From Small Ripples to a Sea Change: Elucidating Long-Term and Multi-Level Youth Mental Health Intervention Impacts Using Ripple Effects Mapping

The present study applied an adapted REM approach to capture systems and community change associated with the Agenda Gap program. Using transcript and mind map data generated through an REM process with former Agenda Gap youth collaborators and adult allies, reflexive thematic analysis supported the construction of three thematic program outcomes: (1) Reimagining Future Possibilities, (2) Systems Integration: Transforming School Practices, and (3) Progressing From Ripple Effects to Sea Change.