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Highlights key obstacles including stigma, cost, provider shortages, transportation, and limited insurance, then explains how high stress affects emotional regulation and functioning. Describes an implemented three-tier Emotional Well-Being (EWB) program that delivers prevention, early identification, targeted support, and coordination for youth, staff, and families.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/behavioral-health-and-trauma-informed-integration-in-afterschool-an-innovative-approach-to-prevention-and-early-intervention/576377/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/behavioral-health-and-trauma-informed-integration-in-afterschool-an-innovative-approach-to-prevention-and-early-intervention/576377.png","ImageObject",300,407,{"name":92,"@type":93},"Jiven","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-19","2026-10-15",true,{"@type":102,"interactionType":103,"userInteractionCount":14},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What barriers prevent youth from accessing behavioral health services?","Question",{"text":112,"@type":113},"Stigma, discrimination, limited finances, insufficient providers, inadequate transportation, and lack of health insurance restrict access. Youth in areas with provider shortages face additional challenges.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What is the Emotional Well-Being (EWB) program described in the document?",{"text":117,"@type":113},"EWB is a preventive behavioral health program created for an afterschool setting. It provides emotional, social, and behavioral consultation and treatment to club youth and staff with an emphasis on early identification and intervention.",{"name":119,"@type":110,"acceptedAnswer":120},"How does the three-tier integrated model differ from traditional mental health therapy?",{"text":121,"@type":113},"Traditional therapy often starts with a diagnosis and symptom-based treatment. The integrated afterschool approach centers on prevention and early intervention by assessing emotional health proactively and combining targeted support with staff and family education.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},576377,1792451813,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":14,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":39,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":46},1099513958607,"https://ap-avatar.wpscdn.com/avatar/100002390cf8733938c?x-image-process=image/resize,m_fixed,w_180,h_180&k=1778829742770036399","Behavioral Health and Trauma-Informed Integration in Afterschool  \nAn Innovative Approach to Prevention and Early Intervention  \nErica D. Kelsey  \nThe Centers for Disease Control and Prevention (CDC) suggest that 1 in 5 children and 1 in 2 adolescents experience a mental or behavioral health disorder. CDC studies show that people of color and other marginalized groups have higher rates of behavioral health challenges than White people (2022) .  \nBarriers such as stigma, discrimination, lack of finances, limited numbers of providers, inadequate transportation options, and lack of health insurance keep these groups from accessing and using behavioral health services. In 2022, 4.2 percent of youth in the U. S.—more than 3 million young people—had no health insurance (Cohen & Cha, 2022) . Without insurance, the cost of healthcare is out of reach for many families, especially low-income households. Even if a family does have the financial means to seek  \nmental healthcare for their child, they face a nationwide shortage of providers. In 2022, 47 percent of the U. S. population lived in an area with a shortage of mental health providers (Kaiser Permanente, 2022) . Families in rural areas face additional barriers to access, including transportation needs. Additional barriers exist for young people from minoritized backgrounds, including stigma, mistrust of healthcare systems, and families’ attitudes toward seeking help (Mongelli et al., 2020) .  \nChildren with high levels of stress and adverse experiences are less likely than those with fewer challenges to develop emotional regulation skills (Burkholder et al., 2016) . Lack of emotional regulation can negatively affect the family system, hamper peer relationships, interfere with learning and academic functioning, and put the child at risk for several mental  \nERICA D. KELSEY, PhD, HSPP, is a licensed clinical psychologist and director of emotional well-being at the Boys & Girls Clubs of St. Joseph County, Indiana.  \nhealth conditions (Cameron & Overall, 2018) . Half of all mental health symptoms begin before age 14; when symptoms go untreated, mental health disorders impair teens’ ability to function (World Health Organization, 2021) .  \nCommunity-based youth-serving organizations are often seen by participants and their families as safe and supportive environments with no stigma attached to participation. Many children attend community-based afterschool programs five days a week. In such an environment, trusted adults can consistently monitor the moods and behaviors of participants. Thus, afterschool programs that successfully and effectively integrate behavioral health services can reduce barriers and increase equity in access to high-quality behavioral healthcare. My organization, Boys & Girls Clubs of St. Joseph County (BGCSJC) in South Bend, Indiana, has successfully implemented an integrated behavioral health model into its out-ofschool time (OST) programming. Other OST organizations may consider integrating components of behavioral health into their programming in order to address the unmet mental health needs of their young participants.  \nIntegrating Behavioral Health into Boys & Girls Club Programming  \nBGCSJC annually serves 3,000 youth, ages 5 to 18, through afterschool and summer programming at 30 sites, most of which are in school buildings. In early 2022, BGCSJC started working with a community partner to offer on-site mental health therapy to club members. We quickly saw the benefits and perceived that youth participants needed even more support. In August 2022, we adopted an integrated behavioral health model of care in the afterschool program, creating the Emotional Well-Being (EWB) program. EWB is a preventive mental health program whose goal is to provide emotional, social, and behavioral health consultation and treatment to club kids as well as to staff. Its early identification and intervention efforts aim to eliminate as many barriers as possible to mental heal","cbCaiieAsdhTLxJV","https://ap.wps.com/l/cbCaiieAsdhTLxJV","pdf",203790,"English","# Behavioral Health and Trauma-Informed Integration in Afterschool\n## Barriers to Access and the Need for Prevention\n## Integrating Behavioral Health into Boys & Girls Club Programming\n## A Three-Tiered Model","[{\"question\":\"What barriers prevent youth from accessing behavioral health services?\",\"answer\":\"Stigma, discrimination, limited finances, insufficient providers, inadequate transportation, and lack of health insurance restrict access. Youth in areas with provider shortages face additional challenges.\"},{\"question\":\"What is the Emotional Well-Being (EWB) program described in the document?\",\"answer\":\"EWB is a preventive behavioral health program created for an afterschool setting. It provides emotional, social, and behavioral consultation and treatment to club youth and staff with an emphasis on early identification and intervention.\"},{\"question\":\"How does the three-tier integrated model differ from traditional mental health therapy?\",\"answer\":\"Traditional therapy often starts with a diagnosis and symptom-based treatment. The integrated afterschool approach centers on prevention and early intervention by assessing emotional health proactively and combining targeted support with staff and family education.\"}]","Behavioral Health and Trauma-Informed Integration in Afterschool - An Innovative Approach to Prevention and Early Intervention | PDF",1792029652]