ArticleInternational journal of mental health nursing2024
"There are still broken or fragmented systems": Qualitative assessment of needs to strengthen adolescent mental health services in American Samoa.
Article in International journal of mental health nursing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Mirrors for Pacific Islander Children: Teaching Resilience Through Culturally Adapted Bibliotherapy.International journal of environmental research and public health · 2025Trial
- "They just want to stop feeling what they're feeling": A qualitative investigation and characterization of coping strategies for mental distress among adolescents in American Samoa.PLOS mental health · 2026Article
- Cross-cultural adaptation of mental health screening instruments for Samoan adolescents.PLOS mental health · 2025Article
- Article
- Community perspectives on adolescent mental health stigma in American Samoa.PLOS mental health · 2024Article
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18 authors.
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Abstract
Mental health challenges appear common among adolescents in American Samoa. There is a community-identified need to better understand the health burden and identify opportunities to strengthen the mental health system to better meet adolescent mental health needs. The goal of this qualitative study was to gather community stakeholders' perceptions of common mental health problems among adolescents in American Samoa, identify existing services for adolescent mental health, and highlight strength-based opportunities to enhance care. Using the Fa'afaletui research framework, semi-structured in-depth interviews (n = 28) were conducted between October 2020 and February 2021 using Zoom. Key informants were adults living in American Samoa, sampled for diversity in profession, age, gender, education, and region of residence. Transcripts were coded in duplicate and analysed using deductive thematic analysis. Participants reported that suicide, depression, anxiety, and post-traumatic stress disorder are the conditions of highest burden. Participants identified an impressive amount of infrastructure and community mobilization, but also limitations in these services in addressing adolescents' health needs. Four themes arose related to the need to: (1) strengthen existing infrastructure; (2) reduce barriers to treatment access; (3) improve sustainability; and (4) encourage collaboration among leaders. Policymakers should prioritize the allocation of resources to strengthen infrastructure, public education, and stakeholder collaboration to improve adolescent mental health in American Samoa.
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