关键词: Kenya integrating intervention life skills mental health out-of-school adolescents sexual and reproductive health and rights stigma task sharing

Mesh : Humans Adolescent Mental Health Kenya Empowerment Schools Public Health

来  源:   DOI:10.3390/ijerph21020223   PDF(Pubmed)

Abstract:
This article presents processes for developing contextualized training procedures to better appreciate partnership, capacity-building experiences, and specific implementation challenges and opportunities for mental and public health teams. The program enrolled 469 out-of-school adolescents to participate in the integration of youth mental health into health and life-skill safe spaces. The teams utilized various methods to achieve process outcomes of restructuring and adapting curricula, training youth mentors, and assessing their self-efficacy before integrating the intervention for 18 months. The Coronavirus (COVID-19) pandemic became an additional unique concern in the preliminary and the 18-month implementation period of the program. This necessitated innovation around hybrid training and asynchronous modalities as program teams navigated the two study locations for prompt training, supervision, evaluation, and feedback. In conclusion, out-of-school adolescents face a myriad of challenges, and a safe space program led by youth mentors can help promote mental health. Our study demonstrated how best this can be achieved. We point to lessons such as the importance of adapting the intervention and working cohesively in teams, building strong and trusting partnerships, learning how to carry out multidisciplinary dialogues, and continuous supervision and capacity building. This article aimed to document the processes around the design and implementation of this innovative intervention and present a summary of lessons learned.
摘要:
本文介绍了开发情境化培训程序的过程,以更好地了解伙伴关系,能力建设经验,以及精神和公共卫生团队的具体实施挑战和机遇。该计划招募了469名失学青少年,参与将青年心理健康纳入健康和生活技能安全空间。团队利用各种方法来实现重组和调整课程的过程成果,培训青年导师,并在整合18个月的干预措施之前评估他们的自我效能。在该计划的初步和18个月实施期间,冠状病毒(COVID-19)大流行成为另一个独特的问题。这需要围绕混合训练和异步模式进行创新,因为项目团队在两个研究地点进行了快速训练。监督,评估,和反馈。总之,失学青少年面临着无数的挑战,由青年导师领导的安全太空计划可以帮助促进心理健康。我们的研究证明了如何最好地实现这一目标。我们指出了一些教训,例如调整干预措施和在团队中团结工作的重要性,建立强大和信任的伙伴关系,学习如何开展多学科对话,以及持续的监督和能力建设。本文旨在记录围绕这一创新干预措施的设计和实施过程,并总结经验教训。
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