Stigma and Empathy: How Youth With Childhood Conduct Problems Link Service Use and Interpersonal Relationships

Young people with conduct problems (i.e., chronic behavioural issues characterized by rule violation, aggressive behaviour, classroom disruption) are particularly vulnerable to experiencing negative mental health and academic outcomes and are among the most frequent users of school-based mental health services. The behaviours associated with conduct problems can negatively impact youths' relationships with their parents, peers, and school personnel. The present qualitative study examined the service use experiences of individuals with histories of conduct problems, focusing on how service use was linked with how youth saw their relationships with others. A thematic analysis of semi-structured interviews carried out between 2019 and 2020 with 41 young adults ages 17-21 with histories of school-based specialized service use for conduct problems was conducted to understand how participants described the services they received in school, and how they saw this service use as shaping their relationships with others. We identified four themes of stigma and empathy in terms of how youth related service use to their interpersonal relationships. The findings underline the importance of raising awareness about the impacts of stigma for conduct problems. The implications for practice include the need for further research on empathy by service providers who work with youth with conduct problems. Young adults with childhood histories of conduct problems described how they saw their service use as linked with their social relationships.Participants discussed how service use was associated with experiences of stigma, and the consequences of stigma for their outcomes.Participants noted how empathy from educators and other service providers helped support positive development.