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Strengthening Mental Health for Young Athletes

“Youth mental health is in crisis,” says pediatrician and adolescent medicine specialist Sara Chrisman, MD, MPH. Today’s adolescents, she says, have many stressors, including school, relationships, current events, their developing identities and the social isolation of the pandemic.

That’s why Chrisman and her colleagues at The Sports Institute at UW Medicine are working to develop Mentally Strong, a new mental health program for high school athletes. The program, created with a generous philanthropic gift, will destigmatize conversations about mental health between coaches and athletes, and support coaches in teaching student-athletes coping skills to manage stress. And, with additional donor support, Chrisman hopes to expand the program to help young athletes nationwide.

Sports offers community and support
During the pandemic, 1 in 4 youth reported depressive symptoms, and 1 in 5 experienced anxiety. In 2021, the American Academy of Pediatrics declared a national emergency in children’s mental health, out of concern that there was an inadequate number of providers to care for the many youth in crisis.

Chrisman, an associate professor of pediatrics at Seattle Children’s Hospital and the University of Washington, has seen firsthand the impact of physical activity and sports in her young patients’ lives. A sports enthusiast herself, she realized that focusing on high school athletes might be a way to help address the youth mental health crisis.

“Sports can be a stressor, but they can also be a profound source of structure, support, mentorship and purpose,” says Chrisman.

Participating in sports particularly offers emotional support to youth through connections with coaches and teammates, helping youth develop a sense of community and decreasing anxiety.

However, sports can also create stress. The pressure to compete, and the challenges of managing failure and injury, can negatively impact youth development and emotional health. Sports culture has traditionally made it challenging to seek help for mental health issues. Professional athletes like tennis player Naomi Osaka, swimmer Michael Phelps and gymnast Simone Biles are trying to change this by speaking openly about their mental health struggles.

Chrisman and her colleagues at The Sports Institute saw an opportunity to equip coaches to provide mental health support for high school student-athletes.

“We’re excited by the idea of working upstream to support coaches and teens to learn healthy ways of managing stress,” says Chrisman.

Tools to help coaches
“Many collegiate and professional coaches have recognized that mental health is important and tapped into programs to support athlete coping skills, but those resources do not exist for high school athletes,” says Chrisman. “Knowing how to manage your emotional responses is key not only to preventing mental health crises, but also to sport performance.”

“We want to develop an evidence-based educational program for coaches to help youth athletes learn positive coping strategies to promote mental strength and catalyze success, both in sports and in daily life.”

The program will offer an educational module for coaches with embedded athlete activities, aiming to teach high school students healthy ways to handle stress and build resilience with a goal of preventing mental health crises. The tool can also help coaches identify “red flags” — signs that youth athletes are facing mental health struggles — allowing them to be proactive in providing support.

Chrisman and her team are also planning to measure the outcomes of their work, examining the impact of the Mentally Strong program on well-being in young athletes. This data will lay the groundwork for local and national advocacy, which the team hopes will ultimately lead to the creation of mental-health policy and guidelines for youth sports.

“The time to act is now”
The Mentally Strong program was established with a gift from the Prentice family, who are dedicated supporters of The Sports Institute. Julie Prentice has been passionate about mental health issues throughout her career. A former therapist and crisis line volunteer, she’s now part of a group of philanthropists seeking to leverage their impact on mental health.

“One silver lining of COVID-19 is that there’s more awareness and destigmatizing of people needing support in mental health and well-being,” says Julie. “Until recently, there’s been this approach that mental health is a separate silo, but it’s not. So how can we meet kids where they’re already congregating?”

To Julie, the answer was clear: youth sports. “We have three kids who played sports in high school and college,” she says. “You learn so much — teamwork, how to give your personal best, how to handle challenges, how to pick yourself up and go on. And the coach is an integral part of that experience.”

Julie’s father-in-law, Arnie, agrees. “Mental health issues are one of the major challenges we have in this country, and a lot of it starts at the youth level,” he says. “It’s important that we’ve got coaches being aware of that and helping kids work their way through it.”

Additional support would allow Chrisman and her team to accelerate the development of the toolkit and deploy it in a local pilot program targeted at multiple types of sports. It would also enable them to partner with a coalition of collegiate, Olympic and professional athletes to launch an awareness campaign about the importance of mental health in sports.

“The time to act is now,” says Julie. “We want others to join us, so this can start serving kids.”


We are facing an urgent crisis in youth mental health. Your caring support of The Sports Institute at UW Medicine Fund will help youth athletes gain important coping skills to strengthen their physical and mental health. GIVE NOW.