Supporting youth for a mentally healthier future

Unhappiness used to peak at age 50, but this once stable trend has changed rapidly over the past decade. Unhappiness is now highest among our young people, where mental health has worsened, and it still only gets better after middle age [1]. The alarming deterioration of youth mental health must be a call to action [2]. How can we get to a turning point, to a mentally healthier and happier generation and society? Lasting change takes time, political prioritisation, and structural investment, but a societal need and desire for change is evident.

I am excited about movements that bring youth together again, that build connection and counter loneliness, and that bring ease in a hurried and comparison-focused society. I feel grateful to be a part of the experts (some by experience and others by training) in YOUTHreach, where innovative interventions are brought together that help set young people up for a mentally healthier future, as early and accessible as possible.

My name is Anouk Boonstra, and I am a postdoctoral researcher at Maastricht University. In 2025, I finished my PhD titled “Timely, Transdiagnostic & Tailored to Youth: The necessity and (cost-)effectiveness of accessible youth mental health interventions” [3], which included the first outcome evaluation of the YEAH in the Netherlands (@ease) and health-economic evaluation of the SELFIE intervention, now being assessed further throughout Europe in YOUTHreach. These approaches aim to improve access to care, tailor it to young people and the individual, and advance our understanding of youth mental health.

But what do these interventions mean for youth in practice?

A welcoming space to open up in a challenging world (a YEAH)

Upon accessing a mental health walk-in centre in the Netherlands, young people can share anything with trained peer counsellors. Arising subjects include feelings of loneliness and societal pressures, (livelihood) uncertainty, and feeling like one must manage everything alone without burdening others. In many ways, I feel that young people face a world that asks them to cope individually with problems that are collective and a context that is pathogenic. At @ease, young people experience that they are not alone, and have somewhere and someone to fall back on, also when traditional services have long waitlists or when it is hard to find connection in daily life. The peer counsellors actively listen and genuinely connect, often from lived experience. For many visitors and peer counsellors, @ease is a welcoming space in a world where community and shared humanity are found less often and are needed once again.

@ease sees young people with (emerging) mental health problems early on by making care accessible and gives them a positive first experience with support (rated 4.5/5) [4]. Many have not had previous care, despite care needs evident from initial distress levels and impairments. As young people visit @ease, their distress and functioning improve [4]. While the service can also help with accessing traditional care, the walk-in visits are often enough, which can reduce pressure on general practitioners and other services. Recently, the OECD also recognized @ease as best practice in mental health prevention and promotion [5]. Investing in such beneficial low-barrier support is an investment in a healthier society.

Digital life and healthy digital approaches (SELFIE)

The growth in social media use and growth in unhappiness have risen simultaneously [1], but scientific research so far is limited and shows small connections [2]. Yet, countries are banning social media, and in the Netherlands news outlets report that most young people have grown in favour of a ban under the age of 16 years [6]. Fortunately, research is now focusing more on uncovering the facts which are currently unclear, on how we can use our digital world in a health-promoting manner, and on how to approach the addictiveness and comparison-heaviness of current platforms.

When it comes to youth mental health support, digital approaches can also help increase care accessibility. The digital component of the SELFIE intervention has actually been described as a therapist in your pocket, which allows SELFIE to improve self-esteem on-the-spot and in the moment for young people who were exposed to childhood adversity, thereby contributing to a mentally healthier future [7]. This makes SELFIE an excellent example of using technology for mental health improvement, especially given its shown efficacy and promising cost-effectiveness [3, 7].

Looking forward

In my postdoctoral role, I am glad to remain involved in the continuation and evaluation of SELFIE and YEAHs, next to studying contraceptives and mental health. Additionally, I wish to conduct research on the @ease online chat for peer support, and (especially healthy digital) youth mental health promotion and prevention.

References

[1] Blanchflower, D. G., Bryson, A., & Xu, X. (2025). The declining mental health of the young and the global disappearance of the unhappiness hump shape in age. PloS one20(8), e0327858. https://doi.org/10.1371/journal.pone.0327858

[2] McGorry, P., Gunasiri, H., Mei, C., Rice, S., & Gao, C. X. (2025). The youth mental health crisis: analysis and solutions. Frontiers in Psychiatry,15, 1517533. https://doi.org/10.3389/fpsyt.2024.1517533

[3] Boonstra, A. (2025). Timely, transdiagnostic & tailored to youth: the necessity and (cost-) effectiveness of accessible youth mental health interventions. https://doi.org/10.26481/dis.20251201ab

[4] Boonstra, A., Van Amelsvoort, T. A., Klaassen, R. M., Popma, A., Grootendorst-van Mil, N. H., Veling, W., de Winter, R. F. P., Boonstra, N., & Leijdesdorff, S. M. (2024). Evaluating changes in functioning and psychological distress in visitors of the @ease youth mental health walk-in centres. BJPsych Open10(3), e101. https://doi.org/10.1192/bjo.2024.58

[5] OECD. (2025). Mental Health Promotion and Prevention: Best Practices in Public Health. OECD Publishing, Paris.

https://www.oecd.org/en/publications/mental-health-promotion-and-prevention_88bbe914-en.html

[6] NOS Nieuws. (2026, January 23). Steun voor socialemediaverbod voor jongeren groeit, vooral onder gen Z. https://nos.nl/artikel/2599319-steun-voor-socialemediaverbod-voor-jongeren-groeit-vooral-onder-gen-z

[7] Reininghaus, U., Daemen, M., Postma, M. R., Schick, A., Hoes-van der Meulen, I., Volbragt, N., … & van Amelsvoort, T. (2024). Transdiagnostic ecological momentary intervention for improving self-esteem in youth exposed to childhood adversity: The SELFIE randomized clinical trial. JAMA Psychiatry81(3), 227-239. https://doi.org/10.1001/jamapsychiatry.2023.4590

Dr. Anouk Boonstra

Postdoctoral Researcher, Psychologist
Maastricht University

Anouk at her PhD defense

Supporting youth for a mentally healthier future

AdBlock

We rely on ads to maintain this site. Disabling your ad blocker helps us serve you better.