Table 5.
Main categories and subcategories reflecting community advisors’ perspectives and feedback during the review process
| Subcategories | Exemplary Quotes (pseudonyms) |
|---|---|
| Topic consultation: Perceptions of resilience | |
| 1. Resilience is a multidimensional construct, without a single “universal” definition | |
| Involves personal strengths and supportive environments |
“In terms of resilience in this context, I think of it as like an individual's ability to kind of bounce back from something that um has impacted their mental health in a negative way…the individual's ability to learn from it and then, kind of, become stronger.” – Marlot (youth) “I just feel like resilience is something that is always going to be changing. Like it's going to be affected by the clients' experiences, their cultural backgrounds, their support, their families.” – Eva (clinician) |
| Difficult to define in real-world contexts | “It's not something that, yeah, like I hear the youth really talk about explicitly… so that might be another part of it… when you're going through the weeds, it can be difficult to kind of name.” – Derrick (clinician) |
| 2. How resilience is framed matters | |
| Buzzword—personal responsibility vs. external systems |
“Where um people are constantly in a situation where they need to be ‘resilient’… how is our use of resiliency impacting how we frame these people in different situations?” – Jasmine (youth) “It feels a little bit like a backhanded compliment, like ‘oh, but you're so resilient,’ when it is more like, more about larger socioeconomic um systems at play.” – Isabelle (clinician) |
| Topic consultation: Main interests and what community advisors most wanted to learn from the review | |
| 1. Environmental factors and strategies that influence resilience | |
| Role of social determinants of health |
“Special consideration should be taken to account about, like race, ethnicity and socioeconomic status, and like other demographics…. that really impacts, I think, resilience… there's multiplied effects of being in multiple minority groups.” – Helen (youth) “Highlighting the importance of cultural groups… any of the social determinants of health.” – Isabelle (clinician) |
| How to improve resilience |
“It's kind of about establishing a toolkit. Like what practices are key to resilience? What kind of coping strategies maybe help with resilience and which of them are crucial?” – Zoe (youth) “What about the people that continue to struggle?… what can we learn from this that would help prevent that?” – Derrick (clinician) |
| 2. How resilience is conceptualized | |
| Definitions |
“The narrative around resilience… also what you're trying to be resilient from, what you're going through. And I wonder if there is a definition or categories of how that will be defined or framed?” – Jasmine (youth) “I'm curious about how, like, the concept of resiliency has changed in the literature.” – Isabelle (clinician) |
| Measures and outcomes | “If we learn more about how resilience is defined, or maybe learn about more outcome measures, maybe that will help us, like, clients achieve their goals. Maybe it can help us change our practice.” – Eva (clinician) |
| Reaction meeting: Overall impression of the review findings | |
| 1. Research traditions and resilience factors that resonated the most with advisors’ personal experiences | |
| Person-environment interactions and sociocultural determinants |
“I think for me the social determinants of health, they’re such a big factor in everything in your life, but especially you know mental health services… factoring in home situations and homelessness.” – Tina (youth) “It [culture] is going to impact seeking help, accessing resources, knowledge about resources… the impact that it would have with your family so, I think that's a huge consideration.” – Phoebe (clinician) |
| Youth recovery and self-regulatory strategies |
“I thought the recovery focused tradition resonated the most with me… the kind of things that I consume that makes the most difference to my mental health is actually hearing about… how they were able to overcome or get over their mental health issues.” – Yvonne (youth) “Whether the youth accessed mental health resources before and what coping strategies they have like under their belt currently that helps them build resilience… that's kind of what I think about when we talk about the recovery focused tradition.” – Julia (clinician) |
| Service-related factors |
“Sometimes people forget how much of an influence culture has… what works for a certain population of people may not work for somebody else because it's not culturally appropriate… I think that also plays into the service-related factors.” – Katie (youth) “Family is so key… it's often the parents that are calling to ask for resources and supports of how to navigate the system… also not so much access [but] is it readily available in their environment?" – Kirsten (clinician) |
| 2. How resilience was portrayed in the results | |
| Research traditions |
“I was wondering if like the… the traditions changed, overtime?” – Yvonne (youth) “How you had the different traditions… kind of, how they build their story… I think that’s great” – Phoebe (clinician) |
| Process model of resilience |
“One of my favorite things about this is just ‘changing symptoms’. It doesn't necessarily mean positive or negative… it's okay to kind of like… just re-go through the process.” – Zoe (youth) “I love this, and I think it's very complex, like I think you have a lot, you've captured a lot here.” – Phoebe (clinician) |
| Reaction meeting: Gaps and future research priorities | |
| 1. Macro-level environment and patient-oriented research practices | |
| Culture and spirituality |
“One thing that uh I think a lot of people don't look into, at least from my experience, is religion.” – Katie (youth) “Perspectives from different cultures and countries… that also should be considered here.” – Kirsten (clinician) |
| Diversity and intersectionality |
“Including like an EDI lens would be very important… different religions, races and whatnot… this is something that I am kind of realizing now… as someone who um, kind of faced these barriers.” – Ariel (youth) “Youth resilience research that looks at different marginalized groups…. for example, um, youth living with disabilities… youth who are from the LGBTQ + community… different underserved groups. That's kind of front and center in my mind.” – Kirsten (clinician) |
| Youth and community engagement | “Going into the community and actually asking what they want, rather than assuming… see what they need… have the community involved in that process. Making sure that it's aligning um with their values.” – Ariel (youth) |
| 2. Transdiagnostic resilience factors over the life-course | |
| Co-occurring diagnoses or mental health issues | “We should think more about how different mental health issues occur together and interact with one-another, since it's not uncommon for people to have more than one issue at the same time.” – Yvonne (youth) |
| Physical health | “I do think sometimes um, like, psychosomatic symptoms are overlooked, um and even just the way your physical health can degrade as a result of your mental illness or… side effects of medications.” – Zoe (youth) |
| Developmental stages and life transitions | “During the different life transitions… people have different resources and support, and resilience looks different if you're 13 versus if you're, you know, 24.” – Lena (clinician) |
| Knowledge dissemination preferences and applicability | |
| 1. Combining visual and written summaries | |
| Figures / models |
“I think a combination of a diagram for visual learners, and also written summary.” – Eva (clinician) “Infographics are more accessible for lay audiences.” – Helen (youth) |
| 2. Application | |
| Knowledge translation tool |
“I feel like this is so useful and meaningful to so many people, and especially if it's in a really digestible form… like ‘Oh check out this thing… it shows a really comprehensive um kind of overview’… that would be really great… it makes it really accessible.” – Zoe (youth) “Presenting families and um clients with something like similar to this model… I'm really interested in like the wave at the bottom… do you think showing them… and explaining how it comes from research might help them in their resiliency journey?” – Cara (researcher) |
| Tangible resources or programming |
“Resiliency training has been popping up and could help in different format options.” – Tina (youth) “Programs that could be offered, partnerships that could be pursued with different community organizations… Like who's operating in the ecosystem and who can we connect with to bridge gaps… to just be stronger together in different communities.” – Kirsten (clinician) |