Confidentiality StatementInformation collected in this survey will be held in strict confidentiality and will be used in aggregate form only, without individual identifications.
These questions are optional; please feel free to submit anonymously.
However, if you are interested in participating in a support group, we ask that you provide your contact information so that we can get in touch with you. Thanks!
We have written the following ground rules for the groups:
Mission and Vision
The mission of the UCA WAVES Youth Peer-to-Peer Support Groups will be to destigmatize mental health issues through genuine connection, support, and empowerment. Led by UCA Youth Ambassadors and advised by the UCA Clinical Scholars, the program will be a series of online meetings to create space for open, interactive, and empathic peer-to-peer engagement.
While not for therapeutic or educational purposes, the program will connect high school-age Asian Americans (or any high school-age Americans with interest in Asian American culture) with their peers and thus serve the broader vision of UCA WAVES: to build “a supportive and engaging community that fosters healthy and holistic development of our youths.”
The program works toward the mission of UCA WAVES: to raise awareness of cultural identity and mental health challenges among young Asian Americans, to develop community support and resources for youth mental health, to promote cultural sensitivity to psychological well-being and responses, and to encourage civic engagement in public policies to address mental health issues.
The support groups are meant for anyone who identifies as Chinese or Asian American (or any American with an interest in Asian American culture) and is of high school age (13-18 years old). UCA Youth Peer Support Group is not a substitute for treatment from professional resources. Because of safety reasons, we will not be able to include anyone currently in an active phase of mental illness; however, we encourage them to join us once they are receiving appropriate therapy and treatment and are stable.
We will begin with a single group that will remain open for people to join throughout the first three months. We will meet for one hour once every other week via Zoom. Each meeting will include brief introductions, a warmup activity, open time for group sharing, a guided meditation, and an overview of a topic presented from youth Mental Health First Aid.
After this initial open period, we will break off into smaller, closed groups, each led by 1-2 Youth Ambassadors. Each group will focus on a specific theme or activity that members propose and agree on.
“Ground Rules” and Expectations
We strive to create a safe and confidential place. All information you share about yourself in the group will be kept confidential. Only with your written permission will information be released to anyone outside of the Youth Peer Support Group. If your parents have concerns or inquiries, they can reach out to us, and if appropriate, we will invite them to a conversation with both you and a Group facilitator; otherwise, we will ask them to respect your autonomy and privacy as well unless the information pertains to harm to any individual.
However, confidentiality may not apply if suicidal/self-harming thoughts/behaviors are disclosed or/and emotional, physical, or sexual abuse happening to the minor or if the information relates to imminent harm to an individual or if we are obliged to share the information under a court order. Confidentiality may not apply if the information relates to harm or potential harm to anyone past, present or future. While the UCA Youth Peer Support Group staff members may consult with a supervisor or with one another to decide an appropriate and effective way to protect your safety, all staff members are ethically bound to treat information shared in the support group confidentially.
All members of the Youth Peer Support Group should respect the confidentiality of information shared by other members. As a group member, if another member shares information that falls into the exceptions listed above, you may reach out to the Youth Peer Support group staff.
This waiver of liability includes any risk of attending peer support meetings or other services provided by UCA WAVES. Please see the detail below:
In case of emergencies, please provide the following information.
Participant and Parent/Guardian Consent
If you have not reached 18 years of age, please ask your parents to sign below:
By submitting this application, youth and parents agree that UCA IL and any other co-host organizations can use pictures at the event for the purpose of UCA programs-related promotion only. We really appreciate your support for our youth programs.
If the youth is younger than 18 years of age as of the day of sign-up for the events, the parent/guardian must sign here to authorize the child’s participation in the registered event and volunteer services. Thank you for your support.
Thank you so much for signing up! A UCA WAVES Youth Ambassador will reach out to you by phone soon.
Thank you so much for participating in our needs assessment survey and/or support group signup!
For more resources regarding Chinese/Asian American identity and mental health, please visit our United Chinese Americans (UCA) youth mental health collaborative WAVES (Wellness, Advocacy, Voices, Education, Support) website at https://ucausa.org/uca-waves/
For questions/concerns, please contact us at firstname.lastname@example.org