"When I Lost It, They Dragged Me Out": How <i>Care Encounters</i> Empower Marginalized Young Adults' Mental Health Aspiration and Care-Seeking

Mental health care-seeking among marginalized young adults has received limited attention in CSCW research. Through in-depth interviews and visual elicitation methods with 18 diverse U.S. participants, our study reveals how marginalized identities shape mental health care-seeking journeys, often characterized by low aspirations and passive care-seeking influenced by lived experiences of marginalization. However, we found the transformative function of '' care encounters ''-serendipitous interactions with mental health resources that occur when individuals are not actively seeking support. These encounters serve as critical turning points, catalyzing shifts in aspiration and enabling more proactive care-seeking behaviors. Our analysis identifies both the infrastructural conditions that enable transformative care encounters and the aspiration breakdowns that impede care-seeking processes. This work makes conceptual contributions by supplementing traditional motivation-based care-seeking models with a reconceptualization of ''care encounters'' that accounts for the infrastructural and serendipitous nature of mental health access. We advance understanding of how marginalized identity uniquely influences care-seeking behaviors while providing actionable design implications for embedding technology-mediated ''care encounters'' into socio-technical interventions that can better support mental health care access for vulnerable populations.

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Publication Details

Journal
Proceedings of the ACM on Human-Computer Interaction
Published
2025-10-16
DOI
https://doi.org/10.1145/3757439
Primary Topic
Mental Health Treatment and Access
Type
article
Field-Weighted Citation Impact
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article

"When I Lost It, They Dragged Me Out": How Care Encounters Empower Marginalized Young Adults' Mental Health Aspiration and Care-Seeking

Yan Zhang, Jiaying Liu
Proceedings of the ACM on Human-Computer Interaction
Mental Health Treatment and Access
article

"When I Lost It, They Dragged Me Out": How Care Encounters Empower Marginalized Young Adults' Mental Health Aspiration and Care-Seeking

Yan Zhang, Jiaying Liu
article en

Abstract

Mental health care-seeking among marginalized young adults has received limited attention in CSCW research. Through in-depth interviews and visual elicitation methods with 18 diverse U.S. participants, our study reveals how marginalized identities shape mental health care-seeking journeys, often characterized by low aspirations and passive care-seeking influenced by lived experiences of marginalization. However, we found the transformative function of '' care encounters ''-serendipitous interactions with mental health resources that occur when individuals are not actively seeking support. These encounters serve as critical turning points, catalyzing shifts in aspiration and enabling more proactive care-seeking behaviors. Our analysis identifies both the infrastructural conditions that enable transformative care encounters and the aspiration breakdowns that impede care-seeking processes. This work makes conceptual contributions by supplementing traditional motivation-based care-seeking models with a reconceptualization of ''care encounters'' that accounts for the infrastructural and serendipitous nature of mental health access. We advance understanding of how marginalized identity uniquely influences care-seeking behaviors while providing actionable design implications for embedding technology-mediated ''care encounters'' into socio-technical interventions that can better support mental health care access for vulnerable populations.

Proceedings of the ACM on Human-Computer InteractionVol. 9(7)
The University of Texas at Austin (US)
Openalex Percentile: Top 66%
Mental Health Treatment and Access
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