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Why Youth Mental Health Calls for More Than Clinics

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More and more conversations are happening about expanding access to mental health care. But what if some of the most effective supports for youth already exist—just not in places we would typically describe as clinical? Maybe they look like a shared rhythm in a dance studio, a quiet sketch passed between friends, or a circle of teens snapping after a poem. This is what we call “creative belonging”: the power of self-expression in collective, culturally grounded spaces that help young people feel seen, safe, and real.

Youth in America are not just struggling—they're reaching a crisis point. Between 2011 and 2021, the number of high school students reporting persistent sadness or hopelessness soared to 42%, the highest in 30 years (Verlenden, 2023). For LGBTQ youth, students of color, and those facing poverty or violence, the numbers are even more staggering (CDC, 2023). In response, many programs and policy efforts have focused on scaling up clinical services: expanding telehealth, hiring more school-based therapists, and investing in mental health first aid. These efforts matter—but they don’t reach everyone. And they can overlook the social, cultural, and developmental needs that shape how young people actually experience mental health. Importantly, they often miss the perspectives of youth themselves, who consistently say they want safe, affirming spaces as much as clinical ones (Meherali et al., 2025).

One of those needs is belonging—not as a vague social ideal, but as a biologically grounded necessity. Belonging is the sense that you matter and are safe in a space. It may help buffer the effects of trauma (König et al., 2023, improve school engagement (Allen & Boyle, 2022), and support resilience through adversity (Bethell et al., 2019; Torgerson et al., 2018). When young people feel they belong, they are better equipped to cope, grow, and thrive. Yet for many adolescents, especially those navigating racism, homophobia, or systemic instability, the absence of safe and affirming spaces can deepen distress (Sapiro & Ward, 2019). For example, when a queer teen is bullied at school and has no access to supportive peers or mentors, the resulting isolation doesn’t just feel painful—it can worsen mental health. Neuroscience helps explain why: the adolescent brain is highly sensitive to social signals (Somerville, 2013). During adolescence, being accepted by peers activates reward-related regions of the brain, reinforcing feelings of connection and emotional........

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