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Parenting adolescents from ethno-cultural backgrounds: A scan of community-based programs in Canada for the promotion of adolescent mental health
Institution:1. Department of Psychiatry, McGill University, Montreal, Canada;2. Centre for Research on Children and Families, McGill University, Montreal, Canada;3. SHERPA, Centre de Santé et de Services Sociaux de la Montagne, Montreal, Canada;4. School of Social Work, University of British Columbia, Vancouver, Canada;1. School of Canadian Studies, Carleton University, Ottawa, ON, Canada;2. Department of Geography and Environmental Studies, Carleton University, Ottawa, ON, Canada;1. Health Economics and HIV/AIDS Research Division (HEARD), University of KwaZulu-Natal, Durban;2. Athena Institute for Research on Innovation and Communication in Health and Life Sciences, Faculty of Science, Vrije Universiteit Amsterdam;1. Laboratory of Sciences and Information Systems, Aix-Marseille University, Marseille, France;2. Department of Dermatology, La Timone Hospital, Marseille, France;3. Department of Dermatology, APHP, Hospital Cochin, University Paris Descartes, Paris, France;4. Department of Dermatology, Hospital Clinic of Barcelona, Barcelona, Spain;5. Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy;6. Department of Dermatology, Lyon Sud Hospital, Pierre Bénite, France;7. Department of Dermatology, The Hertford British Hospital Charity, Levallois-Perret, France;1. Department of Behavioral and Social Sciences, International Health Institute, Brown University School of Public Health, Providence, RI, USA;2. Department of Epidemiology, Brown University School of Public Health, Providence, RI, USA;3. Department of Paediatrics and Child Health, Red Cross War Memorial Children''s Hospital and South African Medical Research Council (SAMRC) Unit on Child & Adolescent Health, University of Cape Town, South Africa;4. Department of Psychiatry and Mental Health and South African Medical Research Council (SAMRC) Unit on Risk & Resilience in Mental Disorders, Neuroscience Institute, University of Cape Town, South Africa;1. Department of Diagnostic-Clinical Medicine and Public Health, Section of Psychiatry, University of Modena and Reggio Emilia, Modena, Italy;2. Department of Psychiatry, Psychotherapy and Psychosomatics, Evangelical Hospital Königin Elisabeth Herzberge, Berlin, Germany;3. Department of Psychiatry and Psychotherapy, Charité University Medicine Berlin, Campus Benjamin Franklin, Germany;4. University of Manchester, Lancashire Care Early Intervention Service, Manchester, UK;5. Department of Psychiatry, Hospital Universitari Vall d''Hebron, CIBERSAM, Universitat Autònoma de Barcelona, Barcelona, Spain;6. Bologna Trans-cultural Psychosomatic Team, Department of Medical and Surgical Science, University of Bologna, Bologna, Italy
Abstract:ObjectivesTo i) describe current community-based programs across Canada to support parents for the promotion of adolescent mental health, with special attention to ethno-cultural populations; and ii) identify needs, gaps, and opportunities for the development of a framework to support parents for the promotion of adolescent mental health.MethodsWe conducted an internet-based cross Canada scan of community-based parenting programs that promote adolescent mental health in ethno-culturally diverse populations, followed by structured phone interviews with program staff. Findings were categorized according to audience (ethnicity/culture and age group), geographical distribution and coverage, and program type. Barriers to access and outreach mentioned by interviewees were documented.ResultsWe found a total of 47 programs that met our search criteria. The greatest numbers were found in the provinces of Ontario, British Columbia and Alberta, particularly in the Greater Toronto and Vancouver Areas. Most programs consisted of psycho-educational, information-based workshops, support groups, or used innovative approaches (e.g., arts, alternative medicine, mentorship, and skillsdevelopment courses). Five programs (11%) had parent and youth components. From the perspective of service providers, cultural distrust, stigma, financial constraints and language barriers pose challenges to outreach. Program evaluations are limited and often not publicly available.ConclusionThere are gaps in geographic coverage and types of programs available to parents for the promotion of adolescent mental health in ethno-cultural communities. Inconsistent and insufficient funding and other forms of institutional support] detract from the capacity of community-based organizations to adequately support families and conduct, publicize, and evaluate their programs.
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