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Youth pastors feel ill-equipped to help youths with mental health issues, Baylor study finds

Mental health professionals, pastors should collaborate to help adolescents

Baylor University

Many mental health disorders first surface during adolescence, and college and youth pastors are in a good position to offer help or steer youths elsewhere to find it. But many of those pastors feel ill-prepared to recognize and treat mental illness, according to a Baylor University study.

The study -- "Adolescent mental health: the role of youth and college pastors" -- is published in the journal Mental Health, Religion & Culture.

Unlike senior pastors, those who work with young people are expected to have more extensive contact with their congregants because this likely occurs outside of church services, researchers said. Because youth groups are smaller than the congregations themselves, a greater chance exists for deep relationships between pastors and adolescents, including through one-on-one counseling, Bible study groups, mission trips and service opportunities, said researcher Matthew S. Stanford, Ph.D., professor of psychology and neuroscience in Baylor's College of Arts & Sciences.

Study respondents were 94 youth and college pastors representing Texas churches ranging in size from 45 to 8,000 members. Churches were located in Abilene, Austin, College Station, Dallas-Fort Worth area, Houston, Lubbock, Midland, San Antonio, Temple-Killeen area and Waco.

The survey showed that:

  • 50 percent said they had received training related to mental illness, but only 26 percent reported they felt qualified to work with young people dealing with significant mental health issues.

  • 78.7 percent had worked with one to 10 adolescents a year whom they knew or thought had mental health issues.

  • 76 percent had referred an adolescent congregant to a Christian counselor, a psychologist or a psychiatrist, but pastors who made referrals were most likely to do so to a Christian counselor.

Youth pastors ranked depression as the most prevalent mental health issue they have seen among youths, followed by pornography, grief/bereavement, anxiety, aggression/anger, sexual behavior, alcohol/drug abuse, ADHD, emotional abuse, eating disorders, stress from having a family member with a mental health issue, domestic or spousal abuse, juvenile delinquency, gender identity, sexual assault/abuse and physical abuse.

The study showed that youth and college pastors' most common method of intervention was to meet with the adolescent and refer the individual to a mental health professional. While many of the pastors described using biblical counseling methods, some counseled primarily with psychological concepts, using such methods as coping skills or role-playing.

The sample of youth pastors showed they believe that psychological well-being affects spiritual development. But they lacked training and confidence to interact with the mental health system.

A youth pastor's "unique role as gatekeeper can be improved," and pastors are interested in knowing more about counseling, researchers said. Many are unaware of mental health professionals with whom to work and did not know what psychotherapy would entail in terms of time, cost and scope of services.

Researchers recommended that mental health professionals working with religious youths reach out to faith communities and youth pastors to collaborate.

"Outreach will allow the pastor and mental health professional to gain an understanding of the other while becoming familiar with each other's 'language' and view of mental health," researchers said.


Co-researcher was William Hunter, a doctoral candidate of clinical psychology at Baylor.

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