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Bridging Culture, Context, and Technology: Redefining the Help-Seeking Model for Black Adolescents with Internalizing Concerns.

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Title: Bridging Culture, Context, and Technology: Redefining the Help-Seeking Model for Black Adolescents with Internalizing Concerns.
Authors: Goodwin, Aijah K. B. (AUTHOR), Adams, Marketta A. (AUTHOR), Wu, Eleanor (AUTHOR), Baker, Elizabeth (AUTHOR), Roulston, Chantelle A. (AUTHOR), Simenec, Tori (AUTHOR)
Source: Journal of Clinical Child & Adolescent Psychology. Jul/Aug2026, Vol. 55 Issue 4, p636-657. 22p.
Subjects: Digital technology, Help-seeking behavior, Suicidal ideation, Social support, Mental depression, Psychological distress, Black youth, Anxiety
Geographic Terms: United States
Abstract: Objective: Black adolescents in the United States are experiencing rising rates of internalizing concerns, such as depression, anxiety, and suicidality. While barriers to mental health help-seeking are well documented, little is known about how digital technology shapes this process. Therefore, this study aimed to update Cauce and colleagues' cultural and contextual model of help-seeking, with interrelated stages of problem recognition, decision to seek help, and support selection, by incorporating the role of digital technology from the perspective of Black adolescents. Method: This mixed methods sequential explanatory research study included 372 Black adolescents (ages 14–18) with moderate to severe internalizing concerns in the United States who participated in the quantitative phase and a subset of 21 participants in the qualitative phase. Results: Quantitative findings showed that Black adolescents reported greater past utilization of digital and informal sources of help, and stronger intentions to seek help from digital, informal, and formal sources in the future, while expressing lower intentions to use community-based supports. The qualitative phase revealed several themes that align with the phases of the cultural and contextual help-seeking model, as well as novel themes highlighting the role of digital technology across the help-seeking phases. Conclusion: These findings offer valuable insights into the growing role of digital technology in the mental health help-seeking process and present the Adolescent Cultural, Contextual, and Technological (ACCT) Mental Health Help-Seeking Model, centering the needs of Black adolescents with internalizing concerns. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Clinical Child & Adolescent Psychology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Bridging Culture, Context, and Technology: Redefining the Help-Seeking Model for Black Adolescents with Internalizing Concerns.
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  Data: <searchLink fieldCode="AR" term="%22Goodwin%2C+Aijah+K%2E+B%2E%22">Goodwin, Aijah K. B.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Adams%2C+Marketta+A%2E%22">Adams, Marketta A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wu%2C+Eleanor%22">Wu, Eleanor</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Baker%2C+Elizabeth%22">Baker, Elizabeth</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Roulston%2C+Chantelle+A%2E%22">Roulston, Chantelle A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Simenec%2C+Tori%22">Simenec, Tori</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Clinical+Child+%26+Adolescent+Psychology%22">Journal of Clinical Child & Adolescent Psychology</searchLink>. Jul/Aug2026, Vol. 55 Issue 4, p636-657. 22p.
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  Data: <searchLink fieldCode="DE" term="%22Digital+technology%22">Digital technology</searchLink><br /><searchLink fieldCode="DE" term="%22Help-seeking+behavior%22">Help-seeking behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Suicidal+ideation%22">Suicidal ideation</searchLink><br /><searchLink fieldCode="DE" term="%22Social+support%22">Social support</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+depression%22">Mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+distress%22">Psychological distress</searchLink><br /><searchLink fieldCode="DE" term="%22Black+youth%22">Black youth</searchLink><br /><searchLink fieldCode="DE" term="%22Anxiety%22">Anxiety</searchLink>
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  Data: Objective: Black adolescents in the United States are experiencing rising rates of internalizing concerns, such as depression, anxiety, and suicidality. While barriers to mental health help-seeking are well documented, little is known about how digital technology shapes this process. Therefore, this study aimed to update Cauce and colleagues' cultural and contextual model of help-seeking, with interrelated stages of problem recognition, decision to seek help, and support selection, by incorporating the role of digital technology from the perspective of Black adolescents. Method: This mixed methods sequential explanatory research study included 372 Black adolescents (ages 14–18) with moderate to severe internalizing concerns in the United States who participated in the quantitative phase and a subset of 21 participants in the qualitative phase. Results: Quantitative findings showed that Black adolescents reported greater past utilization of digital and informal sources of help, and stronger intentions to seek help from digital, informal, and formal sources in the future, while expressing lower intentions to use community-based supports. The qualitative phase revealed several themes that align with the phases of the cultural and contextual help-seeking model, as well as novel themes highlighting the role of digital technology across the help-seeking phases. Conclusion: These findings offer valuable insights into the growing role of digital technology in the mental health help-seeking process and present the Adolescent Cultural, Contextual, and Technological (ACCT) Mental Health Help-Seeking Model, centering the needs of Black adolescents with internalizing concerns. [ABSTRACT FROM AUTHOR]
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  Group: Ab
  Data: <i>Copyright of Journal of Clinical Child & Adolescent Psychology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1080/15374416.2026.2613380
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      – SubjectFull: Suicidal ideation
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      – TitleFull: Bridging Culture, Context, and Technology: Redefining the Help-Seeking Model for Black Adolescents with Internalizing Concerns.
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              Text: Jul/Aug2026
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