title: Step-Up: Promoting Youth Mental Health and Development in Inner-City High Schools.
abstract: African American and Latino youth who reside in inner-city communities are at heightened risk for compromised mental health, as their neighborhoods are too often associated with serious stressors, including elevated rates of poverty, substance abuse, community violence, as well as scarce youth-supportive resources, and mental health care options. Many aspects of disadvantaged urban contexts have the potential to thwart successful youth development. Adolescents with elevated mental health needs may experience impaired judgment, poor problem-solving skills, and conflictual interpersonal relationships, resulting in unsafe sexual behavior and drug use. However, mental health services are frequently avoided by urban adolescents who could gain substantial benefit from care. Thus, the development of culturally sensitive, contextually relevant and effective services for urban, low-income African American and Latino adolescents is critical. Given the complexity of the mental health and social needs of urban youth, novel approaches to service delivery may need to consider individual (i.e., motivation to succeed in the future), family (i.e., adult support within and outside of the family), and community-level (i.e., work and school opportunities) clinical components. Step-Up, a high school-based mental health service delivery model has been developed to bolster key family, youth and school processes related to youth mental health and positive youth development. Step-Up (1) intervenes with urban minority adolescents across inner-city ecological domains; (2) addresses multiple levels (school, family and community) in order to target youth mental health difficulties; and (3) provides opportunities for increasing youth social problem-solving and life skills. Further, Step-Up integrates existing theory-driven, evidence-based interventions. This article describes Step-Up clinical goals, theoretical influences, as well as components and key features, and presents preliminary data on youth engagement for two cohorts of students.
authors.affiliation: Department of Psychiatry, Mount Sinai School of Medicine, One Gustave L. Levy Place, Box 1230, New York, NY 10029, USA stacey.alicea@mssm.edu.
authors.forename: Stacey
authors.initials: S
authors.lastname: Alicea
authors.forename: Gisselle
authors.initials: G
authors.lastname: Pardo
authors.forename: Kelly
authors.initials: K
authors.lastname: Conover
authors.forename: Geetha
authors.initials: G
authors.lastname: Gopalan
authors.forename: Mary
authors.initials: M
authors.lastname: McKay
keywords: Adolescent mental health; Family; Intervention; School-based; Urban youth
references.citation: Health Soc Work. 1998 Feb;23(1):9-15
references.pmid: 9522199
references.citation: Child Adolesc Psychiatr Clin N Am. 2004 Oct;13(4):905-21, vii
references.pmid: 15380788
references.citation: Psychiatr Serv. 2004 Nov;55(11):1276-84
references.pmid: 15534017
references.citation: Psychiatr Serv. 2007 Oct;58(10):1330-8
references.pmid: 17914011
references.citation: Psychiatry. 1993 Feb;56(1):46-54
references.pmid: 8488212
references.citation: Clin Child Fam Psychol Rev. 2000 Dec;3(4):223-41
references.pmid: 11225738
references.citation: Psychiatr Serv. 2006 Apr;57(4):521-30
references.pmid: 16603748
references.citation: J Consult Clin Psychol. 1996 Oct;64(5):1094-9
references.pmid: 8916642
references.citation: Psychol Med. 1984 Nov;14(4):853-80
references.pmid: 6545419
references.citation: J Health Soc Behav. 2001 Sep;42(3):310-25
references.pmid: 11668776
references.citation: Adm Policy Ment Health. 2007 Jul;34(4):389-99
references.pmid: 17340183
references.citation: New Dir Youth Dev. 2008 Winter;2008(120):13-29, Table of Contents
references.pmid: 19170112
references.citation: Dev Psychol. 2002 May;38(3):394-406
references.pmid: 12005382
references.citation: Pediatrics. 2007 Feb;119 Suppl 1:S47-53
references.pmid: 17272585
references.citation: Adm Policy Ment Health. 2006 Mar;33(2):146-59
references.pmid: 16502132
references.citation: Prev Sci. 2002 Sep;3(3):145-52
references.pmid: 12387551
references.citation: J Clin Child Psychol. 2001 Jun;30(2):187-98
references.pmid: 11393919
references.citation: Res Soc Work Pract. 2010;20(5):476-482
references.pmid: 21274415
references.citation: Psychiatr Serv. 2004 Jan;55(1):35-41
references.pmid: 14699198
references.citation: Am Psychol. 2005 Sep;60(6):601-14
references.pmid: 16173893
references.citation: J Adolesc Health. 2000 Dec;27(6):391-8
references.pmid: 11090741
references.citation: J Can Acad Child Adolesc Psychiatry. 2010 Aug;19(3):182-96
references.pmid: 20842273
references.citation: Clin Psychol Rev. 2004 Oct;24(6):685-706
references.pmid: 15385094
references.citation: Community Ment Health J. 1996 Aug;32(4):353-61
references.pmid: 8840078
references.citation: J Consult Clin Psychol. 1995 Aug;63(4):579-84
references.pmid: 7673535
references.citation: Am J Community Psychol. 2007 Jun;39(3-4):269-86
references.pmid: 17401642
references.citation: J Pediatr Psychol. 2006 Jul;31(6):619-29
references.pmid: 16120764
references.citation: Am Psychol. 1998 Jun;53(6):635-46
references.pmid: 9633264
references.citation: AIDS Educ Prev. 2000 Aug;12(4):281-98
references.pmid: 10982119
references.citation: Dev Psychopathol. 2004 Fall;16(4):1071-94
references.pmid: 15704828
references.citation: New Dir Youth Dev. 2009 Spring;2009(121):33-46
references.pmid: 19358233
references.citation: Am Psychol. 1991 Sep;46(9):931-46
references.pmid: 1958012
references.citation: J Behav Med. 2003 Oct;26(5):473-500
references.pmid: 14593854
references.citation: Am Psychol. 2004 Feb-Mar;59(2):77-92
references.pmid: 14992634