Skip to main content

Advertisement

Log in

What Young People Want: A Qualitative Study of Adolescents’ Priorities for Engagement Across Psychological Services

  • Original Paper
  • Published:
Journal of Child and Family Studies Aims and scope Submit manuscript

Abstract

This article examined commonalities in adolescents’ priorities for engagement with psychological support in the context of contemporary youth culture in New Zealand. These were explored across a range of different services including a face-to-face hospital-based mental health service, a face-to-face school-based counseling service, a telephone counseling service and a new form of counseling using mobile phone text. Interviews were conducted with 63 young people aged 13–18 who had used at least one of these services. A thematic analysis identified that there were common priorities for participants across the different services including their need to keep control; not to have their parents involved; to have a relationship with a counselor which was more like a friendship than a professional relationship; to talk freely and be listened to; and to have the service be accessible and flexible enough to fit around their lives. Text and telephone counseling were seen to be particularly appropriate for meeting some of these needs. Professionals working with young people should consider offering a suite of options for psychological support, allowing young people to balance their different needs and priorities and thus facilitate their engagement.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Binder, P., Moltu, C., Hummelsund, D., Sagen, S. H., & Holgersen, H. (2011). Meeting an adult ally on the way out into the world: Adolescent patients’ experiences of useful psychotherapeutic ways of working at an age when independence really matters. Psychotherapy Research, 21, 554–566.

    Article  PubMed  Google Scholar 

  • Block, A. M., & Greeno, C. G. (2011). Examining outpatient treatment dropout in adolescents: A literature review. Child and Adolescent Social Work, 28, 393–420.

    Article  Google Scholar 

  • Bohart, A. C. (2000). The client is the most important common factor: Clients’ self-healing capacities and psychotherapy. Journal of Psychotherapy Integration, 10, 127–149.

    Article  Google Scholar 

  • Bolton Oetzel, K., & Scherer, D. G. (2003). Therapeutic engagement with adolescents in psychotherapy. Psychotherapy: Theory, Research, Practice, Training, 40(3), 215–225.

    Article  Google Scholar 

  • Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101.

    Article  Google Scholar 

  • Bury, C., Raval, H., & Lyon, L. (2007). Young people’s experiences of individual psychoanalytic psychotherapy. Psychology and Psychotherapy: Theory, Research and Practice, 80, 79–96.

    Article  Google Scholar 

  • Callahan, A., & Inckle, K. (2012). Cybertherapy or psychobabble? A mixed methods study of online emotional support. British Journal of Guidance and Counseling, 40(3), 261–278.

    Article  Google Scholar 

  • Claveirole, A. (2004). Listening to young voices: Challenges of research with adolescent mental health service users. Journal of Psychiatric and Mental Health Nursing, 11, 253–260.

    Article  PubMed  Google Scholar 

  • Duncan, B. L., Miller, S. D., & Sparks, J. (2007). Common factors and the uncommon heroism of youth. Psychotherapy in Australia, 13, 34–43.

    Google Scholar 

  • Dunne, A., Thompson, W., & Leitch, R. (2000). Adolescent males’ experience of the counseling process. Journal of Adolescence, 23(1), 79–93.

    Article  PubMed  Google Scholar 

  • Elliott, R., & James, E. (1989). Varieties of client experience in psychotherapy: An analysis of the literature. Clinical Psychology Review, 9, 443–467.

    Article  Google Scholar 

  • Everall, R. D., & Paulson, B. L. (2002). The therapeutic alliance: Adolescent perspectives. Counseling and Psychotherapy Research: Linking Research with Practice, 2, 78–87.

    Article  Google Scholar 

  • Freake, H., Barley, V., & Kent, G. (2007). Adolescent’s views of helping professionals: A review of the literature. Journal of Adolescence, 30(4), 639–653.

    Article  PubMed  Google Scholar 

  • Furlong, A., & Cartmel, F. (2007). Young people and social change: New perspectives (2nd ed.). Berkshire: Open University Press.

    Google Scholar 

  • Gibson, K., & Cartwright, C. (2013). Agency in young clients’ narratives of counseling: ‘It’s whatever you want to make of it’. Journal of Counseling Psychology, 60(3), 340–352.

    Article  PubMed  Google Scholar 

  • Gibson, K., & Cartwright, C. (2014). Young people’s experiences of mobile phone text counselling: Balancing connection and control. Children and Youth Service Review, 43, 96–104.

    Article  Google Scholar 

  • Graham, L. J. (2014). To be well is not to be unwell: The new battleground inside our children’s heads. In K. Wright & J. McLeod (Eds.), Rethinking youth wellbeing: Critical perspectives. Singapore: Springer.

    Google Scholar 

  • Green, N. (2003). Outwardly mobile: Young people and mobile technologies. In J. E. Katz (Ed.), Machines that become us: The social context of personal communication technology (pp. 201–218). New Brunswick, NJ: Transaction Publishers.

    Google Scholar 

  • Gulliver, A., Griffiths, K. M., & Christensen, H. (2010). Perceived barriers and facilitators to mental health help-seeking in young people: A systematic review. BMC Psychiatry, 10, 106–113.

    Article  Google Scholar 

  • Hanna, F. J., & Hunt, W. P. (1999). Techniques for psychotherapy with defiant, aggressive adolescents. Psychotherapy: Theory, Research, Practice, Training, 36, 56–68.

    Article  Google Scholar 

  • Harper, B., Dickson, J., & Bramwell, R. (2014). Experiences of young people in a 16–18 mental health service. Child and Adolescent Mental Health, 19(2), 90–96.

    Article  Google Scholar 

  • Hill, C. E., Knox, S., Thompson, B. J., Williams, E. N., Hess, S. A., & Ladany, N. (2005). Consensual qualitative research: An update. Journal of Counseling Psychology, 52, 196–205. doi:10.1037/0022-0167.52.2.196.

    Article  Google Scholar 

  • Hollidge, C. (2013). Adolescents’ perceptions of the factors that enhance the therapeutic relationship: A qualitative study in school-based health settings. Adolescent Psychiatry, 3, 277–287.

    Article  Google Scholar 

  • Ito, M. (2005). Mobile phones, Japanese youth, and the re-placement of social contact. In R. Ling & P. Pederson (Eds.), Mobile communication and the re-negotiation of the public sphere (pp. 131–148). New York: Springer.

    Google Scholar 

  • Kaslow, N., Robbins Broth, M., Oyeshiku Smith, C., & Collins, M. H. (2012). Family-based interventions for child and adolescent disorders. Journal of Marital and Family Therapy, 38(1), 82–100.

    Article  PubMed  Google Scholar 

  • Kelly, P. (2000). The dangerousness of youth-at-risk: The possibilities of surveillance and intervention in uncertain times. Journal of Adolescence, 2000(23), 463–476.

    Article  Google Scholar 

  • King, R., Bambling, M., Lloyd, C., Gomurra, R., Smith, S., Reid, W., & Wegner, K. (2006). Online counseling: The motives and experiences of young people who choose the Internet instead of face to face or telephone counseling. Counseling and Psychotherapy Research: Linking Research with Practice, 6(3), 169–174.

    Article  Google Scholar 

  • Livingstone, S. (2008). Taking risky opportunities in youthful content creation: Teenagers use of social networking sites for intimacy, privacy and self-expression. New Media and Society, 10(3), 393–411.

    Article  Google Scholar 

  • McGorry, P., Bates, T., & Birchwood, M. (2013). Designing youth mental health services for the 21st century: Examples from Australia, Ireland and the UK. The British Journal of Psychiatry, 202, s30–s35.

    Article  Google Scholar 

  • Midgley, N., Holmes, J., Parkinson, S., Stapley, E., Eatough, V., & Target, M. (2014). “Just like talking to someone about like shit in your life and stuff, and they help you”: Hopes and expectations for therapy among depressed adolescents. Psychotherapy Research. doi:10.1080/10503307.2014.973922.

    PubMed  Google Scholar 

  • Morrow, S. L. (2005). Quality and trustworthiness in qualitative research in counseling psychology. Journal of Counseling Psychology, 52(2), 250–260.

    Article  Google Scholar 

  • Prout, H. T. (2007). Counseling and psychotherapy with children and adolescents: Historical, developmental, integrative and effectiveness perspectives. In H. T. Prout & D. T. Brown (Eds.), Counseling and psychotherapy with children and adolescents: Theory and practice for school and clinical settings (4th ed., pp. 1–31). New York, NY: Wiley.

    Google Scholar 

  • Reese, R., Coloney, C., & Brossart, D. (2002). Effectiveness of telephone counseling: A field-based investigation. Journal of Counseling Psychology, 49(2), 233–242.

    Article  Google Scholar 

  • Rickwood, D. J., & Braithwaite, V. A. (1994). Social-psychological factors affecting help-seeking for emotional problems. Social Science and Medicine, 39(4), 563–572.

    Article  PubMed  Google Scholar 

  • Rickwood, D., Deane, F. P., Wilson, C. J., & Ciarrochi, J. (2005). Young people’s help-seeking for mental health problems. Advances in Mental Health, 4(3), 218–225.

    Article  Google Scholar 

  • Riessman, C. (2008). Narrative methods for the human sciences. Los Angeles, CA: Sage.

    Google Scholar 

  • Sauter, F. M., Heyne, D., & Westenberg, P. M. (2009). Cognitive behavior therapy for anxious adolescents: Developmental influences on treatment design and delivery. Clinical Child and Family Psychology Review, 12, 310–335.

    Article  PubMed  PubMed Central  Google Scholar 

  • Sharland, E. (2006). Young people, risk taking and risk making: Some thoughts for social work. British Journal of Social Work, 36, 247–265.

    Article  Google Scholar 

  • Shoveller, J. A., & Johnson, J. L. (2006). Risky groups, risky behavior, and risky persons: Dominating discourses on youth sexual health. Critical Public Health, 16(1), 47–60.

    Article  Google Scholar 

  • Turkle, S. (2011). Alone together: Why we expect more from technology and less from each other. New York, NY: Basic Books.

    Google Scholar 

  • Wyn, J., Cuervo, H., Woodman, D & Stokes, H. (2005). Young people, wellbeing and communication technologies. Victoria: Mental Health and Wellbeing Unit, VicHealth. www.vichealth.vic.gov.au

  • Wyn, J., & Harris, A. (2004). Youth research in Australia and New Zealand. Young, 12(3), 271–289.

    Article  Google Scholar 

  • Yanow, D. (2006). Thinking interpretively: Philosophical presuppositions and the human sciences. In D. Yanow & P. Schwartz-Shea (Eds.), Interpretation and method: Empirical research methods and the interpretive turn (pp. 5–26). Armonk, NY: M.E. Sharpe.

    Google Scholar 

  • Zirkelback, E. A., & Reese, R. J. (2010). A review of psychotherapy outcome research: Considerations for school-based mental health providers. Psychology in the Schools, 47, 1084–1100.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Kerry Gibson.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Gibson, K., Cartwright, C., Kerrisk, K. et al. What Young People Want: A Qualitative Study of Adolescents’ Priorities for Engagement Across Psychological Services. J Child Fam Stud 25, 1057–1065 (2016). https://doi.org/10.1007/s10826-015-0292-6

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10826-015-0292-6

Keywords

Navigation