Abstract: Adolescent mental health has become a pressing public health concern, especially during the coronavirus disease 2019 pandemic, in light of prolonged lockdowns. A body of research has documented increased rates of depression and anxiety, and their evolution during subsequent lockdown periods. Notably, many studies indicate that few adolescents seek professional help during these distressing times. In line with health services utilization theory, these findings suggest a disconnect between expressed need and help-seeking behavior. Such research provides a wealth of information concerning the availability, accessibility, and effectiveness of mental health services during the pandemic. Perspectives on adolescents’ mental health service utilization—that is, whether and when to access services—have, however, remained marginal. By integrating information from multiple sources, these utilization patterns can be better understood. The present abstract aims to provide an overview of the determinants of adolescents’ mental health service seeking during prolonged periods of lockdown. The discussion focuses on issues within the adolescent’s life context and perceived needs, along with important influences originating from parents, the broader social environment, and the health system.

Service utilization trends can shed light on whether adolescents sought care when required, and the reasons that might explain patterns. Evidence suggests an overall increase in the need for psychological care during lockdown periods, reflected in rising demand from both adolescents and their parents. However, adolescents appear to prefer communicating their emotional distress with family members or friends instead of professionals. Most adolescents experiencing risk factors for depression and anxiety do not seek help, even though those with higher levels of perceived need are likelier to do so. Help-seeking behavior is influenced by multiple factors, including age, gender, ethnicity, socio-economic status, stigma, and accessibility. Survey results indicate that stigma represents one of the main barriers to seeking help.

Keywords: Adolescent mental health, service utilization, lockdown effects, telehealth, accessibility, stigma, Adolescent mental health, Mental health service utilization, Prolonged lockdowns, COVID-19 pandemic impact, Tele-mental health services, Access to mental health care, psychological distress in adolescents, Health-seeking behavior, Barriers to mental health services, Youth coping and resilience.

Downloads: | DOI: 10.17148/IJIREEICE.2020.81210