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Literature review of youth engagement and leadership resources in the United StatesYouth engagement and arts activities show mixed results for mental health in the US

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Key Takeaway
Note disparities in youth mental health outcomes and access to care among marginalized populations.

This literature review evaluates the scope of youth engagement and leadership, mental health education, school- and community-based resources, arts-based activities, equity-oriented, and culturally responsive approaches within the United States. The analysis focuses on the current landscape of these interventions for youth in the United States without reporting specific sample sizes or adverse events.

Key synthesized findings indicate significant increases in mental health concerns. Additionally, disparities in outcomes and access to care are present, particularly among marginalized populations. The review does not report specific effect sizes, absolute numbers, or p-values for these outcomes.

The authors acknowledge some limitations regarding the available literature. No safety data, tolerability, or discontinuation rates were reported. The review provides actionable insights for intervention and research efforts but does not establish causality. Practice relevance is framed around guiding future directions rather than prescribing specific clinical protocols based on trial data.

Young people in the United States are facing rising mental health challenges. A recent look at various support systems tried to find answers. These systems include youth engagement, leadership training, mental health education, and arts-based activities. They also include equity-oriented and culturally responsive approaches designed to help everyone. The review did not report specific numbers for how many programs were studied. It also did not report specific numbers for how many young people were involved. Instead, it looked at what the available literature says about these efforts.

The findings are not what many hoped for. The review found significant increases in mental health concerns. It also found that disparities in outcomes and access to care are still present. These gaps are particularly large among marginalized populations. The study did not report any safety signals or adverse events because it was a review of existing reports. It did not track specific side effects or discontinuations.

The authors note some limitations in the evidence. They say the data is incomplete. This means we cannot be sure if these programs work for everyone. The review provides actionable insights for future intervention and research efforts. It highlights where more work is needed to truly help youth thrive.

What this means for you:
Youth programs in the US show mixed results with rising mental health concerns and persistent care gaps.

Study Details

Study typeSystematic review
EvidenceLevel 1
PublishedMay 2026
View Original Abstract ↓
The youth mental health crisis in the United States has garnered increasing attention, stimulating calls for urgent, evidence-based action. To inform the development of effective solutions, this literature review synthesized current data on youth mental health challenges, youth perspectives on needs and priorities, and existing resources and gaps. Findings reveal significant increases in mental health concerns among youth; disparities in outcomes and access to care, particularly among marginalized populations; and the critical importance of youth engagement and leadership in co-developing solutions. Youth perspectives emphasized the need for mental health education, school- and community-based resources, and arts-based activities as key avenues for fostering social connection and engagement. The review describes three categories of existing resources (community-based services, national nonprofits, and government initiatives), notes the potential value of creative engagement, and identifies gaps and challenges—such as inadequate funding and barriers to access. Findings underscore the urgent need for equity-oriented, culturally responsive approaches, including modalities informed by the arts, to address the youth mental health crisis. Importantly, they indicate the value of co-learning and co-strategizing with youth to promote mental health and flourishing. Despite some limitations, this review offers a timely synthesis of key themes and priorities, providing actionable insights for intervention and research efforts that support the mental health and well-being of youth in the United States.
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