What factors are causing the trend to rise? 

-- Exposure of youth to Adverse Childhood Experiences (ACES)

• Incarcerated or divorced parents or death or abandonment of a parent
• Sexual, emotional, verbal or physical abuse
• Physical neglect or emotional neglect
• Domestic violence exposure
• Substance abuse in the home
• Mental illness of a family member

- Unhealthy Relationships

• Social media issues
• Unhealthy parent relations
• Lack of connection to positive adult relationships
• Bullying

- Stigma of Recieving Services

• Being labeled
• Parents not supporting youth to enroll in services

- Societal Conditions

• Poverty
• Single Parent Families
• Lack of access to healthy environments
  • Physical infrastructure
  • Transportation
• Racism
• Sexism

- Social Emotional Difficulties

• Fear of failure - competitive & comparative
• Poor impulse control
• Sensations seeking- Immediate gratification
• Anxiety or sensitivity
• Hopelessness
• Body Image
• Poor coping skills
  • Substance Abuse Issues
  • Violence

- Lack access to care

• Schools understaffed to meet needs
• CTSS workers needed
• Mental health professionals not accessible

Factors that cause the trend to decrease:

- Access to Care

• Healthcare
• Mental health
• Chemical dependency

- Physical Environments that Promote Health

• Rec centers
• Parks/playgrounds/recreation
• Schools that are condusive to all childrens needs
• Safe environments (home and community)
• Healthy food access

- Positive Social Emotional Skills

• Opportunities to participate in activities that teach skills (hands on and educational)
• Preventative programs to support early learning and development

- Positive Societal Conditions

• Skills/jobs for all
• Quality education
• Transportation
• Compassionate communities

- Healthy Relationships

• Mentoring programs
• Positive parenting programs
• Adult/youth interaction- intergenerational
• Peer supports