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. 2022 Feb 1;31(1):4–17.

Table 3.

Top categories and illustrative quotes

Construct Top categories Quotes
Behavioral beliefs-Benefits a) Receive the help they are looking for (n=19) “learn new techniques to cope (#39)”
b) Talking to someone (n=16) “the space to talk about thoughts and feelings (#12)”
c) Improve well-being (n=14) “better understanding of health and habits (#34)”
d) Access to services (n=12) “resources & immediate programs they can provide (#22)”
e) Feeling of security and safety (n=8) “knowing you have a safe space to come back to (#2)”
f) Community (n=7) “feelings of inclusiveness, understanding, solidarity (#7)”
Behavioral beliefs-Drawbacks a) Accessing services impacts emotions (n=10) “draining emotionally (#31)”
b) Personal time commitment (n=8) “it puts a damper on my work schedule (#29)”
c) Lack of accessibility of services (n=7) “not being seen that day, full capacity (#8)”,
d) Quality of service or service provider (n=6) “counsellor who doesn’t get you the first time you meet (#16)”
e) External factors (n=5) “changes in bus times (#3)”
Social norms-Approve a) Friends (n=31) “roommate (#5)”
b) Primary caregivers/guardians (n=25) “stepdad (#22)”
c) Family (n=17) “sister (#1)”
d) Significant other (n=16) “girlfriend (#18)”
e) Formal supports (n=10) “Aboriginal Advocate (#36)”
Social norms-Disapprove a) Primary caregivers/guardians (n=10) “mom and dad [are] not very supportive (#25)”
b) Other informal supports (n=5) “[a] couple of [my] male friends (#38)”
Social image-Seek services a) Looking for help (n=16) “wandering lost soul [with] not a good connection to the world (#10)”
b) For anybody (n=14) “any age, any sex, open to all people (#1)”
c) Negative emotions (n=12) “fear and anxiety as motivating factors to come to the Foundry (#11)”
d) Experiencing life challenges (n=11) “on academic probation (#20)”
e) Feeling lost or confused (n=11) “don’t understand, don’t know what’s going on (#15)”
f) Young person (n=9) “someone in high school who is about to transition [out] (#18)”
g) Courageous (n=5) “brave and strong; taking responsibility of [their] mental health (#41)”
Social image-Don’t seek services a) Negative emotions (n=17) “nervous and don’t want to ask for help (#8)”
b) Lack of awareness (n=12) “can’t recognize their own feelings (#1)”
c) Negative personality traits (n=10) “arrogant, pride gets in the way (#4)”
d) Does not have supports (n=6) “don’t have anyone to tell them about it (#20)”
e) Positive personality traits (n=6) “someone who looks like they have their life together (#29)”
Emotions a) Hopeful or positive (n=27) “hope for the future and what I can accomplish (#11)”
b) Nervous or apprehensive (n=16) “lots of anxiety (#24)”
c) Relief or reassurance (n=8) “help[ing] to ease anxiety and pressure (#9)”
d) Confident (n=5) “sense of self-assuredness (#10)”
e) Neutral (n=5) “no feeling in particular (#29)”
Self-efficacy & Knowledge - Current strategies & skills a) Time management (n=18) “make a routine for every Thursday (#2)”
b) Supports (n=10) “if you told your friend they could ask when you’re going (#18).”
c) Self-awareness (n=10) “knowing when I need to come for a check-in (#10)”
d) Positive self-talk/motivation (n=8) “positive self-talk (#33)”
e) Coping (n=7) “reframing it as something worthwhile (#32)”
f) Everyday tasks (n=7) “able to take the bus on my own (#4)”
Environment-Facilitators a) Expanded hours (n=14) “expanded hours and days for walk-in counselling (#14)”
b) Transportation access (n=12) “someone driving me here rather than bussing (#9)”
c) Geographical access (n=5) “mobility, have mobile wellness (#5)”
Environment-Barriers a) Lack of transportation (n=16) “if buses weren’t running or couldn’t get a ride from parents (#40)”
b) Personal access barriers (n=12) “school obligations (#4)”
c) Foundry access barriers (n=9) “you need referrals and getting those can be difficult (#22)”
d) Geographic barriers (n=6) “in [a] different location (#38)”
e) Emotional or mental barriers (n=6) “low mood episodes (#32)”
f) Lack of support from important people (n=5) “if my dad or someone close disapproves of the idea (#35)”
Saliency a) Technology reminders from Foundry (n=21) “reminder from Foundry before appointment (#5)”
b) Self-initiated reminders (n=19) “mood tracker on tablet (#32)”
c) Reminders from informal supports (n=8) “really rely on [my] mom for appointment and the day (#16)”
Habits a) Sleep habits (n=10) “poor sleep schedule (#33)”
b) Negative mindset (n=9) “too depressed of a mind state (#21)”
c) Organizational challenges (n=9) “trouble with time management (#1)”
d) Procrastination/avoidance (n=9) “brushing it off (#22)”
Split-Second Decision-Making a) Nothing would stop them (n=14) “no matter what I would still get something out of coming here (#11)”
b) Negative experience using services (n=12) “having a counsellor that didn’t listen and lack of connection (#9)”
c) Change in access to service (n=6) “if they required you to participate in groups (#26)”