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Why Teens Are the Most Underserved Group in Mental Health Emergencies 

  • Writer: Monica Pineider
    Monica Pineider
  • Jan 1
  • 4 min read

Updated: Jan 5

The current teenagers are experiencing some of the worst ever teen mental health complications, but in case of crisis, they are the least prepared to receive timely and appropriate care. Schools, community systems, families, and emergency rooms fail to respond well to calls for urgent psychiatric care, leaving most of the teens in dire need of the support they badly require. 


Although more attention is paid to the issue of the teen mental health crisis, adolescents are among the most marginalized populations in times of need. It is critical to determine why such a gap exists to enhance the results and eliminate negative impacts in the long term.


A teen in a black hoodie sits on a couch with head lowered while another person listens nearby, reflecting teen mental health challenges in a calm, supportive setting.


Rising Teen Mental Health Crisis


The rising cases of teen mental health are not a new event, but the accumulating stressful conditions. Teens are in a state of emotional instability in itself, and contemporary stress factors have only compounded this instability.


The leading factors of the increasing teen mental health crisis are:


  • Enhanced stress on academic work and Anxiety related to performance.

  • Social media publicity, cyberbullying, and unending comparison.

  • Instability in the family or in economics.

  • Isolation aftermath of the pandemic.

  • Increased education and disclosure of mental symptoms.


Regrettably, most of these mechanisms are created to heal the physical ailments, and little is done to handle the mental health requirements of adolescents.



Why Teens Are Considered an Underserved Group


Adolescents create an in-between zone between child and adult mental health care. They do not necessarily qualify for the pediatric programs, but it might not be developmentally suitable for adult services. Adolescents usually rely on the adult to identify when in crisis and get assistance, thus postponing the process. 



Structural and Systemic Barriers in Teen Mental Health Services


Lots of areas do not have inpatient youth-only psychiatric beds, which leads to very long emergency queue lines or admissions on the other side of the country.


Other system problems are:


  • Poor insurance cover in case of mental health crises.

  • School-hospital-community provider fragmentation.

  • Uneven crisis management measures in relation to teenagers.

  • Inadequately funded youth MHC.


These impediments ensure that teens cannot get timely and synchronized care whenever there is a need to respond to an emergency, even when the urgency of their condition is evident.



Social and Cultural Factors Affecting Teen Mental Health Care


Stigma is still a great suppressant and especially to adolescents who fear being judged by their peers, family, or the people in authority. In other cultures, struggles with mental health are not valued as much or considered as a medical issue, but as a behavioral problem.


Social media may enhance comparison, bullying, and pressure to look fine, demoralizing teens to speak up. The fear of discrimination or being misinterpreted, which is relevant to marginalized youth, can also lower access to crisis services.


Young woman in white shirt and jeans sits on a couch, arms raised, looking skeptical. She's in a cozy room with a large window.


Communication Challenges in Crisis Situations


Effective communication is the only way of crisis intervention, hence the teens are likely to lose the capacity to express themselves clearly in terms of what they are experiencing.


When the professionals, parents, or educators fail to interact with the teens in age-related manners, necessary information will be lost, resulting in medication mistakes. 


The reason is that the communication gap will lead to additional opportunities for incomplete evaluations and a lack of treatment plans.



Consequences of Underservice


The effects of the lack of proper management of such a crisis on the mental health of teens can be severe and prolonged. Unaddressed crises may worsen and evoke recurrence of the emergency visits, disruption of the school, or entry into the justice system.


Psychological torment in adolescence also has the potential to predispose to enduring mental illnesses in adulthood. This is why focusing on teen mental health in these situations is crucial.


Besides personal consequences, underservice puts pressure upon families and communities. Schools and emergency and parental burnout can leave parents helpless and unable to meet the demand despite the need to go through with the crises. F


inally, not helping teens during emergencies contributes to creating the cycle of crisis, as opposed to recovery.



Solutions and Paths Forward  


Hospitalizations for mental health issues increased by 61% between 2016 and 2021. The increase in access to child and adolescent mental health services is a significant initial measure.


To address the problem, schools, hospitals, and community organizations need to collaborate to develop clear pathways of crisis that adolescents can use. Prioritising teen mental health in service design can help mitigate such crises.


Some solutions that have been promised are:


  • Enhancing investments into youth crisis interventions.

  • The emergency personnel should be trained in mental health care, based on adolescence.

  • Incorporation of mental health services at schools.

  • Enhancing post-discharge follow-up in the emergency.

  • Providing education to the family and resources.


Technology could also help enhance screening and link teenagers to relevant care within the shortest possible time. As noted by such organizations as Mindful Care, it is essential to have evidence-based mental health services that are available and ensure that there are no gaps between crisis and ongoing treatment to prioritise teen mental health effectively.




In Summary


The teenagers are also entering a stressful, uncertain, and lack-of-support mental health scenario, thus, they are particularly sensitive to an emergency. They lack proper provisions due to structural problems, cultural stigma, and communication problems. With the ever-increasing cases of mental health needs, there is an imperative to establish systems that acknowledge adolescents as a special population with special needs. 


Communities can change the direction towards a future where no young person in crisis goes uncared for by investing in specific resources and coordination, and listening more attentively to the voices of teenagers. A focus on teen mental health is vital in these transformations.

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