBT)-informed individual therapy component. Therapists’ views on cultural responsiveness, therapy (delivery, modality and duration) and working with LGBTQIA+ youth were explored using two surveys, individual interviews and focus groups at various stages of the life of the pilot. Some therapists saw the CBT approach as imposed on them, preferring familiar therapy modalities. Many therapists were positive toward CBT for its client-centered approach and reported using CBT-informed approaches with many of their clients to good effect. Some therapists felt pressured by their workplace to see clients for fewer sessions than they needed. Therapists wanted to see a more culturally diverse workforce, to increase their cultural competence through training and to have more easily available cultural supervision. There was some acknowledgement of the importance of training therapists to work competently with LGBTQIA+ young people. Involving therapists in co-design of services from the outset will likely benefit future service development.

Keywords: youth mental health; service delivery; diversity (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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